![State of Kansas](https://media.trabajo.org/img/noimg.jpg)
Eligility Operations Field Specialist
1 month ago
Employment Benefits
Comprehensive medical, mental, dental, vision, and additional coverage Sick & Vacation leave Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave Paid State Holidays (designated by the Governor annually) Fitness Centers in select locations Employee discounts with the Retirement and deferred compensation programsPosition Summary & Responsibilities
Position Summary:
The Eligibility Operations Field Specialist (K0230792) This position will be based at the Colby DCF Office. Collaborates with the KanCare Clearinghouse and KDHE eligibility team: Assist consumers with completion of applications, collects information and routes applications, supporting documents to the Clearinghouse for timely determination of eligibility. Helps Kansas consumers embrace the online application process. Maintains current policy and program knowledge in order to authorize Medicaid benefits and answer inquiries from the general public and agencies. Analyzes, interprets, and applies numerous complex policies and regulations to the consumer’s situation. Maintains working knowledge of MMIS, KEES and relative operating systems, assists with answering consumer and agency questions, troubleshooting eligibility situations/problems; Coordinates technical documentation and reports to determine eligibility and conformance to program objectives. Tracks routing of 3160’s between assessing agencies, MCO’s, ADRCs, KDADS, and HCBS eligibility unit. Authorizes Medicaid cases in the KEES computer system for a range of Medicaid programs in a timely and accurate manner. This determination is accomplished by analyzing, interpreting, and applying numerous complex policies and regulations to the customer’s situation. Investigation of the customer’s circumstances through the use of available computer information systems, researching records provided by customers, community sources, and other sources provide the information upon which eligibility decisions are based. Utilization of fundamental accounting principles and a general understanding of legal terminology and principles is necessary in analyzing, quantifying, and applying policy.
Job Responsibilities may include but are not limited to the following:
Medical Assistance Program Coordination and Outreach: Acts as an initial liaison or client advocate resolving conflicts or misunderstanding by explaining, clarifying, and interpreting KanCare practices, procedures, and regulations; advising clients, organizations or general public about specific programs and policies. Serves as community medical assistance and expert and liaison for KDHE DHCF issues. Advises clients, organizations, and the general public about specific KanCare medical programs in an effective and understandable manner. Provides program information to consumers, agencies, community partners, educational events, Health Departments, Hospitals, Clinics. Speaks with local leaders and stakeholders regarding community health needs and establishes positive relationships with community partners. Explains and interprets KanCare operational practices, policies, procedures regulations to clients and agencies. Provides professional expertise and direction for KanCare programs. Provides direct outreach for medical assistance programs within the assigned region through a variety of strategies. Identifies and engages community partners providing information and resources regarding medical programs using a variety of strategies. Speaks to the public to provide information, explain program and changes. Establishes positive relationships with community partners. Explains and interprets program requirements and changes for consumers and community partners. Develops and implements a community outreach plan. These include, but are not limited to, organizing, and conducting outreach and educational events, participating in fairs, community events and speaking with local leaders and stakeholders regarding community health needs and barriers to medical assistance enrollment. Ensures outreach materials are located in key locations throughout community. Serves on community boards and workgroups. Collaborates with entire KDHE DHCF Eligibility Team when necessary to deliver services, including assisting at events in other regions. Activities and strategies are designed to promote medical assistance within the community and increase enrollment in these programs, understanding of program changes. Organizes and provides leadership to other community staff, including volunteers, who assist with the medical assistance application process.
Determine Eligibility For Medical Assistance Programs: Determine eligibility for all medical assistance programs (Family Medical and Elderly and Disabled). The determination is accomplished by analyzing, interpreting, and applying numerous complex policies and regulations to the consumers situation. Investigation of the customers circumstances through the use of available computer information systems, researching records provided by customer and others provide the basis for such decisions. Utilization of fundamental accounting principles and legal terminology is necessary in analyzing, quantifying, and applying policies in the customers situation. Knowledge and effective use of information systems is essential to document eligibility decisions and provide caseload management. Collaborates and coordinates with eligibility staff located at the KanCare Clearinghouse and in DCF Regional Offices as necessary.
