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Human Services Program Analyst : 64036728
Location:
Saint Petersburg, FL
Description:
Requisition No:828233 Agency: Department of Health Working Title: HUMAN SERVICES PROGRAM ANALYST : Pay Plan: Career Service Position Number: Salary: 37, : 40, Internal applicants will follow policy. Posting Closing Date: 05/14/2024 Total Compensation EstimatorTool Thank you for your interest in career opportunities with the Florida Department of Health in Pinellas County. If you are looking to establish a successful career in Public Health, you have come to the right place. Many of our innovative and successful health programs are recognized throughout Florida. We hope you decide to join our team Applicants will be contacted directly if selected for an interview. The incumbent is part of a global public health organization and is expected to support the Florida Department of Health in Pinellas County in its mission to protect, promote and improve the health of all people in Florida through integrated state, county andcommunity effortsand its efforts and its vision To be theHealthiest Statein the Nation. Furthermore, the incumbent is expected to incorporate the agency valuesofInnovation,Collaboration,Accountability,Responsivenessand Excellencein all aspects of their work. Your Specific Responsibilities: This position is an Analyst within the Specialty Care Program, whose primary functions are to generate medical referrals for specialists in the Pinellas County Health and Health Care for the Homeless Plans. Primary Duties : Referral Generation : Evaluates services to achieve and maintain cost effective, quality health care. Authorized to limit services based on medical necessity and procedural guidelines. Uses professional guidelines for Specialty Care. Develops procedures to evaluate medical necessity.: Evaluates authorization requests for specialty care referrals in accordance to the established Specialty Care medical grid(Radiology, Behavioral and other specialties) : Verifies County eligibility.: Generates authorization referrals for Specialty Care in accordance with established procedural guidelines in HMS ACG.: Generates 15 Referrals daily or meets center capacity demand.: Generates letters as needed. Faxes referrals to medical providers as needed.:Processes stat referrals as assigned.Data Review : Verify data requested from source documents is entered with a 95 accuracy rate.: Review statistical reports in Logi. : Assist the Business Operations Specialist in the development and implementation of guidelines to be used for consistent application of criteria. :Liaisons with specialist providers requesting additional medical information as needed. INDIRECT SERVICES AND OTHER DUTIES : Backs up DOH pharmacy tech to provide pharmacy services to PCHP clients as assigned, to include overrides/prior authorizations or denials.: Access pharmacy voicemails and phone calls from medical providers as needed.: Use portal information center.: Scans and imports medical records in accordance established standards.: Participates in quality improvement activities, including chart review, in:service programs, and staff meetings. : Faxes Referrals and medical records to providers. : Submits employee activities report (EARS) in a timely manner.: Enter services and process billing claims. : Enters Services and tracking process for Directions Behavioral Health program, review clinical notes match claims and authorization. Knowledge, skills and abilities,including utilization of equipment, required for the position: : Knowledge of medical terminology.: Knowledge of Pinellas County Health and Health Care for the Homeless Plans.: Ability to plan, organize and coordinate work assignments.: Ability to establish and maintain working relationships with others. : Ability to type and/or in a keyboard control
Posted:
May 1 on Tip Top Job
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More About this Listing: Human Services Program Analyst : 64036728
Human Services Program Analyst : 64036728 is a Human Resource Analyst Job located in Saint Petersburg FL. Find other listings like Human Services Program Analyst : 64036728 by searching Oodle for Human Resource Analyst Jobs.
Human Services Program Analyst : 64036728 is a Human Resource Analyst Job located in Saint Petersburg FL. Find other listings like Human Services Program Analyst : 64036728 by searching Oodle for Human Resource Analyst Jobs.