Eligibility Case Manager

1 week ago

Idaho Springs, Colorado, United States Clear Creek County, Colorado Full time
Job Summary

Job Title: Eligibility Case Manager

We are seeking a highly skilled and detail-oriented Eligibility Case Manager to join our team at Clear Creek County, Colorado. As an Eligibility Case Manager, you will be responsible for performing eligibility work that requires a strong working knowledge of eligibility program rules and policies and operation of the current prescribed eligibility computer program(s).

Key Responsibilities:

  • Determines eligibility for Expedited Food Assistance
  • Interprets rules and regulations of all program areas
  • Screens applications to verify programs being applied for
  • Conducts initial and ongoing program eligibility interviews and assessments by phone, face-to-face or during a home visit and gathers information such as income and financial resources
  • Performs calculations and accounting functions necessary to establish eligibility and to determine the necessary steps to resolve client situations
  • Facilitates and/or coordinates the processes and procedures necessary to provide clients with assistance
  • Approves or denies applications, closes cases as necessary, and notifies clients of decisions in writing
  • Completes required paperwork to restore benefits, provide retroactive payments, and provide supplements
  • Transfers cases to the appropriate eligibility specialist, team, or closed caseload
  • Assists clients in completing forms and obtaining the necessary documentation for program participation
  • Assesses client needs and makes referrals to other agency and community services
  • Uses computerized systems to research current and past assistance status and history
  • Sets up new case files and properly categorizes household composition
  • Maintains a working knowledge of the current eligibility computer system
  • Performs data entry functions to ensure that required and relevant information is accurately entered into
  • Ensures benefit calculations made by the current prescribed eligibility computer program(s) are accurate in order to reduce/eliminate errors
  • Manages workload and paper flow
  • Processes case changes as they occur
  • Ensures that all case documents are filed in the electronic case file appropriately and in a timely manner
  • Establishes and computes recoveries and restorations due as a result overpayment or underpayment; notifies fraud investigators when case information indicates that benefits may have been received based on fraudulent information
  • Informs recipients/applicants of rules and regulations
  • Explains rights and responsibilities to clients and provides referrals to non-profit agencies and other service providers to facilitate a comprehensive solution to the client's issues
  • Maintains a working knowledge of program rules and regulations
  • Receives, researches, resolves and clears information on required program reports
  • Processes program sanctions
  • Identifies the level and kind of sanction
  • Provides sanction notification to the client being sanctioned
  • Adheres to all County policies and procedures, and all laws and regulations as they pertain to assigned area

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