Supervising Eligibility Technician

Role Overview

Department Department of Human Services Division Social/Human Services

Salary $79,457.00 - $89,861.00

Job Profile JC-- Supervising Eligibility Technician (RIASSE L580 DHS DCYF BHDDH DOC)

Scheduled Work Days & Work Hours Monday
- Friday, 8:30 am - 4:00 pm 35 Hours
- Standard

Job Requisition Number JR101359

SUPERVISING ELIGIBILITY TECHNICIAN (Open)

Pay Grade C00 A28

A Classification Supervising Eligibility Technician Class Definition

To plan, assign, supervise and review the work of a staff engaged in performing eligibility determinations, both initial and continuing, for individuals applying for or receiving assistance payments; to perform complex eligibility determination evaluations; and to do related work as required.

Works under the general direction of a superior with wide latitude for the exercise of initiative and independent judgement; work is subject to review upon completion for conformance to established standards, rules and general policy.

Plans, assigns, supervises and reviews the work of a technical and clerical staff.

• To plan, assign, supervise and review the work of a staff engaged in performing eligibility determinations, both initial and continuing, for individuals applying for or receiving assistance payments;
• Assisting applicants/recipients in filling out applications/providing supporting evidence;
• Referring to service personnel those applicants/recipients who express a need for service oriented functions;
• Providing information to applicants/recipients and the public in general concerning eligibility requirements for various assistance programs;
• Conducting in-person interviews - both in office and field;
• And other eligibility related functions.
• To perform complex eligibility determinations, both initial and continuing, for individuals applying for or receiving assistance payments where several program areas are involved.
• To refer to service personnel those applicants/recipients whose situation indicates a need for service oriented functions.
• To collect data and prepare reoccurring and special reports, including simple statistical breakdowns.
• To do related work as required.

• A thorough knowledge of federal and state law and regulations concerning initial and continuing eligibility requirements for assistance payments;
• A thorough knowledge of departmental policy concerning the conducting of interviews and the ability to conduct complete and thorough information gathering interviews;
• A working knowledge of assistance programs;
• The ability to provide information and deal with applicants/recipients and the public in general in a tactful and courteous manner;
• The ability to supervise a staff of technical and clerical workers;
• The ability to follow written instructions and to complete eligibility related forms and applications;
• The ability to prepare and submit special and reoccurring reports including statistical breakdowns;
• The ability to recognize specific information from a mass of data;
• And related capacities and abilities.

Education:

Such as may have been gained through: successful completion of at least two years of academic study in an accredited institution of higher learning;

Experience:

Such as may have been gained through: full-time employment in a responsible position which required the making of evaluations and important decisions based on a review of information gained through interviews, applications or completed records. Or, any combination of education and experience that shall be substantially equivalent to the above education and experience.

• This position will be know as the Program Integrity Review Specialist and report to Program Integrity Unit
• Conducts case reviews across all DHS Programs using a variety of review tools and processes.
• Conduct both pre-authorizations and post-authorization case reviews based on established review requirements and priorities
• Reviews cases across programs, including Supplemental Nutritional Assistance Program, Medicaid, Child Care Assistance Program, Rhode Island Works Program, and other DHS Programs as assigned.
• Identifies case processing errors, trends, and opportunities for improvement through review of case record, eligibility determination, and supporting information.
• Applies program knowledge, policy and procedural knowledge and review standards to evaluate the accuracy and quality of case actions and eligibility determinations.
• Documents review findings accurately and timely; to support data analysis, corrective action, and program improvement.
• Provides feedback on case findings and recurring issues to support the Program Integrity feedback loop.
• Participates in quality control, quality assurance, state and federal review activities as assigned.
• Remains flexible in assignments and develops proficiency with multiple review tools, programs,…