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State of Florida
State of Florida
Sveikatos priežiūraŠvietimasVyriausybė
Floridos valstijos vyriausybė yra atsakinga už viešųjų paslaugų administravimą ir programų koordinavimą visoje Floridoje. Jos departamentai ir agentūros dirba valdymo, švietimo, sveikatos priežiūros, aplinkos apsaugos, transporto ir visuomenės saugumo srityse. Floridos valstijos vyriausybė siūlo darbo galimybių įvairiose viešojo sektoriaus funkcijose ir samdo žmones, padedančius teikti bei administruoti paslaugas bendruomenėms visoje valstijoje.
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Registered Nursing Consultant – Florida Medicaid

Support Florida Medicaid quality oversight through clinical monitoring, compliance reviews, and provider oversight. Develop monitoring protocols, reports, corrective actions, and training for the Agency for Health Care Administration.

USJungtinės ValstijosFLFloridaDarbas vietojeVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųKonsultantas

Aprašymas

  • Coordinate routine and special monitoring activities under Florida Medicaid policies and procedures.
  • Create monitoring tools and protocols.
  • Plan and carry out reviews of program policies and procedures through health plan and provider monitoring.
  • Conduct desk-based and on-site reviews of health plans, providers, and other entities.
  • Document findings in reports and recommend corrective actions.
  • Follow up to confirm identified noncompliance has been addressed.
  • Stay current on Florida Medicaid, federal regulations, state statutes, administrative rules, the Florida Medicaid State Plan, and waivers.
  • Research assigned topics and assess health care and program information for compliance with federal and state laws.
  • Prepare reports and evidence-based evaluations of program impact, efficiency, and effectiveness.
  • Present monitoring results to show health plan and provider performance trends.
  • Prepare grant proposals when requested.
  • Lead special studies and recommend program design and development changes.
  • Provide independent clinical consultation and judgment during monitoring.
  • Advise supervisors and program staff on nursing and medical matters.
  • Draft correspondence for entities undergoing monitoring reviews.
  • Ensure written materials meet Agency and bureau style requirements.
  • Create and deliver training and technical assistance for internal and external stakeholders.
  • Plan, coordinate, and deliver local or statewide training.
  • Identify and document health plans’ and providers’ clinical and medical training needs.
  • Design and assess training programs and materials.
  • Bring monitoring concerns to the supervisor’s attention.
  • Present data and program information accurately.
  • Represent the Agency at local, state, and national meetings, conferences, workshops, and seminars.
  • Prepare presentation materials.

Reikalavimai

  • At least four years of professional nursing experience, including two years in a supervisory or administrative role.
  • Current Registered Nurse licensure under Chapter 464, Florida Statutes.
  • Knowledge of nursing principles, practices, and techniques.
  • Knowledge of human anatomy and physiology.
  • Knowledge of methods for compiling, organizing, and analyzing data.
  • Ability to develop and implement program monitoring methods and techniques.
  • Ability to provide in-service training on medical and health care services, patient assessments, and utilization practices.
  • Ability to develop program policies, procedures, manuals, administrative rules, and agreements.
  • Ability to understand and apply relevant rules, regulations, policies, and procedures.
  • Ability to prioritize workload.
  • Ability to plan, organize, and coordinate work assignments.
  • Ability to develop reports.
  • Ability to establish and monitor nursing standards and operating policies and procedures.
  • Ability to build and maintain effective working relationships.
  • Effective communication skills.
  • Ability to travel, with or without accommodations.
  • Successful completion of state and national criminal history background screening before employment.
  • Subject to reasonable suspicion drug testing.
  • A BSN from an accredited college or university is preferred.

Privalumai

  • Health insurance options for eligible employees, including individual and family coverage.
  • A free $25,000 life insurance policy, with the option to purchase additional coverage.
  • Dental, vision, and supplemental insurance.
  • State of Florida retirement plans with employer contributions.
  • Opportunity to earn up to 104 hours of paid annual leave as a new State of Florida employee.
  • Opportunity to earn up to 104 hours of sick leave per year.
  • Nine paid holidays and one personal holiday each year.
  • Career advancement opportunities.
  • Tuition waivers accepted by major Florida colleges and universities.
  • Student loan forgiveness opportunities for eligible employees.
  • Training opportunities.
  • Flexible Spending Accounts.
  • Shared Savings Program for selected medical services.
  • Reduced prescription drug copays.
  • Health and wellness discounts.

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