IM ELIGIBILITY CASE MANAGER

Job Description

Job Description

This role offers flexibility and can be performed either remotely or in a hybrid arrangement with current state certificationin all eligibility programs.

JOB SUMMARY :

Under general supervision of the Case Worker Supervisor or the Health and Human Services Division Director, this position performs eligibility work that requires a strong working knowledge and understanding of eligibility program rules and policies and operation of the current proscribed eligibility computer program(s). Performs duties associated with initial intake and ongoing eligibility determination for such programs as Food Assistance, Medical Programs, and Financial Assistance Programs as described in Colorado Staff Manuals, Volumes III, IVB, and VIII through the Department of Human Services or Department of Health Care Policy and Finance. Interprets rules and regulations of all program areas. Facilitates and / or coordinates the processes and procedures necessary to provide clients with assistance. Performs calculations and accounting functions necessary to establish eligibility and to determine the necessary steps to resolve client situations. Provides referral to other community resources to assist clients. Bilingual English / Spanish a plus.

PRINCIPAL JOB DUTIES :

(The following duty statements are illustrative of the essential functions of the job and do not include other non-essential or marginal duties that may be required. Clear Creek County reserves the right to modify or change the duties or essential functions of this job at any time. All responsibilities may not be performed by all incumbents.)

Performs duties associated with initial intake and ongoing eligibility determination for such programs as Food Assistance, Medical Programs, and Financial Assistance Programs to include; LEAP, Food Stamps, Old Age Pension, Aid to the Needy Disabled, Medicaid and Medicare supplements. As described in Colorado Staff Manuals, Volumes III, IVB, and VIII through the Department of Human Services or Department of Health Care Policy and Finance. Determines eligibility for Expedited Food Assistance.

• Interprets rules and regulations of all program areas
• Screens applications to verify programs being applied for
• Conducts initial and ongoing program eligibility interviews and assessments by phone, face-to-face or during a home visit and gathers information such as income and financial resources
• Performs calculations and accounting functions necessary to establish eligibility and to determine the necessary steps to resolve client situations
• Facilitates and / or coordinates the processes and procedures necessary to provide clients with assistance
• Approves or denies applications, closes cases as necessary, and notifies clients of decisions in writing
• Completes required paperwork to restore benefits, provide retroactive payments, and provide supplements
• Transfers cases to the appropriate eligibility specialist, team, or closed caseload
• Assists clients in completing forms and obtaining the necessary documentation for program participation
• Assesses client needs and makes referrals to other agency and community services
• Uses computerized systems to research current and past assistance status and history
• Sets up new case files and properly categorizes household composition
• Maintains a working knowledge of the current eligibility computer system
• Performs data entry functions to ensure that required and relevant information is accurately entered into
• Ensures benefit calculations made by the current proscribed eligibility computer program(s) are accurate in order to reduce / eliminate errors
• Manages workload and paper flow
• Processes case changes as they occur
• Ensures that all case documents are filed in the electronic case file appropriately and in a timely manner
• Establishes and computes recoveries and restorations due as a result overpayment or underpayment; notifies fraud investigators when case information indicates that benefits may have been received based on fraudulent information
• Informs recipients / applicants of rules and regulations
• Explains rights and responsibilities to clients and provides referrals to non-profit agencies and other service providers to facilitate a comprehensive solution to the client's issues
• Maintains a working knowledge of program rules and regulations
• Receives, researches, resolves and clears information on required program reports
• Processes program sanctions
• Identifies the level and kind of sanction
• Provides sanction notification to the client being sanctioned
• Adheres to all County policies and procedures, and all laws and regulations as they pertain to assigned area
• Other related duties as assigned by the Supervisor or HHS Division Director.

MINIMUM JOB REQUIREMENTS :

REQUIRED EDUCATION :

Note : When using a combination of experience and education to qualify, the education must have a strong emphasis in the human behavioral science fields.

REQUIRED EXPERIENCE :

Minimum of one (1) year full-time professional case management and / or social casework

REQUIRED SKILLS :

NESESSARY SPECIAL REQUIREMENTS :

PHYSICAL REQUIREMENTS AND WORK ENVIRONMENT :

PHYSICAL DEMANDS AND WORK ENVIRONMENT :

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

While performing the duties of this job, the employee is regularly required to talk and hear. The employee frequently is required to sit and stand for long periods of time; use hands and fingers to handle or feel; and reach with hands or arms. The employee is required to : stand, walk, bend, twist, stoop, kneel, or crouch. Must be able to respond to the customers' needs and perform tasks requiring extensive hand and eye coordination. Dexterity of hands and fingers to operate a computer keyboard, mouse, and other devices and / or objects. The employee must frequently lift and / or move objects up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Physical ability and mobility to drive a motor vehicle to and from other work sites and meetings as required. Ability to occasionally work extended shifts and attend training and meetings outside of regularly scheduled hours. Persons in this position must be able to work in stressful situations.

The work environment characteristics described here are representative of those an employee encounters while performing essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work is performed in an office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax / scan machines. Ability to tolerate and be productive in a quiet to moderate noise level in the work place. In addition, employees in this position will have frequent breaks in concentration caused by interruptions from staff or public and by phone. Employee will have periodic exposure to hazards in the field such as driving and inclement weather.

SUPERVISORY : None

The above statements are intended to describe the general nature and level of work. They are not intended to be an exhaustive list of requirements, duties and responsibilities. Clear Creek County provides reasonable job-related accommodations for disabled persons.