CalHR
Location: Mammoth Lakes, CA.
Responsibilities
Perform interactive interviews to elicit eligibility information, obtain and/or verify financial, employment, tax and personal demographic information and determine eligibility for public assistance programs and services.
Analyze financial and eligibility information to determine initial or continuing eligibility for multiple aid programs.
Explain regulations, rules and policies to clients and apprises them of their rights, responsibilities and eligibility for participation in various public assistance programs and services.
Ensure accuracy and completion of application and declaration forms.
Resolve discrepancies by securing documentation, medical records and confirmation from other agencies.
Enter and retrieve numerical and narrative data and issue benefits from an automated computer system.
Determine the level of benefits to which the client is entitled by making complex computations and/or computer entries and then analyzing the results.
Review and interpret information provided on a variety of forms both by the client and third parties to assist with eligibility determination.
Evaluate clients for and answer questions on Advanced Payment Tax Credits (APTC) related to health care reform.
Explain a variety of plan options, costs and individual plan features through Covered California.
Monitor ongoing eligibility by obtaining periodic updated information of eligibility factors and take appropriate actions on changes.
Determine need for additional services and make referrals as needed for employment and other services to outside agencies to assist clients toward self-sufficiency and direct clients accordingly.
Organize and prioritize caseload so that necessary case records and documents are processed and updated within specific time limits established by regulation and local policy.
Enter and maintain case records, including written narratives, forms and computer documents in a clear and readable format.
Troubleshoot task and/or case issues to determine appropriate resolution of problems, involving Help Desk as needed.
Communicate both orally and in writing with clients and others related to the initial and ongoing eligibility determination while maintaining confidentiality.
Respond to questions and complaints of clients in person, by telephone, mail and/or email communication.
Provide pertinent forms and pamphlets to clients as required.
Identify suspected fraud and make referrals for investigation.
Make referrals to social service workers as needed.
Participate in special projects, studies, work assignments and committees.
Prepare correspondence and reports.
Perform related duties as assigned.
Qualifications
One (1) year full‑time experience in an Eligibility Specialist I classification in an Interagency Merit System (IMS) County; or two (2) years of full‑time experience determining eligibility for public assistance programs in a public human services agency.
Basic knowledge of public social services programs, laws, rules and regulations governing eligibility for diverse public assistance programs, investigative interview techniques, computer terminology and modern office practices.
Ability to apply the policies, procedures and programs of the County Social Services Department, conduct fact‑finding and interview, determine appropriate course of action in emergency situations, make referrals to appropriate agencies, detect potential fraudulent situations and analyze written, numerical and verbal data.
Proficiency in using electronic information systems and entering accurate data into a computerized system.
Spanish language skills are an asset but not required; bilingual positions require passing the Merit System Services bilingual proficiency examination.
Valid driver’s license may be required for certain duties.
Background investigation and, for some duties, a criminal history check will be required.
This position is a merit system services program and is committed to equal employment opportunity for all, regardless of age, ancestry, color, disability, exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.
#J-18808-Ljbffr
Responsibilities
Perform interactive interviews to elicit eligibility information, obtain and/or verify financial, employment, tax and personal demographic information and determine eligibility for public assistance programs and services.
Analyze financial and eligibility information to determine initial or continuing eligibility for multiple aid programs.
Explain regulations, rules and policies to clients and apprises them of their rights, responsibilities and eligibility for participation in various public assistance programs and services.
Ensure accuracy and completion of application and declaration forms.
Resolve discrepancies by securing documentation, medical records and confirmation from other agencies.
Enter and retrieve numerical and narrative data and issue benefits from an automated computer system.
Determine the level of benefits to which the client is entitled by making complex computations and/or computer entries and then analyzing the results.
Review and interpret information provided on a variety of forms both by the client and third parties to assist with eligibility determination.
Evaluate clients for and answer questions on Advanced Payment Tax Credits (APTC) related to health care reform.
Explain a variety of plan options, costs and individual plan features through Covered California.
Monitor ongoing eligibility by obtaining periodic updated information of eligibility factors and take appropriate actions on changes.
Determine need for additional services and make referrals as needed for employment and other services to outside agencies to assist clients toward self-sufficiency and direct clients accordingly.
Organize and prioritize caseload so that necessary case records and documents are processed and updated within specific time limits established by regulation and local policy.
Enter and maintain case records, including written narratives, forms and computer documents in a clear and readable format.
Troubleshoot task and/or case issues to determine appropriate resolution of problems, involving Help Desk as needed.
Communicate both orally and in writing with clients and others related to the initial and ongoing eligibility determination while maintaining confidentiality.
Respond to questions and complaints of clients in person, by telephone, mail and/or email communication.
Provide pertinent forms and pamphlets to clients as required.
Identify suspected fraud and make referrals for investigation.
Make referrals to social service workers as needed.
Participate in special projects, studies, work assignments and committees.
Prepare correspondence and reports.
Perform related duties as assigned.
Qualifications
One (1) year full‑time experience in an Eligibility Specialist I classification in an Interagency Merit System (IMS) County; or two (2) years of full‑time experience determining eligibility for public assistance programs in a public human services agency.
Basic knowledge of public social services programs, laws, rules and regulations governing eligibility for diverse public assistance programs, investigative interview techniques, computer terminology and modern office practices.
Ability to apply the policies, procedures and programs of the County Social Services Department, conduct fact‑finding and interview, determine appropriate course of action in emergency situations, make referrals to appropriate agencies, detect potential fraudulent situations and analyze written, numerical and verbal data.
Proficiency in using electronic information systems and entering accurate data into a computerized system.
Spanish language skills are an asset but not required; bilingual positions require passing the Merit System Services bilingual proficiency examination.
Valid driver’s license may be required for certain duties.
Background investigation and, for some duties, a criminal history check will be required.
This position is a merit system services program and is committed to equal employment opportunity for all, regardless of age, ancestry, color, disability, exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.
#J-18808-Ljbffr