Qualifications
Education : High School, GED Licensing & Certification: Valid Driver's License - Incumbent is required to have and maintain a valid driver's license when operating a state vehicle, a private vehicle, or a rental vehicle for the benefit of the State. Minimum Qualifications: One year of experience in planning, implementing, monitoring activities, and determining eligibility in FMand/or E&D unit or other related Medicaid eligibility/customer service experience. Preferred Qualifications: Bachelor’s degree in liberal arts or business Word, Excel, PowerPoint, Access Proofreading, editing, attention to detail Outcome driven independent work skills Critical thinking and problem solving Customer Service Ability to apply policy Two years of experience determining Medicaid eligibility or similar income-based eligibility programWe have other current jobs related to this field that you can find below
-
Tractor Operator for Field Mowing
3 weeks ago
Montgomery County, PA, United States Field Mowing Services LLC Full timeLocated in Warminster, Pa. Looking for field mowing tractor operators. Must have drivers license to operate pickup truck and trailer, CLASS C Daily duties Mowing fields, retention ponds, power lines, solar fields. Some general construction work. Pay: $20.00 - $25.00 per hour Schedule: - Monday to Friday People with a criminal record are encouraged to...
-
Phillips County, United States State of Kansas Full timeEmployment Benefits Comprehensive medical, mental, dental, vision, and additional coverage Sick & Vacation leave Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave Paid State Holidays (designated by the Governor annually) Fitness Centers in select locations Employee discounts with the Retirement...
-
Neosho County, United States State of Kansas Full timeEmployment Benefits Comprehensive medical, mental, dental, vision, and additional coverage Sick & Vacation leave Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave Paid State Holidays (designated by the Governor annually) Fitness Centers in select locations Employee discounts with the Retirement...
-
Operations Specialist
4 weeks ago
Richland County, United States State of South Carolina Full timeAccurately enters new courses and sections into student information system (Ellucian Colleague). Reviews TRELLO daily and responds to all TRELLO cards, as well as email requests within 48 hours of being received. Communicates with Degree Audit staff Operations Specialist, Operations, Specialist, Customer Service, Microsoft, Manufacturing
-
Parking Operations Specialist
4 weeks ago
Loudoun County, United States Commonwealth of Virginia Full timeTitle: Parking Operations Specialist Agency: Northern VA Community College Location: Loudoun - 107 FLSA: Nonexempt Hiring Range: $16/hr Full Time or Part Time: Part Time Job Description: General Description: This position will perform routine administrative, operational, financial, and customer-support services related to campus...
-
Security Operations Specialist
2 weeks ago
Prince William County, VA, United States Prince William County Public Schools Full timeSECURITY OPERATIONS SPECIALIST - 250 DAYS- JOB STATUS: - OPEN- EFFECTIVE: - 2024-25- POSTING DATE: - 05/24/2024- CLOSING DATE: - 06/09/2024 04:30 PM- POSTING NUMBER: - 00051436- SCHOOL/DEPARTMENT: - Security and Crisis Readiness- LOCATION: - Prince William County,VA- POSITION TITLE: - SECURITY OPERATIONS SPECIALIST - 250 DAYS- ADDITIONAL-...
-
Logistics Specialist
2 weeks ago
Colquitt County, United States beBee S US Full timeABOUTThe success and safety of every mission depends on getting needed supplies, materials and equipment at a moment’s notice. The service members of the Purchasing, Supply & Logistics community make sure America’s Navy has what it needs, when it needs it.Officer positions in the Supply Corps are available to college graduates, and Logistics Specialist...
-
Parking Operations Specialist
3 weeks ago
Loudoun County, VA, United States Northern VA Community College Full time**Title**:Parking Operations Specialist **Agency**:Northern VA Community College **Location**:Loudoun - 107 **FLSA**:Nonexempt **Hiring Range**:$16/hr **Full Time or Part Time**:Part Time Additional Detail **General Description**: This position will perform routine administrative, operational, financial, and customer-support services related to campus...
-
Tax Systems Operations Specialist
6 days ago
Dauphin County, PA, United States Commonwealth of PA Full time**THE POSITION**: **DESCRIPTION OF WORK**: - As a Tax Systems Operations Specialist, you will be responsible for creating and documenting comprehensive test plans in connection with the testing of system changes, as well as ensuring that the system has been properly configured for use by the Department. This includes verifying that interface data is...
