Eligibility Worker

Description

The Eligibility Worker’s responsibilities include intake and determining eligibility. Assist clients with utilizing agency and community resources. Under general supervision, performs a variety of tasks related to the determination of eligibility of clients for income maintenance programs and services; establishes initial and on-going eligibility for multiple income maintenance programs; communicates program requirements and assists program participants in understanding how to maintain eligibility;

supports program participants in achieving the highest degree of independence and in addressing barriers to self-sufficiency; provides education, enrollment and assistance to managed health care enrollees; makes appropriate referrals to other community resources.

The Eligibility Worker’s responsibilities include intake and determining eligibility. Assist clients with utilizing agency and community resources. Under general supervision, performs a variety of tasks related to the determination of eligibility of clients for income maintenance programs and services; establishes initial and on-going eligibility for multiple income maintenance programs; communicates program requirements and assists program participants in understanding how to maintain eligibility;

supports program participants in achieving the highest degree of independence and in addressing barriers to self-sufficiency; provides education, enrollment and assistance to managed health care enrollees; makes appropriate referrals to other community resources; and performs related work as assigned.

The following duties are normal for this classification. These are not to be construed as exclusive or all-inclusive. Other duties may be required and assigned.

• Position Duties

• Conduct effective interview, assess and determine eligibility for emergency, cash, food, child care, health care, and county burial programs.
• Arrange appropriate interviews and assess individual need for programs, and complete informative face-to-face and/or phone interviews. Evaluate circumstances through information gained in personal interviews and determine appropriate case actions.
• Respond to public inquiries by phone and in person regarding program regulations, explaining complex eligibility criteria and procedures.
• Explain all aspects of applicable programs and ensure data privacy rights and responsibilities are explained as mandated and understood.
• Assess circumstances and complete referrals for additional services.
• Accurately determine eligibility for Public Assistance programs.
• Advise clients of most beneficial program options and choices (Case Management).
• Review and examine monthly eligibility reports for any changes.
• Complete redetermination on all cases.
• Monitor cases for periodic changes affecting income and assets and household composition such as Cost of Living Adjustments.
• Maintain and apply county, state, and federal regulations keeping abreast of all program changes.
• Respond to inquiries made to the agency by telephone, e-mail or written correspondence.
• Interview clients in person to assist them with problem areas concerning continued eligibility for assistance.
• Initiate client referrals to other available community resources as deemed appropriate to meet the needs of the client.
• Initiate fraud referrals and compile evidence necessary for investigation and possible prosecution. Attend and testify in court as requested. Assess disqualification periods accordingly.
• Establish over payments for all programs and implement correct repayment procedures.
• When notified of a client's move to another county, verify information, update case file and transfer completed case to new county of residence so that service to eligible persons is not interrupted.
• When a case is transferred from another county obtain all necessary verifications, update case file, update MAXIS, MEC-2, METS and MMIS as necessary, and make all necessary referrals regarding the case.
• Service cases for which other counties are financially responsible so all eligible persons receive assistance without interruption.
• Identify computer related problems that may…