Job Information
MyFlorida MANAGEMENT REVIEW SPECIALIST - SES - 64005112 in TALLAHASSEE, Florida
MANAGEMENT REVIEW SPECIALIST - SES - 64005112
Date: Jul 3, 2024
Location:
TALLAHASSEE, FL, US, 32303
The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website (http://www.dms.myflorida.com/workforce_operations/human_resource_management/for_job_applicants/e_verify) .
Requisition No: 832635
Agency: Department of Health
Working Title: MANAGEMENT REVIEW SPECIALIST - SES - 64005112
Pay Plan: SES
Position Number: 64005112
Salary: $65,761.54 - $80,000.00
Posting Closing Date: 07/12/2024
Total Compensation Estimator Tool (https://compcalculator.myflorida.com/)
DEPARTMENT OF HEALTH
DIVISION OF DISABILITY DETERMINATIONS
INTERNAL AGENCY
THIS POSITION IS LOCATED IN THE DISABILTY HEARINGS UNIT
TITLE: MANAGEMENT REVIEW SPECIALIST - SES
POSITION LOCATION: TALLAHASSEE / LEON COUNTY
POSITION #: 64005112
SALARY: $65,761.54 - $80,000.00
Your Specific Responsibilities:
Partners with the Office of Disability Adjudication and Review (ODAR)/Social Security Administration (SSA)/Florida DDS area offices to schedule video conference hearings to create efficiencies and reduction in expenditures involved with conducting a hearing.
Manages time and space for the use of the video conferencing equipment/location and notifies all participants in a timely manner of the scheduled hearing or any changes that may occur.
Manages all off sight hearings to include finding locations, establishing procedures and reviewing the process to identify any opportunities for improvements.
Conducts face to face (video conference) hearings requested by individuals whose case is reviewed due to mandate by congress and benefits are proposed to be discontinued.
Assists the Program Administrator with writing internal polices for all business processes.
Manages and directs the activities of a unit of hearing officer (HO) to ensure that operational objectives are met in terms of the quantity, quality and timeliness of work performed.
Reviews and analyzes case management data for the purpose of evaluating each HO by established criteria regarding performance requirements and program goals and expectations. Communicates on a regular basis with HO and provides quarterly assessments to each assure that the criteria expectations are understood. Provides quarterly assessments to each HO regarding his/her performance. Takes appropriate corrective action as necessary.
Maintains a cumulative record of each HO’s performance data for the purpose of conducting probationary, quarterly, annual or special performance evaluations.
Reviews case files at various points in the development and adjudicative process to ensure that all actions taken are appropriate and adhere to the rules of Process Unification. Assesses a variety of documents in the case file to determine evidentiary sufficiency and compliance with Social Security law and regulations.
Assures compliance with timeliness targets through assessment of the HO’s development techniques by reviewing cases at specified ages, e.g., outside the parameters of the office profile, and by providing input on development and advice on alternative actions.
Maintains quality by reviewing cases at various stages of development and using the formal review system established for the area office, along with targeted reviews or formal studies. Initiates any necessary corrective action designed to improve quality.
Coordinates training for new and experienced HOs in the unit. Provides on-going training as required to explain new or revised medical, vocational and technical instructions, or to reinforce previously acquired knowledge.
Monitors closely management reports on the expenditure of funds used to purchase medical evidence. Assures optimum cost effectiveness through reviews of requests for purchase of consultative examinations and special testing to determine appropriateness and need.
Routinely studies publications of Social Security and State agencies pertaining to the program to keep abreast of new developments and changes in medical and vocational aspects of disability.
Reviews and analyzes pre-hearing cases that have been forwarded for a face-to-face disability hearing to assess compliance with established program policies and to ensure conformance with established Federal quality guidelines.
Evaluates the evidence in the file to assess the accuracy of the decision and the sufficiency of documentation.
Identifies decisional or documentation deficiencies.
Prepares a written analysis of the deficiencies, including specific recommendations for corrective action.
Maintains and analyzes management data on hearing case reviews.
Prepares monthly/annual consolidated analyses of review findings for the management staff.
Identifies trends in hearing case accuracy and case deficiencies.
Recommends solutions to problem areas in hearing case development or decision making.
Prepares periodic summaries of specific hearing review findings and recommendations for corrective action.
Prepares ad hoc reports on specific aspects of the hearing review findings as requested.
Travels to area offices and to SSA field offices and conducts periodic on-site visits.
Reviews quality management practices and performance on hearing cases.
Attends hearings conducted by HO to ensure training provided regarding the conduct of the hearings is exercised.
Discusses area office quality indicators with the management staff.
Recommends appropriate management actions or solutions, including training.
Performs related work as required. This may include, but is not limited to, the following:
Assists the Claims Adjuster/Examiner/Investigator in scheduling and maintaining the hearing calendar.
Responds to claimant inquiries regarding scheduled hearings.
In an emergency situation, may be called on to conduct disability hearings, following all the guidelines and standards set out for the Administrative Law Judge/Adjudicator and Hearing Officer.
Must assure that approval of invoices be completed within five (5) working days as required by Section 215.422, Florida Statutes and Chapter 3A-24, Florida Administrative Code.
Special case related projects.
Responsible for the supervision of staff including appraisals, planning and directing their work, approving leave, and having the authority for hiring and taking disciplinary action of effectively recommending such actions.
Required Knowledge, Skills, and Abilities:
Knowledge of anatomy, physiology, function, dysfunction, and disease processes.
Knowledge of computer operation, and office automation equipment.
Ability to understand and apply applicable rules, regulations, policies and procedures relating to the processing of Social Security disability benefits.
Qualifications:
Prior supervisory and DHU experience is required.
Florida Department of Health Mission, Vision, and Values:
Mission:
To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.
Vision:
To be the Healthiest State in the Nation.
Values:
I nnovation: We search for creative solutions and manage resources wisely.
C ollaboration: We use teamwork to achieve common goals & solve problems.
A ccountability: We perform with integrity & respect.
R esponsiveness: We achieve our mission by serving our customers & engaging our partners.
E xcellence: We promote quality outcomes through learning & continuous performance improvement.
Where You Will Work:
Tallahassee
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 employees features a highly competitive set of employee benefits including:
Annual and Sick Leave benefits;
Nine paid holidays and one Personal Holiday each year;
State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options;
Retirement plan options, including employer contributions
(For more information, please click www.myfrs.com );
Flexible Spending Accounts;
Tuition waivers;
And more!
For a more complete list of benefits, including monthly costs, visit www.mybenefits.myflorida.com .
Please be advised:
Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.
This position requires a security background check and participation in direct deposit.
Your conditional job offer and access to Social Security Administration’s (SSA’s) systems, data, information, and/or premises are contingent upon you passing the SSA suitability process.
*Note: This covers the preliminary screening (pre-screen) and the final background adjudication stage of the suitability process.
Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.
Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website: http://www.sss.gov
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 canceled, suspended or deemed ineligible depending upon the date of your retirement.
The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system. E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.
Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.
Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women. The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise. Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
Nearest Major Market:Tallahassee