Eligibility Specialist II: Train & Improve Case Quality
$37.04kState of Florida
ELIGIBILITY SPECIALIST II - 60066285 Requisition No: 875879 Agency: Children and Families Location: RIVIERA BEACH, FL, 33404 Florida Department of Children & Families - Office of Economic Self‑Sufficiency Description: This professional position provides backup to the unit’s supervisor in day‑to‑day duties. Responsibilities include but are not limited to reviewing cases during the various processes in the service delivery model, performing case reviews for unit employees, giving feedback to strengthen accuracy rates, and providing training and/or mentoring to unit members. The ESS II is expected to handle a high volume of work which is deadline driven, requiring the ability to prioritize and plan work assignments while being flexible to change with little notice. Annual Salary: $37,035.96 (Internal salaries determined by DCF salary policy) Typical Duties Performs quality management system reviews as assigned. Reviews case reading errors with the Eligibility Self Sufficiency Specialist I and ensures corrections are completed accurately and timely. Reviews and analyzes data from quality control and all monitoring sources and provides training in areas where problems are identified. Follows established unit procedures to determine eligibility for public assistance benefits within designated time frames as required by Federal and State laws and Department policy and procedures. Maintains assigned work responsibilities by taking prompt action on all case management activities including medical expense (bill) tracking, changes, sanctions, data exchange, alerts, ad‑hoc reports, and Medicaid file resolution. Identifies cases of possible fraud and/or overpayment; makes appropriate referrals to fraud and overpayment departments. Ensures electronic case records are documented thoroughly and properly as required by Departmental procedures. Qualifications Must be a current employee of the Florida Department of Children and Families or a State of Florida Government Agency (Case Service opportunity). Only employees of the Florida Department of Children & Families in Career Service, Selected Exempt Status (SES) or Other Personnel Services (OPS) positions may be considered. Additional Information Application process requires completion of a State and National criminal history check before beginning employment. Background screening shall include fingerprinting for State and Federal criminal records checks. Candidates requiring a reasonable accommodation must notify the agency hiring authority or the People First Service Center. The State of Florida supports a Drug‑Free workplace. All employees are subject to reasonable‐suspicion drug testing. Veterans’ Preference: Candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies. Veterans must attach supporting documentation with each submission. For assistance, call the People First Service Center at View phone number on click.appcast.io Monday – Friday, 8:00 a.m. to 6:00 p.m., Eastern time. The State of Florida is an EEO employer pursuant to Florida Law, 110.211 F. S. #J-18808-Ljbffr
- ...pick‑ups. Assist with training associates in the HIS... ...language. Detail and quality oriented as it relates... ...bringing new ideas, process improvement suggestions, and... ...Resources and determined on a case‑by‑case basis.... ...religion. This job is not eligible for employment...QualityFull timeWork experience placementWork at office
- ...Every minute and every case processed count for... ...primary function of an Eligibility Specialist involves determining... ..., through intensive training prior to full case assignment... ...and continuously improving service focused on... ...with the level and quality that we would demand...QualityWork at officeLocal areaRemote workMonday to FridayFlexible hours
- ...performance conversations, training and development... ...and parental leave—all eligible on your first day of... ...status. A/P Specialist II If you love clean data... ...shared services KPIs for quality, speed, and customer... ...responsiveness, and continuous improvement. The salary range...QualityImmediate startFlexible hours
$200k - $300k
...Veterinary Internal Medicine Specialist (Board Certified / Diplomate / Residency‑Trained) J474508 • Hollywood,... ..., offering a high quality of life and convenient... ...diagnostic and therapeutic cases to support patient... ...in the state of Florida Eligible to work in the United States...QualityTemporary work$29.16 per hour
