Maintenance Caseworker Ii -Adult Medicaid

Overview

To perform paraprofessional work involving determination or redetermination of the eligibility of applicants or recipients requesting financial, medical, food assistance, or shelter assistance.

An employee in this classification performs routine to moderately complex case management services involved in determining client eligibility for Department of Social Services programs and services and processing client intake and re-enrollment. Work is performed under general supervision and is evaluated on the basis of knowledge and demonstrated proficiencies, compliance with legal requirements and standards, and other performance criteria.

This position can be considered for a Caseworker I Salary $35,061.00-$38,200.50.

• Performs specialized case management services in support of Department of Social Services operations.
• Interprets and ensures compliance with all applicable policies, procedures, laws and regulations pertaining to assigned department programs; assists in providing policy training for department staff as necessary.
• Receives and responds to client / potential client inquiries, requests for assistance and complaints regarding department programs, services and related application processes.
• Schedules appointments with, interviews and determines the eligibility of program applicants based on employment / income information obtained as it applies to government program policies and requirements; verifies information received through various sources; determines and verifies Medicaid eligibility.
• Processes referrals, applications, changes and reviews in a timely manner.
• Assists outside agencies with client eligibility determination as requested.
• Maintains accurate and complete client / program records; enters and verifies data entries for accuracy and completeness.
• Facilitates client appeals of case outcome. Sets hearing dates and documents hearing results; completes case as determined by hearing officer.
• Gathers information for and prepares a variety of records and reports required by the County and/or other agencies.
• Answers the telephone; provides information and assistance to callers and/or routes calls to appropriate personnel; takes messages as necessary.
• Greets and assists office visitors.
• Performs a variety of other clerical duties in support of department activities, which include preparing various reports and records, compiling information and data, copying and filing documents, sending and receiving faxes, processing daily mail, entering and retrieving computer data, etc.
• Operates a variety of equipment, which includes a computer, printer, typewriter, fax machine, copier, telephone, calculator, postage machine, etc.; uses clerical and computer supplies.
• Interacts and communicates with various groups and individuals such as the immediate supervisor, co-workers, other County personnel, other government agencies, clients and family members, and the general public.
• Attends meetings, training, workshops, etc., as required to enhance job knowledge and skills.
• May assist with special projects or programs as assigned, which may include but is not limited to securing food resources for families in need, training food stamp recipients in using electronic cards, delivering commodities to various County sites, staffing emergency shelters, etc.
• Performs case management duties of co-workers as needed.
• Performs related duties as required.

• Thorough knowledge in the methods, policies and procedures of the Department and County pertaining to specific duties of the IM Caseworker II.
• Thorough knowledge interviewing skills and ability to maintain positive rapport with clients.
• Knowledge of the processes involved in determining client eligibility for government social services.
• Knowledge of administrative, bookkeeping, organizational, customer service and clerical activities.
• Knowledge of modern office practices and equipment.
• Knowledge of proper English usage, vocabulary, punctuation and spelling; has knowledge of basic mathematics.
• Knowledge of all applicable local, state and federal laws and regulations.
• Skilled in applying responsible attention to detail as necessary in preparing records…