Maintenance Caseworker III; PACE

Job Purpose

The primary purpose of this position is to determine eligibility for Adult Medicaid in Long Term Care (LTC) programs, specifically PACE and may serve as a back-up for PLA Medicaid, all while utilizing the NC FAST system to manage the applications and caseload. Thorough knowledge of income maintenance programs as assigned. Considerable knowledge of all agency and community programs and services which could affect the client/applicant.

General knowledge of all income maintenance programs. Good mathematical reasoning and computational skills. Ability to read, analyze, and interpret a variety of regulations, policies and procedures of varying complexity. Ability to work independently and prioritize work. Ability to understand customer needs and perform caseworker functions within structured time frames. Preferred knowledge and interpretation of the Adult Medicaid manual; ability to apply NC FAST job-aids and postcards;

knowledge of policies and procedures; ability to understand and apply accounting practices to maintain financial records.

Receives and processes applications for LTC programs in accordance with established rules, regulations, policy and procedures in NC FAST from clients and/or their authorized representatives.

Interview applicants for assistance to determine their eligibility; researches and verifies information provided by applicants.

Responsible for maintaining knowledge and understanding of current and new policy and procedures, preparing and maintaining case files, utilizing reports, and related work as apparent or assigned.

Performs casework functions both in Private Living Arrangement and Long-Term Care Medicaid programs, including intake, application processing, ongoing case management, completing change in circumstances as appropriate, according to policy.

Coordinates with other inter agency staff and community partners to provide services needed.

High school diploma or GED required. Two years of experience as an Income Maintenance Caseworker or an equivalent combination of training and experience.

Accountability
- Ability to accept responsibility and account for his/her actions. Accuracy
- Ability to perform work accurately and thoroughly. Advocacy
- Taking action to represent and advance interests of others by presenting facts and details. Analytical Thinking
- Ability to give thought and consideration to data for a logical judgment to be made. Communication, Oral
- Ability to communicate effectively with others using the spoken word. Communication, Written
- Ability to communicate in writing clearly and concisely. Concentration
- Ability to concentrate on tasks through many distractions. Conflict Management
- Ability to be objective and empathic while maintaining self-composure and control of the conversation ensuring proper handling of all comments. Customer Oriented
- Ability to take care of the customers' needs while following company procedures. Ethical
- Ability to demonstrate conduct conforming to a set of values and accepted standards. Honesty / Integrity
- Ability to be truthful, maintain high level of confidentiality and be seen as credible in the workplace. Investigative
- Ability to inquire intensively into and seeking to expose a malpractice or controversial issue. Judgment – Ability to use good judgment and discretion as it relates to interpreting policies and procedures. Leadership – Ability to mobilize people, create vision and strategy and uphold integrity in assigned work. Multi-tasker – Ability to multi-task in a fast-paced environment. Problem Solving
- Ability to find a solution for or to deal proactively with work-related problems. Relationship Building
- Ability to effectively build relationships…