...home Community Engagement Specialist II, Full-time hours... ...interdisciplinary care teams in improving outcomes for complex... ...strengthen member engagement, quality initiatives, and... ...Participate in team meetings, case reviews, and required training Qualifications LPN...QualityFull timeLocal area- ...is actively searching for Calibration Specialist II for our manufacturing facility in Ave Maria... .../Specialized Courses and/or Training Good mechanical aptitude. Ability to read... ...Calibration Software, Laser Micrometer and Quality Control Inspection Equipment preferred....QualityFor contractorsFlexible hours
- ...life on Mars. CASTING SPECIALIST, HEAT SHIELD... ...conditions to produce high-quality cast heatshield... ...system performance, training staff, and driving improvements to enhance quality,... ...or national, (ii) U.S. lawful, permanent... ...S.C. * 1158, or be eligible to obtain the required...QualityPermanent employmentWork at officeWeekend work
- ...to analyze information and deliver high quality service to a specialized client base. Provide... ...activities and initiatives designed to improve the client experience and recommend... ...total rewards package, which may include eligibility for an annual discretionary incentive award...QualityWork experience placementWork at officeWorldwideFlexible hours
$120k - $160k
...HRIS & Reporting Specialist serves as the functional... ...& Continuous Improvement Maintain awareness... ...routine data audits and quality assurance reviews.... ...adoption. Provide training and change... ...be determined on a case‑by‑case basis. In... ...this position may be eligible for performance‑...QualityWork at officeRemote work$22 - $25 per hour
...Associate Project Specialist to become a valued... ...assessments and generate quality deliverables with... ...Phase I and Phase II environmental site... ...benefits may improve: Medical/dental/... ...and job function) Training programs Gallagher... ...to review our U.S. Eligibility Requirements Inclusion...QualityFull timeLive outWork at officeLocal areaFlexible hoursShift workNight shiftWeekend work- ...Continuous Improvement Specialist Position Overview Serve as a change champion and key partner in... ...Excellence leadership to develop tools and training to expand the adoption of BD... ...; cost reduction, process cycle time, quality improvements and customer satisfaction...QualityPermanent employmentFull timeRemote workRelocation
- ...D4fdot is seeking a Court Program Specialist II to assist judges in the Family Court Division with case management and program implementation. The role involves assisting in timely case disposition, reviewing filings, and maintaining record systems. Qualified candidates...
$19 - $22 per hour
...revolutionizing healthcare by improving patient access to... ...120 days after training. Enjoy a flexible... ...Patient Access Specialist: This role works... .... Ensure cases move through the... ...of service and quality Conduct benefit... ...verify identity and eligibility to work in the...QualityHourly payTemporary workLocal areaImmediate startFlexible hours- Position Summary The Work Management Specialist II is an intermediate level individual contributor... ..., and cost management while providing quality customer service. Responsibilities... ...requested. Builds knowledge and skills through training of construction standards, compatible...QualityWork at officeLocal areaRemote workRelocation packageWeekend work3 days per week
- ...days) to receive an alert: Title: Admin Specialist II or III Company: Peoples Gas System State... ...tracking and reporting program; Ability to train staff on various assignments in order to... ...of other staff members to ensure the quality and timeliness of work assignments under...QualityFor contractorsWork experience placementWork at officeLocal areaShift work
- ...connected and used to improve health. By joining Datavant... ...pick‑ups. Assist with training associates in the HIS... .... Assist with quality assurance tasks as directed... ...Resources and determined on a case‑by‑case basis.... ...religion. This job is not eligible for employment sponsorship...QualityFull timeWork experience placementWork at officeLocal areaMonday to Friday
$75k
...Southwest Florida Veterinary Specialists At PetVet Care Centers, our mission is to improve the lives of animals... ...Certified or Residency Trained Internist to join our... ...will provide high‑quality veterinary care, maintain... ...intake to discharge Monitor cases in the hospital and...QualityInternshipLocal areaRelocation$200k - $300k
...Centers, our mission is to improve the lives of animals... ...or Residency Trained Internist to join our... ...about providing high-quality veterinary care and possess... ...Southwest Florida Veterinary Specialists (SWFLVS) in Bonita... ...to discharge Monitor cases in the hospital and attend...QualityInternshipLocal areaRelocation$50k
