drjobs Eligibility Specialist II

Eligibility Specialist II

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1 Vacancy
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Job Location drjobs

Quincy - USA

Hourly Salary drjobs

$ 18 - 19

Vacancy

1 Vacancy

Job Description

Position Information

The Eligibility Specialist classifications determine the eligibility of applicants and recipients for public assistance programs through interactive interviewing and fact gathering; maintain current knowledge of program regulations and procedures necessary for multiprogram caseload administration; initiate and process casework through automated systems; identify needs and make appropriate referrals for health social and/or employment services; and perform related work as required.

The Eligibility Specialist II is the journeylevel classification in the Eligibility Specialist series. Incumbents demonstrate working knowledge of eligibility regulations procedures and eligibility software systems. Eligibility Specialist II incumbents handle more complex tasks and/or caseloads independently with consultation as needed by Eligibility Specialist IIIs or Eligibility Supervisors. Positions in this class are flexibly staffed and are normally filled by advancement from the lower level or if filled from the outside require prior experience as an Eligibility Specialist Eligibility Worker or comparable position.

The class of Eligibility Specialist II is distinguished from the Eligibility Specialist I as the latter requires a higher level of consultation and supervision and is working toward achieving a working knowledge of program rules and regulations. The Eligibility Specialist II class is distinguished from the Eligibility Specialist III in that the latter class is assigned lead specialist duties or special assignments with a greater degree of independent judgment.
SUPERVISION EXERCISED AND RECEIVED
Incumbents in the Eligibility Specialist I and II classifications typically receive supervision from an Eligibility Supervisor and may receive lead direction from an Eligibility Specialist III.

Examples of Duties

Duties may include but are not limited to the following:
  • Performs interactive interviews to elicit eligibility information obtain and/or verify financial employment tax and personal demographic information and determine eligibility for public assistance programs and services
  • Analyzes financial and eligibility information to determine initial or continuing eligibility for multiple aid programs
  • Explains regulations rules and policies to clients and apprises them of their rights responsibilities and eligibility for participation in various public assistance programs and services
  • Ensures accuracy and completion of application and declaration forms
  • Resolves discrepancies by securing documentation medical records and confirmation from other agencies
  • Enters and retrieves numerical and narrative data and issues benefits from an automated computer system
  • Determines the level of benefits to which the client is entitled by making complex computations and/or computer entries and then analyzing the results
  • Reviews and interprets information provided on a variety of forms both by the client and third parties to assist with eligibility determination
  • Evaluates clients for and answers questions on Advanced Payment Tax Credits (APTC) related to health care reform
  • Explains a variety of plan options costs and individual plan features through Covered California
  • Monitors ongoing eligibility by obtaining periodic updated information of eligibility factors and takes appropriate actions on changes
  • Determines need for additional services and makes referrals as needed for employment and other services to outside agencies to assist clients toward selfsufficiency and directs clients accordingly
  • Organizes and prioritizes caseload so that necessary case records and documents are processed and updated within specific time limits established by regulation and local policy
  • Enters and maintains case records including written narratives forms and computer documents in a clear and readable format
  • Troubleshoots task and/or case issues to determine appropriate resolution of problems involving Help Desk as needed
  • Communicates both orally and in writing with clients and others related to the initial and ongoing eligibility determination while maintaining confidentiality
  • Responds to questions and complaints of clients in person by telephone mail and/or email communication
  • Provides pertinent forms and pamphlets to clients as required
  • Identifies suspected fraud and makes referrals for investigation
  • Makes referrals to social service workers as needed
  • Participates in special projects studies work assignments and committees
  • Prepares correspondence and reports
  • Performs related duties as assigned
EMPLOYMENT STANDARDS
Note: The level and scope of the knowledge and skills listed below are related to job duties as distinguished between the two levels in the Definition section.
Knowledge of:
  • General goals and purpose of public social services programs
  • Laws rules regulations policies and procedures governing eligibility for diverse public assistance programs and related case administrative techniques
  • Methods and techniques of conducting an investigative interview and information gathering
  • Computer terminology and computer keyboard arrangement
  • Modern office practices methods and procedures
  • Record keeping practices and procedures
  • Principles of mathematical calculations
  • Intricacies of health insurance plans medical health plan options and associated terminology
  • Regulations and rules regarding household filing status related to the Affordable Care Act
  • Cultural and human behavior including knowledge of self to interact effectively with clients and staff
  • Principles and practices of effective customer service
  • Structure and content of the English language including the meaning and spelling of words rules of composition and grammar
  • Modern equipment and communication tools used for business functions and program project and task coordination
  • Computers and software programs (e.g. Microsoft software applications) to conduct research assess information and/or prepare documentation
Ability to:
  • Apply the policies procedures and programs of the County Social Services Department
  • Apply the laws rules and regulations governing eligibility and grant determination for multiple public assistance programs and the case administration of these programs
  • Identify available resources and communicate with others to obtain and verify information concerning eligibility
  • Use fact finding techniques and perform indepth and interactive interviewing
  • Determine appropriate course of action in emergency situations
  • Make referrals to appropriate agencies and social service programs
  • Detect and evaluate potential fraudulent situations
  • Analyze and interpret written numerical and verbal data from various sources
  • Utilize multiple electronic information social services systems and analyze and interpret such information
  • Enter and maintain data accurately and timely into a computerized system
  • Navigate through computer screens and effectively use computer systems software applications and modern business equipment to perform a variety of work tasks
  • Identify when computer output is incorrect and make corrections
  • Process cases manually as required
  • Plan and organize caseload to ensure work is completed in accordance with regulations relating to eligibility and timeliness
  • Function effectively in a system with strict deadlines and constant changes
  • Read understand apply and explain complicated and detailed correspondence reports regulations and policy directives
  • Perform a variety of mathematical computations accurately and rapidly
  • Prepare clear concise and accurate records and reports
  • Explain complex rules and programs so they can be understood by people of diverse socioeconomic cultural and educational backgrounds
  • Gather record and correctly evaluate tax filing data income and additional necessary information required for the determination of eligibility for one or more programs
  • Explain health insurance plan options and plan details available to clients through theAffordable Care Act
  • Review a variety of tax documents to obtain needed household filing information
  • Explain health care reform tax credit implications to clients
  • Refer clients to other community services as needed
  • Assess and manage difficult and hostile persons or situations; or call for intervention when appropriate
  • Interact with people in a courteous manner in person on the telephone by mail or email
  • Work in a fastpaced professional office environment and prioritize a wide range of duties with varying time requirements to ensure timely completion
  • Communicate clearly and concisely both orally and in writing using appropriate English grammar and syntax
  • Establish and maintain cooperative working relationships with the public and staff
  • Follow written and oral directions and instructions