-
Material Management Specialist
3 weeks ago
Passaic County, United States RemX Full timeJob DescriptionJob Description Material Management Specialist Are you a detail-oriented problem solver with a passion for collaboration? We're on the lookout for a Material Management Specialist to join our innovative team and play a crucial role in optimizing our supply chain operations. If you're ready to dive into a dynamic environment where...
-
Licensing Administrator
6 days ago
Henrico County, VA, United States Dept of Ed Central Operations Full time**Title**: Licensing Administrator **State Role Title**: Program Administration Specialist III **Hiring Range**: $90,410; Exact salary will be commensurate based on qualifications and experience. **Pay Band**: 6 **Agency**: Dept of Ed Central Operations **Location**:JAMES MONROE BUILDING **Recruitment Type**: General Public - G **Job Duties** - The...
-
Director of Clinic Operations
1 month ago
Macomb County, United States McLaren Medical Group Full timeResponsible for the operation of multiple ambulatory sites, implementation of strategic plan and mission, employee and patient experience, financial performance of sites, improvement of quality of services, coordination and integration of services with McLaren Health Care subsidiaries. Provides leadership support to Senior Director of Operations, Clinic...
-
Rn Field Case Supervisor
1 month ago
Bergen County, United States Glades Talent Full timeJob DescriptionJob DescriptionWe are seeking a Rn Field Case Manager to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients.Responsibilities:Administer nursing care to ill, injured, or disabled patientsDiagnose and establish patient treatment plansMonitor and report changes in patient symptoms or...
-
Rn Field Case Supervisor
4 weeks ago
Bergen County, United States Glades Talent Full timeJob DescriptionJob DescriptionWe are seeking a Rn Field Case Manager to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients.Responsibilities:Administer nursing care to ill, injured, or disabled patientsDiagnose and establish patient treatment plansMonitor and report changes in patient symptoms or...
-
Material Management Specialist
4 weeks ago
Passaic County, United States RemX Full timeJob DescriptionJob Description Material Management Specialist Are you a detail-oriented problem solver with a passion for collaboration? We're on the lookout for a Material Management Specialist to join our innovative team and play a crucial role in optimizing our supply chain operations. If you're ready to dive into a dynamic environment where...
-
Procurement Specialist
4 weeks ago
Bureau County, IL, United States Arukah Institute of Healing, NFP INC. Full time**Procurement Specialist** **Arukah Institute of Healing, Inc. Locations in Princeton and Ottawa, Illinois** **Minimum Education, Certification, License and Experience**: - a bachelor’s degree in business or related field from an accredited college or university **And** - Communication: Strong verbal and written communication skills are a requirement...
-
Sacramento County, CA, United States Franchise Tax Board Full timeUnder the direction of the Administrator I in the Compliance, Analysis & Validation Section, the incumbent provides support in assisting in the development of complex data models, analytics, and report visualizations for the various enforcement programs managed by the Filing Compliance Bureau. The incumbent will be part of the analytical support team within...
-
Education Specialist
4 weeks ago
Monterey County, United States Community Action Partnership of San Luis Obispo County Full timePlease Note: This position will be stationed in South Monterey County. Position Summary: Under direct supervision of the Education Coordinator, is responsible for the Education Program Service Area Plan requirements. Assists with the provision of educational services to children 0 to 5 years of age. This position ensures that children ages 0-5 years old,...
-
Gate Operator Field Technician
1 month ago
Palm Beach County, United States VICTORY ACCESS Full timeJob DescriptionJob DescriptionWe are looking for EXPERIENCED GATE AUTOMATION TECHNICIANSGate Operator Installer / Field TechnicianJob Description:Installation and Automation of all types of gate operators and access control. Seeking a motivated and capable experienced technician / installer.About UsVictory Access Control is an industry leading service...
-
Staff Operations Specialist, Franchise Tax Board
4 weeks ago
Sacramento County, CA, United States Franchise Tax Board Full timeUnder the general direction of the Administrator II in the Filing Enforcement Section, the Staff Operations Specialist on the Filing Enforcement (FE) Systems Analysis and Support (SAS) team works to promote filing compliance of taxpayers and the success of the FE program. The FE Quality Assurance Analyst is responsible for coordinating and performing queries...