REGISTERED NURSE SPECIALIST

REGISTERED NURSE SPECIALIST - 64000648The role of a Clinical Eligibility Screener for the Florida Department of Health and Children's Medical Services is a vital one, providing top-notch support to individuals in need through the CMS Toll-Free Line. The primary purpose of this position is to ensure that all callers receive prompt, accurate, and courteous assistance with their inquiries and concerns. In this capacity, the screener will be responsible for processing referrals and physician attestations, as well as maintaining meticulous records of all interactions. This entails verifying the accuracy of information, updating databases, and ensuring compliance with relevant regulations and guidelines. By providing exceptional customer service, the screener helps to foster trust and confidence in the Florida Department of Health and Children's Medical Services, ultimately contributing to the well-being of the community. Effective communication and problem-solving skills are essential for success in this role, the screener must be able to navigate complex situations, address concerns, and provide clear, concise information to callers. Additionally, the ability to work in a fast-paced environment, prioritize tasks, and manage multiple responsibilities is crucial. By combining these skills with a patient-centered approach, the Clinical Eligibility Screener plays a critical role in delivering high-quality support to those in need, making a positive impact on the lives of individuals and families across Florida.Your Specific Responsibilities:Conducts phone-based screenings to determine clinical eligibility for services for enrolled or potentially enrolled children for the Managed Care Plan and Florida KidCare Title XXI subsidized plan.Evaluating patient health status, and interpreting special needs as reported by parents, caregivers, or physician attestation.Provides plan enrollment information to client and family.Documents in accordance with established guidelines while using the current electronic medical record program.Offer resources from state and local health agencies to support client families for plan enrollment.Attends meetings and conferences related to roles and responsibilities.Delivering high-quality support to clients and their families, ensuring they receive the necessary care and resources.Meets the continuing education requirements mandated by the Florida Board of Nursing.Required Knowledge, Skills, and Abilities:Knowledge of organizational procedures, policies, practices, rules, and regulations.Ability to plan, organize and coordinate work assignments.Ability to meet deadlines and prioritize tasks effectively.Must have ability to read, comprehend, and communicate effectively verbally, using confident articulation, and proper tone, and in writing, to express facts clearly and concisely.Ability to establish and maintain effective working relationships with others.Knowledge in medical terminology.Working knowledge of Microsoft Applications.Knowledge of computer software including applications.Thorough knowledge of modern office business equipment, practices, and procedures.Great Interpersonal skills.Must be able to multi-task.Must be an active listener and ask question as appropriate.Qualifications:Minimum: Active License as a Registered Nurse in the State of Florida in accordance with Florida Statute 464. Valid Driver's license.Preferred: Years of Experience: 3 - 5 years clinical eligibility screening, and/or call center preferred. Pediatric nursing experience. Experience in caring for children with special healthcare needs or complex medical conditions. Experience with Microsoft Office applications.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. All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English. Applicants who do not meet this requirement will not be considered. The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace. Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center View phone number on click.appcast.io). 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. 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. 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 View phone number on click.appcast.io). 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.Location: TALLAHASSEE, FL, US, 32301 TALLAHASSEE, FL, US, 32302 TALLAHASSEE, FL, US, 32303 TALLAHASSEE, FL, US, 32304 TALLAHASSEE, FL, US, 32305 TALLAHASSEE, FL, US, 32307 TALLAHASSEE, FL, US, 32308 TALLAHASSEE, FL, US, 32309 TALLAHASSEE, FL, US, 32310 TALLAHASSEE, FL, US, 32311 TALLAHASSEE, FL, US, 32312 TALLAHASSEE, FL, US, 32316 TALLAHASSEE, FL, US, 3