INCOME MAINTENANCE CASEWORKER II - MEDICAID

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THIS POSITION IS ELIGIBLE FOR A TIERED $4,000.00 CRITICAL POSITION BONUS.

GENERAL DESCRIPTION:

Employees in this class are responsible for the total process of determining/redetermining applicant/client eligibility in a County Department of Social Services (1) for a single income maintenance program which includes the intake, processing, and review functions; or (2) performing one of the above functions for three or more of the income maintenance programs; or (3) performing two or more functions in the Medicaid-Long Term Care Program; or (4) serving as a lead worker at least 25 percent of the time over Income Maintenance Caseworkers I involved with one or two of the income maintenance programs and performing one or two of the intake processing or review functions in the income maintenance programs. Work at this level includes such tasks as the interviewing of clients to obtain required information, completing initial applications, verifying the information obtained, determining eligibility or completing scheduled program reviews. Employees must explain program(s) requirements and options and advise or refer clients to other program services as appropriate. Employees usually report to an Income Maintenance Supervisor.

DUTIES AND RESPONSIBILITIES:

Work involves performing all of the following functions; (intake, processing and review) in one of the following income maintenance programs; (Food Stamps, Aid to Families with Dependent Children, Medicaid or County Special Assistance); or in performing all functions in one of the income maintenance programs; oil' in performing two or more functions in the Medicaid-Long Term Care Program; and/or acting as a lead worker over Income Maintenance Caseworkers I. In the intake process, employees are responsible for obtaining all pertinent data concerning the clients' family composition, financial, employment and health status. Employees may also be involved in processing clients' application through the verification of all information obtained during intake. Work may also involve the redetermination or review of the clients' case on a periodic basis, in order to reverify the clients' eligibility for continued participation in the program. The employees' responsibility for determining the clients' initial or continuing eligibility for any given program will depend upon the function or combination of functions performed. Employees with lead worker responsibilities require greater familiarity with program policies and processing functions in order to correct any errors detected during second party reviews.

Selected candidate will be responsible for completing recertifications and changes for the Family and Children’s Medicaid programs. Performs in-depth assessments as well as gather and document information. Assesses accuracy of information received to determine eligibility. Informs clients of all available programs and makes referrals to appropriate programs or agencies. Keeps abreast of policies and procedures governing all programs. Ability to work under pressure and to handle multiple task are essential.

KNOWLEDGE SKILLS AND ABILITIES:

• Considerable knowledge of the program/ areas of assignment.

• General knowledge of all agency and community programs and services which could affect the client/applicant. Good mathematical reasoning and computational skills.

• Ability to read, analyze, and interpret rules, regulations and procedures.

• Ability to communicate with clients/applicants, the public at large, and public officials to obtain data, and to explain and interpret rules, regulations and procedures.

• Ability to instruct and to evaluate the work of lower level employees.

• Ability to perform caseworker functions within structured time frames.

• Strong organizational, oral and written communication skills.

MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS:

One year of experience as an Income Maintenance Caseworker; or an equivalent combination of training and experience.

PREFERRED REQUIREMENTS:

Preference will be given to applicants with a degree from an accredited college or university.

Preference will be given to applicants with a associates degree in accounting, business administration, human services, secretarial science or closely related field and at least two years of paraprofessional, clerical or other public contact experience which includes negotiating, interviewing, obtaining, analyzing and/or evaluating data.

Preference will be given to applicants with a a high school diploma and at least five years of paraprofessional, clerical or other public contact experience which includes negotiating, interviewing, obtaining, analyzing and/or evaluating data.

Preference will be given to applicants with bilingual skills.

AMERICANS WITH DISABILITIES ACT COMPLIANCE:

Durham County is an Equal Opportunity Employer. ADA requires Durham County to provide reasonable accommodations to qualified persons with disabilities. Prospective and current employees are encouraged to discuss ADA accommodations with management.

BACKGROUND CHECK STATEMENT:

This position may be subject to a background check, which could include, but is not limited to, criminal history (employment-related and/or SBI fingerprint-based), credit history, motor vehicle records, educational verification, and checks of the sexual offender registry, depending on the specific requirements of the role. A conviction record does not automatically disqualify an applicant from employment consideration, unless otherwise required by applicable state law.