Eligibility Worker [PART-TIME]

Nicollet County; Saint Peter (MN); On-site; USD 42,000 - 58,000; Full time

Job summary

Nicollet County Health and Human Services is seeking an Eligibility Worker to support families and individuals by determining eligibility for financial and medical assistance programs. You will interview clients, assess needs, explain program rules, and document actions in accordance with state mandates.

The role involves addressing fraud, coordinating referrals to resources, and participating in administrative appeals.

Qualifications

• Valid MN driver's license is required.
• High school diploma or GED is required.
• Three years of experience or postsecondary education.
• Preferred: Minnesota County Eligibility Worker experience.

Responsibilities

• Addresses and analyzes fraud allegations and investigates eligibility discrepancies.
• Explains program provisions and enters factual case notes per state mandates.
• Resolves crises with eligibility determinations for emergency funding programs.
• Authorizes services and connects clients to community resources with referrals.
• Coordinates administrative appeals and informs clients of their rights and appeal process.
• Evaluates eligibility and applies rules to determine benefit levels.
• Maintains up-to-date case records and monitors changes in client circumstances.

Skills

Fraud analysis

Interview skills

Communications

Case notes

Public assistance knowledge

Referral to resources

Administrative appeals

Documentation

Education

High school diploma or GED

Tools

Case management system

Office software

Job description

Under the supervision of the Financial Assistance Supervisor, this position supports the Nicollet County Health and Human Services department by effectively and efficiently delivering essential services to families and individuals. The Eligibility Worker administers financial and medical assistance programs to support the basic needs of the elderly, disabled, and low-income families and individuals. This position determines eligibility for public assistance programs through interviewing and evaluating clients’ needs for internal and external services. This position monitors cases for fraudulent activities and addresses as needed. This position prepares for and participates in administrative appeals of agency actions.

• Addresses and analyzes allegations of fraud. Identifies and investigates discrepancies related to eligibility by referring to current case documentation, establishes overpayments, closes case, or refers for further investigation. Determines and establishes overpayments and imposes disqualifications based on outcome of investigation
• Assists clients through a public assistance system by explaining program provisions and compliance requirements. Enters concise and factual case notes in accordance with state mandates
• Assists clients to resolve crisis situations with eligibility determinations for emergency funding programs
• Authorizes services and connects individuals to additional community resources as needed. Evaluates client needs for additional services and makes appropriate referrals to both internal program areas and external agencies
• Coordinates administrative appeals of agency actions. Responds to complaints of clients and informs them of their legal rights and process of appeal. Prepares program and policy documentation for client and judge to support action taken by worker. Collaborates with the County Attorney. Represents the County and provides expert testimony of case facts before administrative law judge. Implements and complies with judge's decision by establishing overpayments or issuing supplements timely
• Determines eligibility for assistance programs. Evaluates individuals' needs to determine eligibility for various programs and services in accordance with applicable guidelines and timelines. Conducts interviews using effective communication, attentive listening skills, and investigative questioning.Reviews complicated financial, tax, and asset information and determines eligibility based on complex and varied program rules.Applies established policies to assess qualifications and determine benefit levels
• Monitors and updates program eligibility and benefit levels based on reported changes in client circumstances and evolving state and federal policies. Reviews and verifies information to ensure policy compliance and accurate service delivery. Maintains complete and up-to-date case records in accordance with established guidelines

Minimum Qualifications

• A valid MN driver’s license, and
• A high school diploma or G.E.D, and
• Three (3) years of experience, or
• Postsecondary education.

Preferred Qualifications

• One (1) year of Minnesota County Eligibility Worker experience.

• Ability to analyze problems, troubleshoot issues and offer and implement solutions based on research, analysis, experience, and judgment
• Ability to apply discretion, judgment, and organizational skills
• Ability to listen, comprehend, and effectively communicate information both written and orally to all individuals
• Ability to make mathematical computations with and without mechanical assistance
• Ability to prepare operational records and reports
• Ability to read and interpret complex rules, manuals, bulletins, and other program information
• Ability to use proper discretion in dealing with matters of a confidential nature
• Knowledge of and ability to use computer software sufficient for departmental operations
• Knowledge of applicable State, Federal, and local laws, rules, and regulations
• Knowledge of record retention schedule principles
• Skill in time management and organization to meet deadlines