Eligibility Determination Specialist

3 weeks ago


Roseburg, United States State of Oregon Full time
Job Summary:

We are seeking a highly skilled Benefit & Eligibility Worker to join our team at the State of Oregon. As a key member of our Roseburg Oregon Eligibility Partnership (OEP) Team, you will play a critical role in determining eligibility for Oregonians applying for and receiving medical, food, cash, and childcare benefits.

Key Responsibilities:
  • Perform eligibility determinations, redeterminations, periodic reviews, and updates to changes for ODHS, Oregon Health Authority (OHA), and Department of Early Learning and Care (DELC) programs.
  • Create and maintain written documentation of interactions and determinations regarding clients.
  • Communicate eligibility decisions to applicants and send all required notifications within appropriate time frames.
  • Explain applicant rights and responsibilities during the initial application interview and when benefits are changed and renewed.
  • Make appropriate referrals to other ODHS programs and resources, as well as provide other community resource options and referrals based on the different strengths and needs of each client.
  • Communicate and collaborate frequently and effectively with colleagues, leads, and managers.
  • Attend trainings and meetings to keep your working knowledge up to date with ongoing changes.
  • Handle and protect sensitive and confidential information as well as Oregonian and agency data appropriately.
Requirements:
  • Two years of experience determining eligibility for an agency program by interviewing to assess the needs of clients and interpreting and applying the policies, rules, and guidelines applicable to the client's situation.
  • An equivalent combination of education, training, and experience relative to the class concept.
Working Conditions:
  • Work is conducted in offices and other program sites.
  • Works a traditional work week, Monday – Friday.
  • Occasional overtime may be available with supervisor approval.
  • This position requires a good attendance pattern and appropriate use of accrued paid leave to ensure branch coverage for vacations and other leaves.
  • May encounter angry, hostile, frustrated individuals as well as those with behavioral or cognitive challenges.
  • Fast paced environment with constantly evolving policies and procedures.
  • Repetitive motions, prolonged sitting, and daily computer and technology use.


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