...position ensures high quality standards for... ...ensure compliance with eligibility and regulatory standards... ...in continuous quality improvement activities. Assists peer... .... Examples include training, one-on-one assistance... ...Family intervention specialist, Home health aide, Nurse...QualityFull timeWork experience placementLocal areaLong distance- ...Information Management/Coding Specialist - Hospice page is loaded##... ...setting. - Must have or be eligible for RHIT, CCS, CCSP, CPC or... ...- ICD-10-CM and ICD-10 PCS trained- Experience with Encoders,... ...participate in process and quality improvement initiatives - Abide by the...QualityWork at officeLocal area
- ...As a Proposal Specialist you will be responsible for overseeing... .... This role provides case studies, references,... ...with deadlines and quality standards. This... ...contributes to performance improvements, manages collateral in... ...dynamic company culture Training and professional...QualityFor contractorsWork at officeLocal area
- ...INFORMATION ASSURANCE SPECIALIST Security Clearance Required... ...8570.1‑M IAT Level II and IAM Level I... ...clearance. Candidates must be eligible to obtain and maintain... .... Observes company Quality, Safety, Environmental... ...policies; supports Process Improvement. Work Environment Work...QualityFull timeContract workWork at officeLocal area
- ...efficient solution to improve patient uptake, visibility... .... Provider Success Specialist The Provider Success... ...related experience and/or training, or equivalent... ...through on commitments. Quality – Demonstrates accuracy... ...to verify identity and eligibility to work in the United...QualityTemporary workWork at officeLocal areaImmediate start
$170k - $200k
...Southwest Florida Veterinary Specialists At PetVet Care Centers, our mission is to improve the lives of animals... ...to discharge Monitor cases and attend daily rounds... ...management updates and training at all levels Perform... ...to compassionate, high‑quality care Client communication...QualityPart time- ...Working Title: Eligibility Specialist I – 60044953 Salary: $1,392.96 bi-weekly, $36,216.96 annually... ...and federal program regulations through training Instruct clients on form completion... ...to confirm eligibility status Report cases with suspected identity theft or fraud...Remote work
$18.65 - $19.9 per hour
...Senior Patient Access Specialist Location & Schedule Onsite... ...office calls. Utilize quality auditing and reporting... ...compliance. Develop training materials and programs... .... Verify insurance eligibility, select applicable insurance... ...better processes and improve patient and client...QualityHourly payFull timeWork at officeLocal areaShift work$225k - $275k
...Small Animal Internal Medicine Specialist Location: Pembroke Pines,... ...certified, diplomate, or residency‑trained specialists in Small Animal... ...and manage complex patient cases in collaboration with specialty... ...Animal Internal Medicine and eligible for certification. Passionate...Flexible hours- ...application process. Call Center Specialist Clermont, FL, US 4 days... ...and deliver a high-quality patient experience.... ...refills, and eligibility verification. Maintain... ...administrative teams to improve patient outcomes and experience. Training & Professionalism Support...QualityWork at office
- Crains Cleveland is looking for a CDI Consultant to enhance the quality of medical records through expert analysis and collaboration.... ...career that values your expertise and supports your growth in clinical documentation improvement. #J-18808-Ljbffr Crains ClevelandQualityRemote job
- ...data is connected and used to improve health. By joining Datavant today... ...customers with the highest quality product and customer service.... ...Resources and determined on a case‑by‑case basis. Depending on the... .../or religion. This job is not eligible for employment sponsorship. Datavant...QualityFull timeWork experience placementWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Eligibility Specialist II: Train & Improve Case Quality. Be the first to apply!
- traffic specialist Florida, NY
- wellness specialist Florida, NY
- staffing specialist Florida, NY
- family engagement specialist Florida, NY
- google specialist Florida, NY
- search engine optimization specialist Florida, NY
- reading specialist Florida, NY
- senior specialist Florida, NY
- deployment specialist Florida, NY
- enterprise solutions specialist Florida, NY

