Medical Case Manager
State of Florida • Daytona Beach, FL31d • Onsite
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OPS MEDICAL CASE MANAGER - 67090403
State of Florida•Daytona Beach, FL
•Onsite
About The Position
The Agency for Persons with Disabilities is hiring a Medical Case Manager for a regional, professional role. The position is not eligible for telework and requires reporting to the APD office in the area served. The Medical Case Manager provides medical case management and consultation throughout the region, working with an interdisciplinary team and collaborating with the state office nursing and clinical team on the health and safety of agency clients. The work includes clinical oversight, 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 supports staff and management across the Agency and contributes to workplace culture, the community, and the population served. Applicants must complete all fields in the Candidate Profile; submitted resumes do not replace the required profile. Employment is contingent on the required Level 2 background screening. The agency hires U.S. citizens and people lawfully authorized to work in the U.S. and participates in E-Verify.
Requirements
- Minimum of 2 years of Registered Nursing experience.
- Valid driver’s license or other efficient means of transportation for work purposes, 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/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; monitor compliance in licensed group and foster homes; and provide technical assistance to waiver support coordinators, supported living coaches, Adult Day Training 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 out of DDCs who require medical 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 related data reporting as appropriate.
- Participate in Agency hearings, meetings, and client staffing.
- Provide consultation for Medicaid exception denial requests and eligibility reviews as needed.
- Perform additional duties as required.
Benefits
- State Group Insurance coverage options, including health, life, dental, vision, and supplemental insurance options.
- Retirement plan options.
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