Case Management Support-Integrated Health Care

  • Closing Date:

    10/25/2024

  • Job Summary:

    This is a professional administrative support position responsible for assisting the Integrated Health Team in the coordination of behavioral and mental health/substance abuse services for children through the Medicaid Managed Care Plan.

  • Essential Functions:

    • Establish and maintain positive working relationships with HFC customers
    • Perform routine administrative functions, drafting correspondence, scheduling appointments, organizing and maintaining electronic files
    • Assist case managers, foster parents, caregivers and medical offices with Medicaid inquiries for access to Medicaid services
    • Responsible for ensuring there is no lapse in coverage from notices provided by Agency for Health Care Administration for children with open child welfare cases
    • Notify HFC REVMAX Specialists with insurance reinstatements for youth
    • Review medical bills, research coverage and forward to appropriate designee
    • Complete necessary Primary Care Physician (PCP) changes to ensure children receive appropriate medical care
    • Utilize data systems (FSFN, FLMMIS, DOH Immunization Portal, PRO, JJIS to review  information, pull reports, and enter updates when applicable  
    • Communicate with medical offices to coordinate timely appointments, as necessary
    • Coordinate distribution of all member ID cards, handbook or other notifications to case managers
    • Maintain relationships with insurance company representatives and provided necessary documents for change requests and provide assigned case manager information to Care Management teams     
    • Completes  Medicaid Managed Plan changes via the Medicaid Member Portal or customer service line for caregivers and case management
    • Upload Multi-Disciplinary Team (MDT) staffing notes, Suitability Assessment recommendations and medical records into FSFN and in SharePoint
    • Provides case manager assignment to Lakeland Regional Health and Peace River Baker Act facilities
    • Provide parents, caregivers and case managers with guidance and support when navigating Medicaid Plan Portals for creating profiles
    • Monitors phone calls and forwards to correct HFC team, CMO or CBC
    • Assists IH team by searching for medical providers
    • Orders department supplies
    • Perform special projects as assigned

  • Qualifications Required:

    High school diploma or GED required and a minimum two years data entry experience. 

  • Qualifications Preferred:

    Three years data entry experience in a mental health or related field preferred.

  • Physical Requirements:

  • Benefits:

    Excellent benefits package with tuition assistance, domestic partner coverage, retirement and generous paid time off. 

  • Additional Information:

    Drug free workplace.  Drug testing required.  EOE/M/F/D/V.  

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