Eligibility Worker or Eligibility Worker

4 weeks ago

Pine City, United States Pine County Minnesota Full time
Description

Position: Eligibility Worker or Long Term Care Specialist - Eligibility Worker
Location: Position may be eligible for remote work
Union: AFSCME H&HS Unit FLSA status: Full-time, non-exempt (37.5 hrs/week)

General Definition of Work:

Under general supervision, performs a variety of tasks related to the determination of eligibility of clients for income maintenance programs and services; establish initial and on-going eligibility for multiple income maintenance programs; communicates program requirements and assists program participants in understanding how to maintain eligibility; supports program participants in achieving the highest degree of independence and in addressing barriers to self-sufficiency; provides education, enrollment and assistance to managed health care enrollees; makes appropriate referrals to other community resources; and performs related work as assigned.

Essential Functions:
  • Interviews individuals to obtain required information to determine initial and ongoing eligibility for assistance programs; completes required forms; documents case records.
  • Explains the benefit program rules and regulations; explains client rights and responsibilities.
  • Completes eligibility determination; applies program regulations to determine eligibility and benefit amount; documents case record to show that regulations are applied correctly; completes worksheet to show verification of eligibility requirements; gathers information through written
    correspondence and oral contacts
  • Refers individuals to social workers and other programs, services and resources as a result of the overall assessment of the situation.
  • Prepares, reports and maintains records; maintains and manages the ongoing caseload; files cases; prepares correspondence.
  • Identifies potential fraud issues, documents and makes appropriate referrals; assists Fraud Prevention and Welfare Fraud Investigators in preparing cases for prosecution, and provides testimony in civil or criminal court as needed.
Eligibility Worker - Long Term Care Specialist, Grade 7: See Job Description for additional specialized duties.

Knowledge, Skills and Abilities:

General knowledge of the principles and practices of public social service organizations; general knowledge of current social, economic and health problems and of human behavior and social functioning; ability to analyze facts and exercise sound judgment in arriving at conclusions; ability to perform basic mathematics including calculating percentages; ability to follow oral and written instructions; ability to organize work schedule, manage workload and meet deadlines; ability to communicate complex ideas effectively, orally and in writing; ability to prepare clear and concise reports; ability to establish and maintain effective working relationships with clients, associates and the general public.

> Learn more about Pine County Health & Human Services Financial Assistance by visiting our website

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