Disability Determination Specialist

Disability Determination Specialist Agency 805 DEPARTMENT OF REHABILITATION SERVICES Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if date is blank. Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above. Full/Part-Time Full time Job Type Regular Compensation Level I (Pay Band I) $4,060.95 $48,731.44 Level II (Pay Band J) $4,642.08 $55,704.96 Level III (Pay Band K) $5,249.87 $62,998.44 Job Description Basic Purpose Positions in this job family perform complex professional level work, interpreting and implementing provisions of the Federal Social Security Act to determine eligibility for disability benefits for applicants throughout the state of Oklahoma. Incumbents obtain, evaluate and analyze all pertinent information to prepare a legally defensible disability determination to approve or deny benefits. Typical Functions The functions performed in this job family will vary by level, unit and organization, but may include the following: Reviews and analyzes evidence of illness, injury, disease or other medical condition s and vocational factors which prevent an individual from working or gaining employment, and prepares a determination to approve or deny disability benefits. Prepares a detailed written analysis explaining the facts of the case and the basis for the decision and provides written notice to the claimant and the Social Security Administration. Maintains a complex and diverse caseload of Social Security Disability claims and claims for Supplemental Security Income at various stages of development, and exercises judgment to insure resolution of all issues. Protects and safeguards confidential and sensitive personal, medical and vocational information in accordance with federal and state mandates. Completes case reviews on a variety of difficult or complex disability cases, at different stages of development, in order to assure compliance with internal office procedures, Social Security laws and regulations and legal statutes. Determines the medical and vocational information needed to substantiate the claim, analyzes medical, vocational, educational and other collateral information received and integrates those findings with Social Security regulations concerning disability and with facts of that particular claim. Determines the need for additional medical tests, evaluations or consultative examinations in the fields of medicine, psychology, psychiatry or other specialties and arranges for expenditure of funds for medical evidence. Prepares a written residual functional capacity assessment based on the severity of the medical condition and the nature of the impairment. Consults with internal and external professionals, or contract providers, including physicians, psychologists, and vocational experts to address highly complex issues. Interviews or corresponds with claimants, family members, legal representatives, employers, community resources and others as needed to obtain additional information or collateral evidence concerning an individual’s functional abilities. Level Descriptor Levels are distinguished based on the complexity of assigned duties, the level of expertise required for completion of work assignments, and the responsibility assigned for the supervision of others. Level I This is the basic level, where incumbents, under direct supervision, receive mandatory classroom training in case processing, medical evaluation and terminology, vocational evaluation, internal procedures for case development and in the provisions of the Social Security Act, concerning eligibility for disability benefits. Incumbents perform entry level professional work in managing a progressive caseload of Title II and Title XVI disability claims and learn to process disability cases using various secure software applications with Federal and State operating systems. Incumbents learn to evaluate disability applications for benefits in order to resolve jurisdictional issues and to resolve conflicts in evidence through contact with claimants, representatives, employers, medical providers and others. Incumbents analyze and evaluate multiple case issues simultaneously; analyze medical source opinions and effects of medication or pain on the claimant’s ability to function in a work environment; assess credibility of claimant’s statements regarding their ability to work and prepare vocational assessments for adults based on a variety of vocational factors. Level II This is the career level where employees have responsibility for a full range of activities involved in independently developing, reviewing, analyzing and adjudicating disability claims at different degrees of complexity. Incumbents independently plan and carry out assignments, interpret policy and determine methods and contacts. In addition to tasks performed at Level I, employees at this level will manage a full caseload of disability claims and prepare legally defensible disability determinations for review at the appellate levels, assess unusual circumstances, incomplete or conflicting data and interpret and implement methodology resulting from such elements as continuous changes in the disability program and advancements. Level III This is the specialist level where the employees perform advanced level professional work and provide expertise in the disability claims adjudication process by advising other staff, as well as analyzing and evaluating unusually complex and difficult cases which encompass sensitive, controversial and technical issues; evaluate the total effect of multiple interrelated issues; perform a complete and independent evaluation of all facts and evidence defining legal and factual issues; research pertinent decisions and other reference materials; apply laws, regulations, policies and procedures to determine appropriate action; and apply guidelines and precedents in non-routine situations. Education And Experience Level I Education and Experience requirements at this level consist of a bachelor's degree; or an equivalent combination of education and experience, substituting one year of professional or technical disability determination experience in the adjudication of Social Security disability claims in a designated state agency for each year of the required education. Level II Education and Experience requirements at this level consist of a bachelor's degree and one year of professional level experience in adjudicating disability determinations for the Social Security Administration in a designated state agency; or an equivalent combination of education and experience, substituting one year of professional or technical disability determination experience in the adjudication of Social Security disability claims in a designated state agency for each year of the required education. NOTE: No substitution will be allowed for the professional or technical experience in adjudicating disability determinations for the Social Security Administration in a designated state agency. Level III Education and Experience requirements at this level consist of a bachelor's degree and three years of professional level experience in adjudicating disability determinations for the Social Security Administration in a designated state agency; or an equivalent combination of education and