State of Florida · 4 weeks ago
OPS HUMAN SERVICES PROGRAM ANALYST - 64858405
The State of Florida's Department of Health is seeking an OPS Human Services Program Analyst to support the Ryan White/HIV Primary Care Program. The role involves assisting clients with navigating care, managing referrals, and performing various administrative and communication tasks to ensure efficient program operations.
Government Administration
Responsibilities
Supports clients in navigating care by facilitating scheduling of clinical visits, identifying barriers to receiving care, and assisting with referrals to community resources
Assists clients in utilization of resources and helps with completion of applications for programs for which they may be eligible and follows up on pending applications (example: All medication assistant programs). As a result, position motivates patients to be actively engaged participants in their health to ensure documents for clinical engagement, insurance, and assistance programs are completed/updated on time
Will be completing face to face engagement and enrollment/intake services at each visit and throughout the year as needed. Prepares records as needed before appointments and other client encounters
Assists clients in arranging Medicaid offered transportation for patient centered services: lab draws, pharmacy pick-ups, scheduled Ryan White provider appointments and referral appointments
With guidance from the Ryan White Nurse, implements and coordinates provider ordered specialty referral for clients that do not have insurance. If the Ryan White Program has a contract with the requested specialty referral, referral will need to be authorized by White Project Director. Contracted services usually include dental, radiology, and transportation services. Coordination will include initiating referral, tracking, and monitoring to ensure patient compliance. Responsible for processing invoice and entering contracted services received. Assists with outside community agencies/resources for dental or other services not available through contract if client does not have insurance coverage
With guidance from the Ryan White Nurse, implements and coordinates ordered specialty referrals for clients with insurance. Position may be asked to research client’s insurance plan to find in network provider and then coordinate with insurance and referral provider to ensure best outcome for client. Position may be required to contact the insurance as well as the referral provider multiple times to ensure services will be authorized by insurance and/or to verify the provider will accept the referral. Each referral must be faxed, tracked, and monitored to ensure success
Assists budget specialists with Ryan White warehouse inventory, Ryan White contracted referral invoices, and some simple budgeting activities
Monitors and maintains stock levels for routine supplies using predetermine re-order point, ensuring stock levels are maintained
Maintains and organizes warehouse for Ryan White as directed
Communicates with clients concerning appointments, referrals, and other assigned action tasks. Informs clients of appointment and referral details (provider’s name/address, appointment time, and other pertinent details)
Effectively communicates with nurses and other co-workers concerning progress/setbacks in accomplishing assigned tasks and is accountable for actions. Electronic Health Record and spread sheets (referral logs) are utilized for documentation, communication, and follow up
Maintains specialty referral log, including entering data when service is initiated, tracking progress of service, and confirming completion of referral
Must ensure effective, professional communication with all levels of staff, clients, and outside agencies to include:
Sending faxes as directed
Monitoring incoming faxes for nurse review (hospital reports, referral reports, pharmacy requests and prior authorization requests
Communicating and documenting pertinent information to the nurse in a timely manner
Requesting outside provider notes and hospital records
Adhering to privacy and information security requirements (HIPAA) and other regulations; maintaining high level of respect and confidentiality in handling patient information
Accurately tracks and documents communication with patients (examples: telephoning client to remind of upcoming appointments, the need to have labs drawn, or to pick up ADAP)
First Line Telephone triage if indicated (answers the main Ryan White Appointment line and directs call to staff members as appropriate)
Participates in quality improvement activities and gathers data from Ryan White reporting systems
Participates in cross training and other staff development activities for career development
Performs all other duties as assigned in support of the Agency’s mission and vision
Qualification
Required
Communicates effectively in written, oral, and electronic formats
Knowledge of principles and processes involved in business and organizational planning, coordination, and execution
Experience working with computer equipment and Microsoft Office applications. (I.e., Outlook, Teams, Word, Excel)
Ability to learn and communicate effectively, orally and in writing, in English
Benefits
State of Florida 401(a) FICA Alternative Plan (mandatory)
Participation in state group insurance (upon meeting eligibility requirements. Consult with People First and/or the serving HR office)
Workers’ Compensation (mandatory, if needed)
Reemployment Assistance (Unemployment Compensation) (mandatory, if needed)
Deferred Compensation (voluntary)
Employee Assistance Program (voluntary)
And more!
Company
State of Florida
The State of Florida is an online telephone and email directory for state government agencies and employees in Florida.
Funding
Current Stage
Late StageLeadership Team
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