Eligibility Case Manager I or II

Douglas County Government; Castle Rock (CO); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Paid holidays

Vacation time

Sick time

Medical insurance

Life insurance

Retirement plan

Performance reviews

Job summary

Douglas County Government is seeking an Eligibility Case Manager to determine initial and continuing eligibility for Food Assistance, Medicaid, CHP+, Colorado Works, and related programs. You will interview applicants, review documents, and explain program requirements.

You will interface with CBMS and state systems, perform data entry, and prepare reports. A high school diploma and public contact experience are required; higher education or CBMS training is a plus.

Qualifications

• High School Diploma or GED required.
• Two years full-time public contact experience.
• CBMS experience preferred.

Responsibilities

• Conduct interviews with applicants and recipients by phone and in-person to determine eligibility.
• Gather, organize and review information regarding eligibility for public assistance programs.
• Explain requirements and appeal rights; assist applicants in completing forms and providing verifications.
• Interface daily with CBMS and state systems for data entry and case processing.
• Maintain client records and perform related calculations and report preparation.
• Performs other duties as assigned.

Skills

Public contact experience

Interviewing

Explain complex regulations

Education

High School Diploma or GED

Associate or Bachelor degree preferred

Tools

Colorado Benefit Management System (CBMS)

Job description

Summary of Position

Work with clients to determine initial and continuing eligibility for programs such as Food Assistance, Medicaid, CHP+, Colorado Works, Aid to the Needy Disabled, Old Age Pension, and other identified programs. Interface with state and county computer systems in client application/approval process, as required.

Example of Duties

ESSENTIAL DUTIES AND RESPONSIBILITIES: (The following examples are illustrative only and are not intended to be all inclusive.)

• Conduct interviews with applicants and recipients by phone and in-person to collect information necessary to determine eligibility. Explain complex regulation and expectations to applicants and recipients related to their application or redetermination.
• Gather, organize and review information supplied by applicants and recipients regarding financial and non-financial criteria relevant to the initial and continuing eligibility for public assistance programs as identified.
• Informs applicants and recipients of the relevant requirements and benefits of programs for which they have eligibility. Clarifies and interprets for clients their appeal rights and procedures. Assist and guide applicants in completing forms, securing documents and other verifications needed in completing their application.
• Determines the need for recovery of funds or referral for fraud investigations. Completes informational reports for submission to the proper investigative resource in cases of suspected fraud. Verifies the pertinent statements given the agency by phone contacts, written requests and/or direct contact with collateral resources. Prepares for and testifies as needed at evidentiary or other hearings.
• Approves or denies applications and informs applicants of results within the appropriate time frame and in a manner that can be understood by the client. On an ongoing basis, inform recipients of changes in the law or regulations affecting eligibility and/or amount of grant. Provides information and assesses need for referral to services staff and other community agencies for available assistance.
• Interface on a daily basis with statewide computer system requiring accurate and complete data entry of information. Interprets and evaluates computer generated data to determine application to individual case processing for approvals, changes, denials and discontinuations.
• Utilizes computer daily for inquiry and data entry for preparation of complex correspondence, spreadsheet development and record maintenance and research. Maintain client records within the Colorado Benefit Management System (CBMS) and electronic case file in the Department’s electronic document management system. Document all actions taken on applications and cases within CBMS.
• Performs complex calculations and tabulates figures. (Level II)
• Maintaining computer based records. (Level II)
• Performs other duties as assigned.

Minimum Qualifications

EDUCATION and/or EXPERIENCE:

Eligibility Case Manager I:

• High School Diploma or GED Equivalent.
• Two (2) years full time public contact experience.
• A combination of experience and education may be considered.

Eligibility Case Manager II:

• High School Diploma or GED Equivalent. Associate or Bachelor degree preferred.
• Two (2) years full time public contact experience.
• One year of experience with determining eligibility for Supplemental Nutrition Assistance Program (SNAP), Medicaid, Temporary Assistance to Needy Families (TANF), Old Age Pension (OAP), or Aid to the Needy Disabled (AND) is required.
• Experience using the Colorado Benefit Management System (CBMS) to determine eligibility for the above programs, is preferred.
• A combination of education and experience may be considered.

Certifications, Licenses, & Registrations: Eligibility Case Manager I:

• Individuals hired are expected to complete Colorado Benefits Management Systems (CBMS) Training within three (3) months of hire.
• Individuals hired are also expected to complete program-specific training such as MAGI Medicaid, Non-MAGI Medicaid, Long-Term Care, SNAP, Colorado Works, and Adult Financial.
• This position requires successful completion of a criminal background check including fingerprinting through a national database.

Eligibility Case Manager II:

• Have and maintain Colorado Benefits Management Systems (CBMS) certification. Individuals hired without certification are expected to complete Colorado Benefits Management Systems (CBMS) Training within three (3) months of hire.
• Individuals hired are also expected to have and maintain program-specific training such as MAGI Medicaid, Non-MAGI Medicaid, Long-Term Care, SNAP, Colorado Works, and Adult Financial.
• This position requires successful completion of a criminal background check including fingerprinting through a national database.

Additional Information

Douglas County offers an excellent comprehensive benefit package including but not limited to: Medical/Dental/Vision.

For a more detailed overview please view the full Employee Benefit Guide.

In the event of an emergency/disaster in or near the County, all County employees are expected to make every effort to be available to assist the County Manager, Elected/Appointed Officials and Department Directors to ensure the continued operation of any and all necessary County functions. This may mean being available to perform additional duties and hours beyond what is normally required. In the event that an exempt employee does work more than 40 hours a week in support of County operations during an emergency, such employee may receive overtime or other appropriate wage compensation in accordance with existing County policies or at the discretion of the County.

• If you have a disability and would like to request an ADA accommodation, to complete an application or at any time during the recruitment process, please contact the HR Department from 8:00 am to 5:00 pm, Monday through Friday except County holidays at 303-660-7427.
• Douglas County is dedicated to the principles of Equal Employment Opportunity in any term, condition, or privilege of employment. We do not discriminate against applicants or employees on the basis of age, race, sex, color, religion, national origin, disability, veteran status or any other status protected by federal, state or local law.
• In compliance with the Job Application Fairness Act (SB 23-158), applicants may redact information that identifies age, date of birth, or dates of attendance at or graduation from an educational institution in your application, transcripts and/or other application materials.
• Douglas County requires a pre-employment drug screen (including marijuana) and background check, which may include fingerprinting to be run through a national database to determine criminal activity, prior to employment.
• Douglas County participates in E-Verify. We will provide the Social Security Administration and the Department of Homeland Security, with information from each new employee's Form I-9 to confirm work authorization.

Douglas County offers a comprehensive benefit package. For a more detailed overview of our benefit package, click on the link below.

http://www.douglas.co.us/government/departments/humanresources/employee-benefits/

Why Douglas County? We offer excellent benefits to our employees!

• 11 paid holidays each year + a floating holiday
• 9 hours of paid vacation per month
• 8 hours of paid sick time per month
• Medical insurance employees can choose from two plan options: United Healthcare Doctors Plan or United Healthcare HDHP Plan
• Life insurance 2 times employee salary at no cost to employee
• Mandatory retirement – defined contribution of 8% - matched at 8%
• Annual performance reviews with potential for an increase

Additionally, we offer dental, vision, accident/critical illness insurance, tuition reimbursement, and employee training.