Job Description

Requisition No: 842417 

Agency: Department of Health

Working Title: COMMUNITY HEALTH NURSING CONSULTANT - 64068273

 Pay Plan: Career Service

Position Number: 64068273 

Salary: $55,000 - $60,000 

Posting Closing Date: 12/15/2024 

Total Compensation Estimator 

FLORIDA DEPARTMENT OF HEALTH - OPEN COMPETITIVE OPPORTUNITY

This position is a responsible professional position that reports to the Director of the Healthcare Quality and Clinical Management Unit for the Office of Children’s Medical Services Managed Care Plan. This position is responsible for promoting an integrated, comprehensive, and cost-effective health care system with a focus on health equity and social determinants of health to ensure access to quality care for CMS Plan enrollees. This incumbent will serve as the Enhanced Care Coordination (ECC) subject matter expert and will perform independent and complex work. This role is responsible for coordinating resources, leading implementing projects, and day-to-day coordination, oversight, and monitoring for efficient operation of Enhanced Care Coordination Program. This incumbent will be a Community Health Nursing Consultant for related CMS Plan Program initiatives and activities which include but are not limited to Care Coordination/Case Management and Enhanced Care Coordination.

Who We Are :

Florida Department of Health Children’s Medical Services (CMS) Managed Care Plan is responsible for the program oversight of the CMS Health Plan. CMS Health Plan provides benefits for children up to age 21 who have chronic and serious health condition(s).

Your Specific Responsibilities:

• Performing monitoring activities that include case reviews, report reviews, leading initiatives for quality improvement projects/developing best practices and analyzing QI data in the area of Enhanced Care Coordination.
• Analysis and trending of population data which includes Private duty nursing (PDN), Prescribed Pediatric Extended Care (PPEC), and skilled nursing facility (SNF) members.
• Participating and ensuring CMS Plan vendor representation for all staffings, workgroups, and meetings related to ECC. Maintain tracking log of staffings and provide consultation on follow ups needed with the CMS Plan vendor.
• Review and maintain quality of care complaints when escalated to the CMS Managed Care Plan Central Office for clinical reasons related to ECC.
• Collaborating with the CMS Plan vendor to track and monitor disaster preparedness planning for CMS enrollees.
• Tracking members transitioning and aging out of CMS within the year to ensure all protocols are followed and for making the CARES referral as applicable.
• Performing program monitoring (desk and on-site reviews) to ensure that all requirements are being met in relation to the enhanced care coordination program.
• Ensuring the CMS Plan vendor completes, and updates individualized transition plans as required by AHCA guidelines.
• Assists the Healthcare Quality and Clinical Management Director with special projects as assigned.
• Performs other related duties as assigned.  

Required Knowledge, Skills, and Abilities:

• Knowledge of care coordination/case management, enhanced care coordination, managed care, and CMS policies;
• Knowledge of the principles and delivery of health services;
• Proficient in Microsoft Office and strong computer skills;
• Strong communication and presentation skills, training/meeting facilitation skills;
• High degree of independence, flexibility, initiative, and commitment;
• Knowledge of enhanced care coordination principles, practices and techniques;
• Ability to lead quality improvement projects and provide technical assistance
• Ability to collect, interpret, and analyze statistical, demographic, and service data;
• Ability to understand, interpret, and apply applicable rules, regulations, policies and procedures;
• Ability to communicate effectively, both written and verbal;
• Ability to establish and maintain effective working relationships with others;
• Excellent organizational skills and coordination skills, including multitasking and setting priorities on work assignments;
• Excellent time management skills;
• Excellent writing, research, analytical skills;

Qualifications:

• This position is required to have and maintain a clear and active Registered Nurse License in the State of Florida (F.S. Reference: 464) or Multistate Registered Nurse License from another Compact State.
• Years of Experience: 1-3 Years of pediatric clinical experience preferred.
• Travel time: 5%

Florida Department of Health Mission, Vision, and Values:

Mission:

To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

Vision:

To be the  Healthiest  State in the Nation.

Values:

I  nnovation: We search for creative solutions and manage resources wisely.

C ollaboration: We use teamwork to achieve common goals & solve problems.

A ccountability: We perform with integrity & respect.

R esponsiveness: We achieve our mission by serving our customers & engaging our partners.

E xcellence: We promote quality outcomes through learning & continuous performance improvement.

Where You Will Work:

This is a telework position within the State of Florida. However, if located in these four counties (Leon, Jefferson, Gadsden, Wakulla) they are excluded from telework availability, but may be considered for a hybrid schedule.

The Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including:

• 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 other supplemental insurance options;
• Retirement plan options, including employer contributions

(For more information, please click );

• Flexible Spending Accounts;
• Tuition waivers;
• And more!

For a more complete list of benefits, including monthly costs, visit  .

Please be advised:

  Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.

This position requires a security background check and/or drug screening and participation in direct deposit. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.

Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website:  

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 canceled, suspended or deemed ineligible depending upon the date of your retirement. 

The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system. E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.

Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.

Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women. The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise. Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.

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. 

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