Minimum Qualifications

One 1 year full time experience in an Eligibility Specialist I classification in an Interagency Merit System (IMS) County;

OR

Two 2 years of full time experience determining eligibility for public assistance programs in a public human services agency.

Supplemental Information

Written Examination Weighted 100

The written examination will consist of a multiple choice online written exam with the following four 4 test sections:

  1. Data Analysis and Math
  2. Workplace Issues
  3. Grammar/Proofreading
  4. Reading comprehension

To obtain a position on the eligible list candidates must receive a minimum rating of 70 on the examination.

ELIGIBLE LIST INFORMATION

Adepartmental openeligible list will be established for the county of Plumas. The list will be utilized for 12 months after it is established unless the needs of the service and conditions of the list warrant a change in this period.

RETEST PERIOD

Once you have taken the examination you may not retest for SIX 6 MONTHS from the established eligibility date.

SPECIAL TESTING ARRANGEMENTS

Special testing arrangements may be made to accommodate applicants for disability military or religious reasons. If you require such arrangements please contact CalHR at orupon notification that your application has been approved. Documentation from medical military school or church officials outlining the accommodation request must be received by our office a minimum of five business days prior to a scheduled examination.

APPLICATION DOCUMENTS

If you are using education to meet the minimum qualifications you must attach your transcripts to your application. Applicants with foreign transcripts must provide a transcript evaluation that indicates the number of units to which the foreign course work is equivalent. Transcripts and evaluations may be unofficial; official transcripts may be required upon appointment. Please redact birthdates and social security numbers.

GENERAL INFORMATION

MSS reserves the right to revise the examination plan to better meet the needs of the recruitment if the circumstances under which this examination was planned change. Such revision will be in accordance with civil service laws and rules and all competitors will be notified.

ADDITIONAL INFORMATION


Required Experience:

Unclear Seniority

Employment Type

Full-Time

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