Eligibility Case Manager

Overview

Work with clients to determine initial and continuing eligibility for programs such as Food Assistance, Medicaid, CHP+, Colorado Works, Aid to the Needy Disabled, Old Age Pension, and other identified programs. Interface with state and county computer systems in client application/approval process, as required.

The following examples are illustrative only and are not intended to be all inclusive.

• Conduct interviews with applicants and recipients by phone and in-person to collect information necessary to determine eligibility. Explain complex regulation and expectations to applicants and recipients related to their application or redetermination.
• Gather, organize and review information supplied by applicants and recipients regarding financial and non-financial criteria relevant to the initial and continuing eligibility for public assistance programs as identified.
• Inform applicants and recipients of the relevant requirements and benefits of programs for which they have eligibility. Clarify and interpret for clients their appeal rights and procedures. Assist and guide applicants in completing forms, securing documents and other verifications needed in completing their application.
• Determine the need for recovery of funds or referral for fraud investigations. Complete informational reports for submission to the proper investigative resource in cases of suspected fraud. Verify the pertinent statements given the agency by phone contacts, written requests and/or direct contact with collateral resources. Prepare for and testify as needed at evidentiary or other hearings.
• Approve or deny applications and inform applicants of results within the appropriate time frame and in a manner that can be understood by the client. On an ongoing basis, inform recipients of changes in the law or regulations affecting eligibility and/or amount of grant. Provide information and assess need for referral to services staff and other community agencies for available assistance.
• Interface on a daily basis with statewide computer system requiring accurate and complete data entry of information. Interpret and evaluate computer generated data to determine application to individual case processing for approvals, changes, denials and discontinuations.
• Utilize computer daily for inquiry and data entry for preparation of complex correspondence, spreadsheet development and record maintenance and research. Maintain client records within the Colorado Benefit Management System (CBMS) and electronic case file in the Department’s electronic document management system. Document all actions taken on applications and cases within CBMS.
• Performs other duties as assigned.

• High School Diploma or GED Equivalent.
• Two (2) years full time public contact experience.
• A combination of experience and education may be considered.

Eligibility Case Manager I:

• Individuals hired are expected to complete Colorado Benefits Management Systems (CBMS) Training within three (3) months of hire.
• Individuals hired are also expected to complete program-specific training such as MAGI Medicaid, Non-MAGI Medicaid, Long-Term Care, SNAP, Colorado Works, and Adult Financial.
• This position requires successful completion of a criminal background check including fingerprinting through a national database.

For more information on job functions, requirements and to apply please visit the following:

Douglas County offers an excellent comprehensive benefit package including but not limited to:
Medical/Dental/Vision.

For a more detailed overview please view the full Employee Benefit Guide.