Provider Liaison - Orlando, United States - The State of Florida

Mark Lane

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Mark Lane

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Description
Requisition No: 829365


Agency:
Agency for Persons with Disabilities


Working Title:

PROVIDER LIAISON

Pay Plan:
Career Service


Position Number:

Salary:
$36, $38,058.00 Annually

Posting Closing Date: 05/21/2024


Total Compensation Estimator Tool**
AGENCY FOR PERSONS WITH DISABILITIES

POSITION:
Human Services Program Specialist
- Career Service**
Working Title:Provider Liaison


POSITION'S LOCATION:
Central
- Orlando, FL




POSITION NUMBER:


OPEN COMPETITIVE OPPORTUNITY

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 eligible employees features a highly competitive set of employee benefits, including:


  • Annual and Sick Leave.
  • Paid Maternity and Parental Leave.
  • Nine paid state holidays.
  • One Personal Holiday each year.
  • Employee Assistance Program (EAP).
  • State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options.
  • Tuition waiver.
  • And more

The Difference You Will Make With APD
This position with APD will serve staff and management across the Agency.


Your work will impact the workplace culture, our community, and the population we serve as we continuously strive to achieve the Agency's mission.


How You Will Grow At APD
APD employees are expected to demonstrate Ideal Team Player qualities. Qualities include being humble, hungry, smart, respect, customer service, accountability, innovation, integrity, and teamwork.


In turn, team members are involved in essential and often complex projects while offering the opportunity to gain valuable experience.


SALARY RANGE
$36, $38,058.00 Annually $1, $1,463.77 Bi-weekly


POSITION DETAILS
***This is a professional position responsible for independently performing a variety of duties related to quality improvement and enhancement of provider service delivery practices, training and technical assistance, researching provider related complaints, ensuring providers who are not in compliance submit and follow a plan of remediation which is responsive to cited deficiencies, directing providers to AHCA when billing discrepancies are identified, documenting communication with providers and stakeholders to address identified concerns, collaborating with external stakeholders including the QIO, Medicaid Program Integrity and the Medicaid Fraud Control Unit (MFCU) all while upholding HIPAA requirements.


Essential Functions of the position are:

  • Review Qlarant reports and identify deficiencies needing correction.
  • Review provider plan of remediation to ensure all deficiencies are remediated within required timeframes and add remediation activities onto the remediation tracker.
  • Follow up with provider to ensure all rights and health and safety alerts are addressed within required timeframes.
  • Follow up on any provider complaints received. Ensure any identified client health and safety issues are immediately addressed.
  • Require plan of remediation for all verified complaints.
  • Conduct wellness visits within 72 hours as assigned for allegations of ANE in APD licensed facilities, ADTs and supported living arrangements using the wellness visit template.
  • Assist in completion of PAARF for request for administrative complaints or provider terminations.
  • Ensure that a Corrective Action Plan is generated for all deficiencies involving APD licensed facilities in annual Qlarant reviews.
  • Collaborate with the APD waiver team and clinical team in researching complaints.
  • Complete other related duties as assigned.
  • High school diploma or its equivalent.
  • Valid Driver's License or other efficient means of transportation.
  • Required travel to community locations and/or offsite meetings for work purposes.

KNOWLEDGE, SKILLS, AND ABILITIES

Knowledge of:

  • And ability to use Microsoft Office Suite Programs (e.g., Excel, Word, SharePoint, Teams)
  • And ability to learn and use APD iConnect System to complete business processes.

Ability to:

  • Demonstrate and provide responsive customer service.
  • Work with individuals with Developmental Disabilities.
  • Multitask effectively.
  • Use tracking systems to monitor and complete work assignments within required timeframes.
  • Travel to conduct wellness visits, attend provider quarterly meetings and other meetings as assigned.

Demonstrate Skills in:

  • Customer Service

Additional Information

PROFILE COMPLETION

RETIREE NOTICE


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 suspended or voided, and you will be required to repay all benefits received depending upon the date of your retirement.


DIRECT DEPOSIT PROGRAM
As a condition of employment

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