REGISTERED NURSE SPECIALIST - 67073537

State of Florida • Jacksonville, FL

1d • $74,492 - $78,290 • Onsite

About The Position

This professional Career Service position provides medical case management and consultation throughout the region, working within an interdisciplinary regional structure. The role provides clinical oversight of medical case reviews, medication-administration training and monitoring, ICF/IID admissions and eligibility reviews, and other health-related quality controls. Some travel to community locations is required. The position collaborates with the state office nursing and clinical team on the health and safety of Agency clients and is not eligible for telework; the employee must report to the APD office in the area served.

The Medical Case Manager coordinates consumer health-related service requests and supports providers and Agency staff through training, compliance monitoring, technical assistance, medical reviews, reporting, and consultation. Duties also include ICF/IID admissions reviews and transition follow-ups, mortality-related reporting, and participation in hearings, meetings, and client staffing.

Requirements

• Minimum of two years of Registered Nursing experience.
• Valid driver’s license or another efficient means of transportation for work-related travel, and willingness to travel.
• Ability to create and maintain Excel spreadsheets.
• Skills in Microsoft Office, including Outlook, PowerPoint, and Teams.
• Effective written and verbal communication skills.

Nice To Haves

• Bachelor of Science in Nursing is preferred.
• Knowledge of individuals with developmental or intellectual disabilities is preferred.
• Knowledge of case management and medical record reviews.

Responsibilities

• Provide training on services under Medication Administration Rule FAC 65G-7 and monitor compliance.
• Coordinate approved Medication Administration trainers and monitor compliance in licensed group and foster homes.
• Provide technical assistance to waiver support coordinators, supported living coaches, Adult Day Training providers, other providers, and regional office staff.
• Attend local Children’s Medical Assessment Team (CMAT) meetings.
• Coordinate consumer health-related service requests, including medical case management reports, Special Medical Home Care recommendations, Significant Additional Needs requests, Skilled Nursing Exception Letters, medical reviews, and Incident Management System reporting for illness, injury, or accident.
• Review all ICF/IID facility admissions to determine reimbursement level and complete Facility Notification Regarding Day One Letters.
• Provide annual choice counseling for consumers residing in ICFs.
• Complete medical reviews for consumers transitioning from DDCs who require follow-up, at 14 and 90 days after transition.
• Complete required reports of death and mortality reports upon request.
• Conduct the SAO’s annual monitoring and data reporting as appropriate.
• Participate in Agency hearings, meetings, and client staffing.
• Provide consultation for Medicaid exception denial requests and eligibility reviews as needed.
• Collaborate with the state office nursing and clinical team regarding the health and safety of Agency clients.
• Perform additional duties as required.

Benefits

• Annual and sick leave.
• 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 with employer contributions.
• Flexible Spending Accounts.
• Tuition waivers.
• Paid maternity and parental leave.

What This Job Offers

• Job Type: Full-time