Eligibility Specialist III

The list developed from this recruitment will be used for a limited period to fill open and promotional, regular full-time, and part-time positions throughout the County, should they occur. Pursuant to current bargaining unit agreements, employees regularly assigned to the coastal region or in Covelo are eligible to receive a 5% assignment premium. The current vacancy is in Ukiah.

Under limited supervision, Eligibility Specialist III determines the eligibility of applicants and recipients for public assistance programs through interactive interviewing and fact gathering; processing casework through automated systems; makes appropriate referrals for health, social and/or employment services; and performs related work as required. Incumbents in this class perform the most complex work and specialized assignments requiring an advanced level of technical knowledge in public assistance programs, departmental processes and caseload administration.

Eligibility Specialists are expected to handle a high volume of deadline driven tasks, and have the ability to prioritize, plan, and project their work, while remaining flexible to changing priorities.

Bilingual English/Spanish encouraged to apply. Se buscan personas bilingües en inglés y español. Para recibir una solicitud en español, llame a Recursos Humanos al 234-6600.

Duties may include but are not limited to the following:

• Provides lead direction and/or training to a unit of specialists determining eligibility of applicants and recipients for public assistance programs.
• Provides support to supervisor with unit operations and coverage.
• Assists in the development and implementation of procedures for public assistance programs.
• 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.
• Reconciles data through multiple data systems, ensuring all data is matched.
• 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.
• Initiates a total-household assistance case.
• 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 mathematical computations and/or complex computer entries.
• Reviews and interprets information provided on a variety of forms both by the client and third parties to assist with eligibility determinations.
• Explains a variety of health insurance plan options, costs and individual plan features.
• 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; 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; may participate in system testing and design.
• 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…