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Ops Eligibility Determination Specialist

Job in Miami, Miami-Dade County, Florida, 33222, USA
Listing for: Florida Department of Financial Services
Full Time position
Listed on 2026-01-09
Job specializations:
  • Government
    Healthcare Administration, Public Health
  • Healthcare
    Healthcare Administration, Public Health
Salary/Wage Range or Industry Benchmark: 26 USD Hourly USD 26.00 HOUR
Job Description & How to Apply Below
Position: OPS ELIGIBILITY DETERMINATION SPECIALIST - 67911003

OPS ELIGIBILITY DETERMINATION SPECIALIST -

Date:
Jan 7, 2026

The State Personnel System is an E-Verify employer. For more information click on ourE-Verify Website .

Requisition No:865004

Agency:
Agency for Persons with Disabilities

Working Title:

OPS ELIGIBILITY DETERMINATION SPECIALIST -

POSITION: OPS ELIGIBILITY DETERMINATION SPECIALIST – Other Personal Services (OPS)

WORKING TITLE: OPS ELIGIBILITY DETERMINATION SPECIALIST

POSITION NUMBER:

OPEN COMPETITIVE OPPORTUNITY

This posting may close before the posted closing date.

This position is not a Telework position and is required to report to the APD office in the area it serves.

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:

  • State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options.
  • Retirement plan options, (For more information, please click  ).

The Agency seeks team members who demonstrate the qualities of being humble, hungry, and smart and lead others to embody the same. This entails lacking excessive ego, sharing credit, being self-motivated, and exercising good judgment and intuition regarding the subtleties of group dynamics.

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.


* Responses to the qualifying questions are required and must be verifiable based on your submitted application, and “see resume” will not be considered an acceptable response.

SALARY RANGE

$26.00 Hourly

Position Summary

This is a professional position responsible for determining eligibility for individuals applying for APD services. This work requires applying logic or scientific understanding, skill in analyzing and interpreting data and information to formulate decisions of eligibility for APD services. This position will also determine appropriate level of care for waiver participation and other duties as assigned related to application, intake, and eligibility.

The

Work You Will Do

Review applications to determine eligibility for APD services in accordance with Chapter 393, Florida Statutes and applicable Rules 65G-4.014-4.017, Florida Administrative Codes. Determine level of care for participation in Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) and the iBudget Home and Community-Based Services Waiver as defined in 42 CFR §440.150. If upon review of the application it is determined that further testing is necessary to make an eligibility determination, refer the case to one of the agency’s psychological vendors for scheduling and testing.

Ensure vendor requests are processed timely and ensure that vendor invoices are submitted on time to the region for timely payment. Upload all new documents received during the review process, as needed, and notify the Intake Coordinator of findings for all determinations.

Update the applicant/client record in APD iConnect to reflect the correct eligibility determination in accordance with policies and procedures ensuring time frames and steps are completed accurately. Complete the initial Home and Community-Based Services Waiver Eligibility Worksheet for all eligible clients to reflect their Level of Care for waiver participation.

Serves as the agency’s expert witness on all eligibility determination Administrative Hearings that are requested.

Provides in-service training to the contracted providers for APD, Judges, Public Defenders, State Attorneys, Mental Health Courts, etc.

Participate in Department of Children and Families (DCF) interagency staffing/meetings and provide guidance related to the eligibility criteria for APD services. Participate and provide trainings in agency and community groups regarding APD services, resources, and community service access.

Performs other duties as assigned. May be expected to work during emergency situations or natural disasters

Minimum Qualifications
  • Ba…
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