experience, substituting one year of professional or technical disability determination experience in the adjudication of Social Security disability claims in a designated state agency for each year of the required education. NOTE: No substitution will be allowed for the professional or technical experience in adjudicating disability determinations for the Social Security Administration in a designated state agency. Knowledge, Skills, Abilities And Competencies Level I Knowledge, Skills and Abilities required at this level include knowledge of the provisions of the Social Security Administration concerning eligibility for disability benefits; of program policies and procedures; of various types of injuries, illnesses and diseases and their effects on functional abilities; of medical terminology; procedures for collecting and analyzing information; of interviewing techniques; of Federal and State laws regarding confidentiality of personal information and procedures for obtaining and disclosing information; of the various systems software applications that interface with Social Security Act national systems; and of the electronic disability process system. Ability is required to analyze medical information concerning various types of illnesses, injuries or diseases and related treatments; to collect information concerning an individuals functional abilities, employment, education and other factors; to develop and manage case files; to evaluate various physical and mental impairments; to organize and prioritize a disability caseload; to communicate effectively; and to establish and maintain effective working relationships. Level II Knowledge, Skills and Abilities required at this level include knowledge of the provisions of the Social Security Administration concerning eligibility for disability benefits; of program policies and procedures; of various types of injuries, illnesses and diseases and their effects on functional abilities; of medical terminology; of procedures for collecting and analyzing information; of interviewing techniques; of Federal and State laws regarding confidentiality of personal information and procedures for obtaining and disclosing information; of the various systems software applications that interface with Social Security Act national systems; of the electronic disability process system; of Federal and State statutes and regulations related to the Social Security Act; of Social Security rulings and pertinent court rulings; and of the disability claims process including appeals and the legal principles of Res Judicata, Collateral Estoppel and Administrative Finality. Ability is required to analyze medical information concerning various types of illnesses, injuries or diseases and related treatments; to collect information concerning an individual's functional abilities, employment, education and other factors; to develop and manage case files; to evaluate various physical and mental impairments; to organize and prioritize a disability caseload; to communicate effectively; to establish and maintain effective working relationships; and to analyze and review diverse and highly complex claims. Level III Knowledge, Skills and Abilities required at this level include knowledge of the provisions of the Social Security Administration concerning eligibility for disability benefits; of program policies and procedures; of various types of injuries, illnesses and diseases and their effects on functional abilities; of medical terminology; of procedures for collecting and analyzing information; of interviewing techniques; of Federal and State laws regarding confidentiality of personal information and procedures for obtaining and disclosing information; of the various systems software applications that interface with Social Security Act national systems' of the electronic disability process system; of Federal and State statutes and regulations related to the Social Security Act; of Social Security rulings and pertinent court rulings; of the disability claims process including appeals and the legal principles of Res Judicata, Collateral Estoppel and Administrative Finality; and of judicial processes. Ability is required to analyze medical information concerning various types of illnesses, injuries or diseases and related treatments; to collect information concerning an individuals functional abilities, employment, education and other factors; to develop and manage case files; to evaluate various physical and mental impairments; to organize and prioritize a disability caseload; to communicate effectively; to establish and maintain effective working relationships; to analyze and review diverse and highly complex claims; to apply judgment and creativity to resolve complex program related issues; to perform a complete and independent analysis of all facts and evidence; to define legal and factual issues; to research precedent decisions and other reference materials; to apply relevant laws, regulations, policies and procedures. Additional Job Description Position may be filled at Level I, II, or III. Position is located at Disability Determination Services (DDS) in Oklahoma City. Background Check: The Department of Rehabilitation Services will conduct a criminal background check on new hires as part of an offer of employment that is made contingent upon a successful criminal background check. Individuals selected for positions with Oklahoma Department of Rehabilitation Services (OKDRS)/Disability Determination Services Division (DDS) will go through a complete federal background investigation. A suitability determination by the Social Security Administration is necessary to determine whether an employee can be issued credentials in order to have access to Social Security disability data, records, and systems. Applicants must be authorized to work in the U.S. now and in the future without employer sponsorship. Benefit Highlights: The Department of Rehabilitation Services provides a comprehensive benefits package designed to support our employees and their dependents. Benefits Include Generous state paid benefit allowance to help cover insurance premiums A wide choice of health insurance plans with no pre-existing condition exclusions or limitations Flexible spending accounts for health care expenses or dependent care Employee assistance programs and health and fitness programs 11 paid holidays 15 days of vacation and 15 days of sick leave for the first year Retirement Savings Plan with a generous match Longevity Bonus for years of service Method of Application: Applicants without previous state service, with previous state service but not currently employed by a state agency must apply through the Workday on-line External Listings applicant system (State of Oklahoma Careers (myworkdayjobs.com)). Current State of Oklahoma employees must apply through the Workday on-line Internal Listings applicant system (Find Jobs - Internal State of Oklahoma - Workday (myworkday.com)). For questions regarding specific duties or details of this job, please contact Human Resources at View email address on click.appcast.io. Equal Opportunity Employment The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability. Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub. #J-18808-Ljbffr State of Oklahoma