Eligibility Specialist

Long Term Care Eligibility Specialist

Jefferson County invites you to join our Community Assistance Division as a Long-Term Care (LTC) Eligibility Specialist. As a LTC Eligibility Specialist, you will play a critical role in ensuring older adults and individuals with disabilities have timely access to essential public assistance benefits. You are responsible for accurately determining eligibility for Long Term Care Medicaid, Food and Cash Assistance programs while providing exceptional customer service to some of the county's most vulnerable residents.

LTC Eligibility Specialists manage an ongoing caseload and are responsible for maintaining regular communication with customers, family members, medical providers, nursing facilities, case management agencies, and community partners throughout the eligibility process. This position requires balancing competing priorities, meeting strict timeliness standards, and navigating complex policies and regulations.

Responsibilities include gathering, verifying, and documenting financial and non-financial information, researching complex eligibility factors, and making accurate eligibility determinations in accordance with federal and state regulations.

Jefferson County invites you to join our Community Assistance Division as an Eligibility Specialist. This position provides you the opportunity to work for a county that thrives on working collaboratively and overcoming challenges. As an Eligibility Specialist, you are a vital member of a team determining eligibility for public assistance programs by providing high level customer service. Programs include but are not limited to Medicaid, Food, and Cash Assistance.

This position is available for schedules of five-days a week (8-hour workdays Monday-Friday) or four-days a week (10-hour workdays). This position is hybrid, with remote work and in-office work is determined by team and agency needs. Note that scheduling arrangements may be adjusted in accordance with operational and business needs.

Anticipated Hiring Salary: $25.30 USD Hourly

Compensation will be determined based on education, experience and skills.

Jefferson County offers a generous benefits package that supports your personal and professional life. Benefits include medical, dental, and vision insurance; paid time off and holidays, including a starting bank of 40 hours of PTO for new hires; retirement matching; wellness programs; tuition reimbursement; flexible schedules; remote work options; and more. For more information, click here for our Total Rewards summary.

Provide excellent customer service provided to internal and external customers and community members.

Utilize critical thinking and meticulous strong attention to detail to ensure accurate data entry and eligibility determinations.

Conduct effective interviews with customers requesting public assistance and communicate clearly in person, in writing, and over the phone with customers, coworkers, and community partners.

Identify and assess customer needs to provide appropriate solutions, guidance, and resources.

Investigate customer concerns and complaints to identify root causes and implement appropriate resolutions. Adapt to the changing business needs and operation priorities of the agency.

Educate customers about available community resources and support services, enhancing their ability to access essential programs.

Identify and report potential fraud cases to the Investigations Unit.

Maintain organized and accurate case documentation.

Demonstrate self-motivation and the ability to work independently while contributing positively to team collaboration.

Troubleshoot system and case issues as needed to ensure accurate case processing.

Ensure compliance with state and federal timeliness expectations for processing customer cases and determining eligibility for public assistance programs.

Maintain strict confidentiality and protect customer data and privacy.

Effective organizational skills.

Participate in required training and successfully complete assessments to maintain and expand program knowledge and skills.

Performs other duties as assigned.

Research shows that women and other underrepresented and historically marginalized groups tend to apply only when they check every box in the posting. If you are reading this and hesitating to click "apply" for that reason, we encourage you to go for it! A true passion and excitement for making an impact is just as important as work experience.

Minimum Qualifications:

Experience: One-year related experience

Education: High School diploma or GED

*Note: An equivalent combination of education and experience is acceptable.

Preferred Qualifications:

• Experience in determining eligibility in Medicaid and SNAP benefits utilizing the Colorado Benefits Management System (CBMS).
• Experience in customer service and de-escalation techniques
• Data entry experience in complex computer databases.
• Experience in a social/human services field.
• Spanish speaking skills preferred, but not required

Skills and Qualities for Success in the Role:

• A genuine passion for helping community members, with the ability to embody the mission, vision, and values of the County and Human Services.
• Proficiency in understanding and applying county, state, and federal regulations, while accurately inputting data into complex computer databases.
• Strong focus on accuracy and detail when utilizing complex computer systems.
• Excellent communication skills to guide customers through the system and clarify program requirements.
• Cultural competency and trauma-informed practices.
• Strong organizational skills and a commitment to meeting deadlines.
• Capability to engage in difficult conversations with customers, particularly when outcomes are not favorable.
• Ability to thrive in a fast-paced environment with frequent changes to program rules and guidelines.
• Passion for helping community members and demonstrates the mission, vision, and values of the County and Human Services.

Criminal History, Motor Vehicle Record (MVR) Background Checks, and screening for program violations related to public benefits programs are required for every position.

Offer of employment is contingent upon successful completion of criminal history, motor vehicle report, education verification, and/or references.

In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information.

All Jefferson County Employees must apply through their internal profile.

Accommodations Statement: We encourage people with disabilities to apply and are committed to providing reasonable accommodations throughout our hiring process. For assistance with applications, interviews, or other hiring-related accommodations, contact View email address on click.appcast.io. This contact is for accommodation requests only and cannot provide application status updates.

Qualified applicants are encouraged to apply.

All applicants must submit an online employment application by 11:59PM on the posted cut-off date. Follow this link to apply now: Jefferson County Colorado Career Opportunities.

• A resume and cover letter submitted with your application is encouraged but will not substitute for the information requested on the application.
• Current Jefferson County employees must apply through their employee profile in Workday.
• In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information.

Applications are reviewed for minimum qualifications listed in the qualifications section of the job bulletin, and applicants are contacted directly by the hiring team if selected. To view the status of your application, please log into your candidate portal.

For more details on the recruitment process, please visit:

Questions? Contact the Jefferson County Recruitment Team at View phone number on click.appcast.io or View email address on click.appcast.io

Education: GED, High School Diploma

Experience: Work Experience: Minimum one year

Certifications:

Languages:

Category: Health & Human Services