Maintenance Caseworker Iii -Adult Medicaid

Overview

To perform paraprofessional work involving the determination or redetermination of the eligibility of applicants or recipients requesting financial, medical, food assistance, or shelter through the Department of Social Services. An employee in this classification provides leadership in and performs routine to moderately complex administrative and case management services involved in determining client eligibility for Department of Social Services programs and services, processing client intake and re-enrollment, and coordinating other administrative aspects of assigned programs.

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.

• Performs specialized administrative and case management services in support of Department of Social Services operations.
• Provides training, instruction and leadership to lower-level Income Maintenance Caseworkers as assigned.
• 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; verifies Medicaid eligibility.
• Processes referrals in a timely manner.
• Assists outside agencies with client eligibility determination as requested.
• Screens clients for substance abuse, emotional health issues, family and domestic violence; provides information and appropriate referrals to clients for various health and social services.
• Completes front-end investigations of child support cases; completes necessary legal documents; researches prior court orders, payments made and absent parent information; determines level of child support cooperation; calculates past paid public assistance.
• Evaluates individuals no longer receiving Work First in all Medicaid programs; refers individuals to adult Medicaid programs and completes necessary paperwork.
• Maintains accurate and complete client / program records; enters and verifies data entries for accuracy and completeness.
• Develops mutual responsibility agreement plans for clients; monitors client compliance, including school attendance and completion of assigned hours of work and activities.
• Evaluates client requests for hardship exemptions and extensions; sets hearing dates and documents hearing results; completes case as determined by hearing officer.
• Resolves conflicts between clients and case workers as necessary.
• Gathers information for and prepares a variety of records and reports required by the County and/or other agencies.
• Assists in coordinating activities with those of other divisions, departments and outside agencies as appropriate.
• Performs a variety of routine clerical / administrative duties in support of department activities, which 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, answering the telephone, greeting and assisting visitors / clients, etc.
• Performs duties of supervisor as required in his/her absence.
• 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, coordinating the ordering and delivery of 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 III.
• 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…