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Requisition No: 752121
Agency: Agency for Persons with Disabilities
Working Title: MEDICAID WAIVER LIAISON – 67073542 1 1
Position Number: 67073542
Salary: $34,091.20- $35,925.24 Annually
Posting Closing Date: 10/30/2022
AGENCY FOR PERSONS WITH DISABILITIES
SOUTHERN REGION – 67073542 – MIAMI, FL
***OPEN COMPETITIVE OPPORTUNITY***
“This advertisement will be used to fill multiple positions”
THIS IS A CAREER SERVICE POSITION
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 age 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.
REQUIREMENTS
Open Competitive opportunity- Any applicant who meets the minimum requirements of the position.
Must have High School diploma or its equivalent.
Must have valid Florida Driver’s license.
**NOTE: Applicants must complete all fields in the Candidate Profile. Work history with month, year, and hours worked are required to qualify for this position. Responses to Qualifying Questions must be verifiable in the Candidate Profile. Resumes and other documentation can be attached to provide additional information. ***
DUTIES
Employees of the Agency for Persons with Disabilities are required to demonstrate total commitment to outstanding customer service. This includes, but not limited to, acting in a responsive, professional, courteous manner with the employees, customers and public we serve at all times.
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, but is not limited to, the processing of annual Support Plans, PSA’s, Cost Plan adjustment requests and new waiver crisis enrollees. As directed by supervisor, assists with preparing for and attending due process hearings as the Agency representative.
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 and iConnect requests as received from Waiver Support Coordinators and/or supervisor per case load assignment in a timely and accurate manner. Checks iConnect/iBudget system daily and meets timelines for processing requests based on 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.
Processes CDC+ requests as received from Consultants and/or supervisor per case load assignment in a timely and accurate manner. Checks and review CDC+ email inbox system daily and meets timelines for processing requests based on established policy and procedures.
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 and iConnect technical assistance to Waiver Support Coordinators, as necessary.
Assists with monitoring of consumer central files which are maintained by the Waiver Support Coordinators as directed by the supervisor.
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.
KNOWLEDGE, SKILLS AND ABILITIES
- Must have experience in reviewing prior service authorization documents, support plans and/or cost plans.
- Must have experience working in a high demand work atmosphere while organizing/prioritizing your work assignments.
- Must have experience in providing technical assistance to ensure compliance with policies.
- Must be accurate in analyzing numbers as it relates to expenditures and budgets.
- Must have ability to read and interpret laws and regulations.
- Must have excellent ability to communicate orally and in writing, (face to face, electronically and/or written) information and ideas clearly, concisely, and effectively.
- Must have knowledge and proficient use of Microsoft applications (Excel, Word, Power Point Share Point) and other required computer software applications.
- Ability to travel for work purposes
DIRECT DEPOSIT PROGRAM – As a condition of employment, a person appointed to a position in State government 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.
THIS POSITION REQUIRES A BACKGROUND INVESTIGATION INCLUDING FINGERPRINTING, PURSUANT TO S. 110.1127(1), FLORIDA STATUTES.
WE HIRE ONLY 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 UNITED STATES AFTER COMPLETION OF THE EMPLOYMENT ELIGIBILITY VERIFICATION FORM (I-9).
ALL APPLICANTS SHOULD COMPLETE THE ON-LINE 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 here. All documentation is due by the close of the vacancy announcement.