Eligibility Specialist

About Our Job

Eligibility Specialist – Long Term Care

With competitive pay, great benefits, and endless opportunities, working for the City and County of Denver means seeing yourself working with purpose — for you, and those who benefit from your passion, skills and expertise. Join our diverse, inclusive and talented workforce of more than 11,000 team members who are at the heart of what makes Denver, Denver.

What We Offer

The City and County of Denver offers competitive pay commensurate with education and experience. New hires are typically brought into the organization between $24.71 and $30.89. We also offer generous benefits for full-time employees which include but are not limited to:

• A guaranteed life-long monthly pension, once vested after 5 years of service
• 457B Retirement Plan
• 140 hours of PTO earned within first year + 12 paid holidays, 1 personal holiday, 1 Wellness Day and 1 volunteer day per year
• Competitive medical, dental and vision plans effective within 1 month of start date

The City and County of Denver has announced furlough days, or unpaid days off, for most employees to meet a budget shortfall in 2025. There is one fixed furlough day for all limited (temporary positions with an end date) and unlimited (permanent) employees on November 28th, the day after Thanksgiving. If you receive an offer for this position, your annual pay will determine whether you are required to take additional furlough days. Details will be discussed during the offer process for selected candidate.

Location & Schedule

The City and County of Denver supports a hybrid workplace model. Employees work where needed, at a job site several days a week and off-site as needed. In this position you can expect to work on-site at Castro Human Services Center located at 1200 Federal Blvd, Denver, CO days per week, and off-site 2 days per week. Employees must work within the state of Colorado on their off-site days.

Who We Are & What You'll Do

At Denver Human Services (DHS), we envision a healthy community where people are connected, supported, safe, and well. One in three people in Denver turn to DHS for support at all stages of life. Our employees help children, at-risk adults, families, and individuals navigate social and economic pressures by connecting them to services and experts who support their overall well-being.

Specifically, as an Eligibility Specialist – Long Term Care you will:

• Assists clients in the Long-Term Care Public Assistance Programs and determines appropriate services/programs to meet the needs of clients by conducting eligibility interviews, researching and evaluating all necessary information such as family members and relationships, financial status and income resources.
• Reviews and interprets legal documents provided by clients such as court documents/orders, property transactions, trusts, annuities, life insurance policies, financial transactions, and transfers of resources in order to determine eligibility for public assistance programs.
• Acts as an eligibility determination subject matter expert for the total array of programs and services available to clients and serves as a resource to eligibility staff by assisting staff with difficult/complex cases, formulating approaches to address issues/problems through reporting techniques, and briefing supervisors/managers on recurring concerns and issues found through qualitative and quantitative means.
• Elicits and verifies pertinent eligibility information such as employment, income, residence, property ownership, rent, household expenses, and other banking and financial resources, assists applicants to obtain additional information and resolve discrepancies, and answers applicant questions regarding eligibility.
• Serves as a community resource specialist for clients and refers clients to internal and/or external services and services providers.
• Reviews cases in the Colorado Benefits Management System (CBMS) and researches all associated discrepancies.
• Works reports received from internal and external platforms and systems to determine timeliness and workload capacity.
• Determines initial and on-going eligibility for public assistance programs in accordance with federal and state laws, county rules and regulations, and approves and issues benefits.
• Review all necessary documents, systems, case comments, and case history to determine validity of discrepancy.
• Records client information enters and updates information into complex state and county computer systems and responds to inquiries about client records for administrative state hearings, federal reviews, fraud investigations, and federal and state program management and evaluation.
• Completes and mail communication to Client, Content Management and Accounts Receivable
• Ensures benefit calculations made by the state computer system are accurate in order to reduce/eliminate errors.  Impact of financial errors is significant due to state and federal sanctions.
• Reports daily work progress to Supervisor.
• 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.
• Monitors changes in client's status, contacts clients to verify changes, and makes appropriate adjustments to eligibility and support payments.
• Monitors changes in the Colorado Benefits Management System (CBMS), maintains current knowledge of CBMS, programs, policies, and community resources and adjusts work processes to ensure accurate provision of benefits.
• Performs other related duties as assigned.

What You'll Bring

We value diversity of ethnicity, race, socioeconomic status, sexual identity, gender, religion, language, ability, and experience and exemplify this through the makeup of our team at all levels. You'll be right at home here if you cultivate strong relationships and push yourself, your work, the people around you and Denver to the next level.

Our ideal candidate has some or all the following experience, skills, and characteristics:

• Understanding of leadership and embrace change
• Be able to work independently with minimal supervision
• Be comfortable troubleshooting cases and navigating through CBMS
• Possess top-notch problem-solving skills
• Be proficient with system interfaces
• Green Belt Certification through Denver Human Services or an approved Lean Six Sigma Program.
• Show understanding, courtesy, tact, empathy and concern
• Develop and maintain working relationships while encouraging cooperation, pride and a commitment to teamwork
• Be sensitive to cultural diversity, race, gender and other individual differences in the workforce
• Be willing to go the extra mile for our clients and encompass a #behuman mentality.
• Two (2) years of experience determining eligibility for Long Term Care Programs
• Have a proven track-record of success

Required Minimum Qualifications

• Education requirement: Graduation from high school or the possession of a GED, HiSET or TASC Certificate.
• Experience Requirement: Three (3) years of experience determining eligibility for a variety of public assistance programs.
• Education/Experience Equivalency: Additional appropriate education may be substituted for the minimum experience requirement.
• License/Certifications: None

Application Deadline

This position is expected to stay open until November 13. Please submit your application as soon as possible and no later than November 13 at 11:59 PM.

About Everything Else

Job Profile

CS2666 Eligibility Specialist

To view the full job profile including position specifications, physical demands, and probationary period, click here.

Position Type

Unlimited

Position Salary Range

$ $37.07

Target Pay

Although the full range is listed, our expected hiring range is between $24.71 and $30.89

Agency

Denver Human Services

Redeployment during Citywide Emergencies

City and County of Denver employees may be re-deployed to work in other capacities in their own agencies or in other city agencies to support core functions of the city during a citywide emergency declared by the Mayor.

The City and County of Denver provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, national origin, disability, genetic information, age, or any other status protected under federal, state, and/or local law. 

It is your right to access oral or written language assistance, sign language interpretation, real-time captioning via CART, or disability-related accommodations. To request any of these services at no cost to you, please contact with three business days' notice.

Applicants for employment with the City and County of Denver must have valid work authorization that does not require sponsorship of a visa for employment authorization in the U.S.

For information about right to work, click here for English or here for Spanish.

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