Medicaid Waiver Liaison

Lakeland, FL, United States

Job Description


Requisition No: 809865

Agency: Agency for Persons with Disabilities

Working Title: MEDICAID WAIVER LIAISON - 67035213

Position Number: 67035213

Salary: $36,178.74- $36,245.30 Annually

Posting Closing Date: 08/21/2023

POSITION: Human Services Program Specialist - Career Service

WORKING TITLE: Medicaid Waiver Liaison

POSITION\'S LOCATION: Central - Lakeland, Fl

POSITION NUMBER: 67035213

OPEN COMPETITIVE OPPORTUNITY

This posting may close before the posted closing date.

The hiring salary may exceed the maximum posted salary.

CANDIDATE POOL: Future vacancies may be filled from this advertisement for a period of up to six months.

The Agency for Persons with Disabilities works in partnership with local communities to support people with developmental disabilities in living, learning, and working in their communities. APD provides critical services and supports for customers with developmental disabilities to reach their full potential. The Agency serves people with spina bifida, autism, Down syndrome, children ages 3-5 at high risk of developmental disabilities, cerebral palsy, Prader-Willi syndrome, Phelan-McDermid syndrome, and intellectual disabilities. There is no charge or co-payment for services provided through the Agency.

SALARY RANGE

$36,178.74- $36,245.30 Annually $1,391.49 - $1,394.05 Bi-weekly

POSITION DETAILS

This advertisement is for a Career Service position located in APD\'s Central Region In Lakeland, FL.

SPECIFIC DUTIES AND RESPONSIBILITIES

Employees of the Agency for Persons with Disabilities are required to demonstrate total commitment to outstanding customer service. This includes, but is not limited to, always acting in a responsive, professional, courteous manner with the employees, customers, and public we serve at all times.

Duties and responsibilities include, but are not limited to, the following:

This is a professional position in the Medicaid waiver unit. This position has primary responsibility for conducting medical necessity reviews for individuals served through the Medicaid waiver program, processing cost plan amendment requests for increases in Medicaid waiver funding and in working with Medicaid waiver support coordinators.

Processes documentation for medical necessity reviews while ensuring the accuracy of the documents being submitted for assigned part of Medwaiver consumer case load. This includes entering on the Support Plan tracking spreadsheet.

Processes the Allocation Implementation Meeting (AIM) documentation for medical necessity while ensuring the accuracy of the documents for new waiver enrollees (Crisis and Waitlist to Waiver Transition).

Processes iBudget requests as received from Waiver Support Coordinators and/or supervisor per case load assignment in a timely and accurate manner. Checks iBudget system periodically daily and meets timelines for processing assigned requests based on established policy and procedures.

Processes requests for Budget Increase Requests within the required timeframe, while ensuring the accuracy of the document submitted based on the established policy and procedures. This includes entering the required information on the Regional and State Office tracking system within the established policy and procedures.

Performs duties to support the Regional Medicaid Waiver Unit, including but not limited to, working with Medicaid waiver enrolled service providers, special assignments relating to changes in the Medicaid Waiver as needed. Assists in the identification and resolution of Regional specific problems concerning policy implementation and service delivery. Provides technical assistance regarding programmatic and consumer issues and assists in interpreting rules, policies and standards.

Initiates and maintains open communication with community, service providers and stakeholders. Assists, as assigned, with investigations of incidents and/or complaints regarding agency services providers. Participates in workshops, training sessions and meetings as assigned. Provides technical assistance to Medicaid waiver providers as needed/directed by the supervisor.

Provides iBudget/ABC technical assistance to Waiver Support Coordinators as necessary.

Performs other duties as necessary to support the Regional office functions, including but not limited to: serving as back up staff for other Regional waiver staff and duties required during an emergency as specified in the Regional Emergency Management Plan.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES

  • Ability to: understand, interpret, demonstrate, and manage oneself and to handle interpersonal relationships. Ability to Listen and understand what other may be saying and asking questions. Ability to analyze available information, observations, and evidence to determine appropriate action. Ability to manage time effectively, prioritize tasks, set goals, and develop systems for achieving those goals. Ability to effectively communicate, respectfully conversing with others to achieve a desired outcome. Ability to write and edit using proper grammar and writing style outlined by agency and program requirements.
  • Demonstrate Skills in: Active Learning - Working with new material or information to grasp its implications and ability to apply.
  • Knowledge of: and be proficient in-service orientation - actively looking for ways to help people and exceed the expectation of the person being served. Knowledge and proficient use of Microsoft applications (Excel, Word, Power Point Share Point) and other required computer software applications.
POSITION REQUIREMENTS
  • Must have valid Driver\'s License or other efficient means of transportation to travel for work purposes.
  • Must have a high school diploma or its equivalent.
  • Must have knowledge and proficient use of Microsoft applications (Excel, Word, Power Point Share Point) and other required computer software applications.
  • Must have at least two years of experience in working with people with disabilities, care coordination, or in the health and human services field.
ADDITIONAL INFORMATION

PROFILE COMPLETION

Applicants must complete all fields in the Candidate Profile, including their work history with the month and year, to qualify for this position.

Responses to Qualifying Questions must be verifiable in the Candidate Profile, and \xe2\x80\x9csee resume\xe2\x80\x9d will not be considered an acceptable response.

Resumes and other documentation can be attached to provide additional information, but these will not replace the required completed Candidate Profile.

RETIREE NOTICE

If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be suspended or voided, and you will be required to repay all benefits received depending upon the date of your retirement.

DIRECT DEPOSIT PROGRAM

As a condition of employment, a person appointed to a position in the State Personnel System is required to participate in the Direct Deposit Program. Rather than receiving a paper paycheck, your funds will be deposited directly into your account at your financial institution. This will be accomplished by Electronic Funds Transfer. Banks, savings and loan associations, and credit unions are eligible to accept such deposits. Retirement funds are also required to be in the Direct Deposit Program.

BACKGROUND SCREENING REQUIREMENT

It is the policy of the Florida Agency for Persons with Disabilities that applicants for employment undergo Level 2 employment screening in accordance with the requirements of Chapter 435, Florida Statutes, as a condition of employment or being permitted to serve as a volunteer.

No applicant for a designated position will be employed or permitted to volunteer until the Level 2 screening results are received, reviewed, and approved by the Agency.
Level 2 background screening shall include, but not be limited to, fingerprinting for Statewide criminal and juvenile records checks through the Florida Department of Law Enforcement, and Federal criminal records checks through the Federal Bureau of Investigation and may include local criminal records checks through local law enforcement agencies.

Pursuant to S. 110.1127(1), Florida Statutes, this position requires a background investigation, including fingerprinting.

APD only hires U.S. citizens, and those lawfully authorized to work in the U.S. APD participates in the U.S. government\'s employment eligibility verification program (E-verify). E-verify is a program that electronically confirms an employee\'s eligibility to work in the U.S. after completing the employment eligibility verification form (I-9).

All applicants should complete the online application process. If assistance is needed to apply for this position, please call the people first service center at 1-877-562-7287.

Responses to the qualifying questions are required to be considered for this position. Answers to the qualifying questions must be verifiable based on your submitted application.

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

VETERANS\' PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans\' Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans\' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans\' Preference documentation requirements are available by clicking . All documentation is due by the close of the vacancy announcement.

State of Florida

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Job Detail

  • Job Id
    JD4322677
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    $36178.74 - 36245.3 per year
  • Employment Status
    Permanent
  • Job Location
    Lakeland, FL, United States
  • Education
    Not mentioned