REGISTERED NURSE SPECIALIST - 64046982

State of Florida • Orlando, FL

3d • $45,000 - $50,000 • Onsite

About The Position

The Florida Department of Health and Children’s Medical Services is hiring multiple Registered Nurse positions to provide support through the CMS Toll-Free Line. The role involves assisting callers promptly, accurately, and courteously, and conducting clinical eligibility screenings for children enrolled or potentially enrolled in the Managed Care Plan and Florida KidCare Title XXI subsidized plan.

The position processes referrals and physician attestations, evaluates reported health status and special needs, provides plan enrollment information, and connects families with state and local health resources. It also requires maintaining accurate records in the current electronic medical record program, verifying information, and following applicable guidelines and regulations. The screener supports clients and families while managing multiple responsibilities in a fast-paced environment and attends meetings and conferences related to the role. The incumbent must meet continuing education requirements set by the Florida Board of Nursing.

The position is based at 400 W Robinson Street, Orlando, Florida. Incumbents may be required to perform emergency duty before, during, or beyond normal work hours or days.

Requirements

• Active Registered Nurse license in the State of Florida in accordance with Florida Statute 464.
• Valid driver’s license.
• Knowledge of organizational procedures, policies, practices, rules, and regulations.
• Ability to plan, organize, and coordinate work assignments.
• Ability to meet deadlines and prioritize tasks effectively.
• Ability to read, comprehend, and communicate effectively, verbally and in writing, expressing facts clearly and concisely.
• Ability to establish and maintain effective working relationships.
• Knowledge of medical terminology.
• Working knowledge of Microsoft applications and computer software applications.
• Thorough knowledge of modern office business equipment, practices, and procedures.
• Strong interpersonal skills.
• Ability to multitask.
• Ability to listen actively and ask questions as appropriate.
• Ability to learn and communicate effectively in English, orally and in writing.

Nice To Haves

• Three to five years of experience in clinical eligibility screening and/or a call center.
• Pediatric nursing experience.
• Experience caring for children with special healthcare needs or complex medical conditions.
• Experience with Microsoft Office applications.

Responsibilities

• Conduct phone-based screenings to determine clinical eligibility for services for children enrolled or potentially enrolled in the Managed Care Plan and Florida KidCare Title XXI subsidized plan.
• Evaluate patient health status and interpret special needs reported by parents, caregivers, or physician attestations.
• Provide plan enrollment information to clients and families.
• Document interactions in accordance with established guidelines using the current electronic medical record program.
• Offer resources from state and local health agencies to support client families with plan enrollment.
• Attend meetings and conferences related to the role and its responsibilities.
• Provide clients and families with support and help them access necessary care and resources.
• Meet continuing education requirements mandated by the Florida Board of Nursing.
• Process referrals and physician attestations, maintain accurate records, and verify information in accordance with applicable guidelines.

Benefits

• Annual and sick leave benefits.
• Nine paid holidays and one personal holiday each year.
• State Group Insurance coverage options, including health, life, dental, vision, and supplemental insurance.
• Retirement plan options, including employer contributions.
• Flexible Spending Accounts.
• Tuition waivers.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed