Registered Nursing Consultant

Role Overview

• Provides nursing consultation and technical assistance to CMS staff, contracted providers and other community partners related to the clinical aspects of programmatic matters and contractual requirements
• Performs timely clinical/programmatic quality and content reviews of provider-submitted deliverables and reports, in collaboration with unit staff, to ensure alignment with contractual requirements and clinical programmatic goals and objectives
• Makes recommendations, as needed, for corrections and/or additional information necessary to bring deliverables into compliance with clinical contractual requirements and appropriate deliverable quality
• Collaborates with unit Contract Managers to provide clinical expertise in the development of methods and metrics for evaluating programmatic contract performance and quality of services
• Provides clinical expertise and participates in programmatic contract monitoring activities including, but not limited to, site visits and desk reviews
• Makes recommendations for correcting identified deficiencies to improve provider performance and service delivery
• Facilitates statewide initiatives with contracted providers, internal stakeholders and external partners, as needed, to provide clinical expertise in support of improving the access and quality of healthcare services for children and youth with special healthcare needs
• Meets with contracted providers regularly to monitor performance, provide clinical consultation and technical assistance related to service delivery, quality improvement initiatives and/or other programmatic goals and objectives
• Keeps unit staff and leadership informed of identified trends and performance issues with contracted providers
• Collaborates with community and other health care organizations on the clinical aspects of programmatic goals and objectives and health care quality improvement methods, concepts and requirements, as requested
• Collects, complies and maintains clinical programmatic data
• Analyzes data and other information related to clinical programmatic requirements, key performance indicators, outcome measures and contractual requirements
• Develops, prepares and/or completes reports and other documents, using clinical programmatic expertise, to demonstrate contract provider performance, data, key performance indicators and/or outcome measures, as required
• Makes recommendations to unit leadership regarding identified clinical programmatic deficiencies, suggested improvements, and/or other initiatives to support improved access and quality of services for children and youth with special health care needs, and/or other programmatic goals and objectives
• Performs research, collects and analyzes clinical programmatic data from various external and internal sources related to quality improvement, programmatic initiatives, goals and objectives, as required
• Performs other related duties as assigned

Requirements

• Must hold and maintain a current and valid license as a Registered Nurse in the State of Florida
• Valid Florida Driver's License
• Bachelor of Nursing Degree or higher (preferred)
• Public Health Nursing experience (preferred)
• Healthcare quality improvement experience (preferred)
• Program implementation or contractor performance monitoring experience (preferred)
• 3-5 years of nursing experience (preferred)
• Experience working in the pediatric field, including experience with children and youth with special health care needs (preferred)
• Proficient in Microsoft Office Programs, including Word, Excel, Outlook and Teams

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
• Flexible Spending Accounts
• Tuition waivers