Health/Human Service Case Manager II

DelDOT; Newark, Northern (DE, KY); Ibrido; USD 48.000 - 68.000; Tempo pieno

Descrizione del lavoro

The Department of Health and Social Services (DHSS) in Delaware is hiring a Health/Human Service Case Manager II to determine eligibility for MSP, SSI, Medicaid, and SNAP programs. You will manage a high-volume caseload, perform initial determinations, redeterminations, and respond to inquiries from colleagues and the public.

The role emphasizes accurate case records, collaboration with cross-functional teams, and using automated systems to research and report on health and human services data,

Competenze

• Six months' experience in case management to assess and plan services.
• Six months' experience in recommending service plans or eligibility.
• Six months' experience interpreting laws, rules, and procedures.

Mansioni

• Interview clients and sources to determine service needs.
• Develop cost-effective service plans using in-house or contracted providers.
• Monitor and adjust service delivery for quality and efficiency.
• Maintain comprehensive case records and reports.
• Establish relationships with clients and community partners.
• Provide information to connect clients with needed services.
• Respond to inquiries and coordinate on-site or via email/phone.
• Support clients before, during, or after hospitalization as advised.
• Use automated systems to research and report health/human service data.
• Communicate effectively across cultures and backgrounds.
• Perform other related duties as required.

Conoscenze

Case management

Needs assessment

Eligibility determination

Policy interpretation

Documentation

Communication across cultures

Data entry

Strumenti

Automated information system

Descrizione del lavoro

Introduction

Make a Difference with DHSS Our mission at the Department of Health and Social Services (DHSS) is to improve the quality of life of Delaware citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. We prioritize personal and family independence by assisting individuals and families in a variety of life areas. We offer numerous career opportunities and are dedicated to attracting and retaining highly talented individuals who are ready to make a difference in their community today. DHSS is a great place to kick-start your profession. For more information, please visit https://dhss.delaware.gov/dhss/ today!

Summary Statement

This position determines financial and technical eligibility for Medicare Savings Plan (MSP) programs, Supplemental Security Income (SSI) Medicaid programs, other Medicaid State Plan programs, and the Supplemental Nutrition Assistance Program (SNAP). The incumbent is responsible for maintaining a high-volume caseload of MSP/SNAP and Medicaid/SNAP cases. The incumbent will complete initial eligibility determinations, annual redeterminations, process interim changes, and respond accurately and timely to case, eligibility, and service-related inquiries from colleagues, other DHSS agencies, Medicaid providers, and the public.

Essential Functions

Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, employees can complete job duties of a similar kind not specifically listed here.

This class is distinguished from a licensed Social Worker as employees do not perform the following duties: diagnose individuals for mental, emotional, behavioral, addictive, and/or developmental disorders and disabilities; perform related client assessment or evaluation; provide psychotherapeutic treatment; or develop and implement assessment-based treatment plans. An employee in this class may participate as a member of a multi-disciplinary team to implement behavioral health services or treatment plans in accordance with Delaware Code, Title 24.

• Interviews client, family, or professional sources to determine the client’s needs for a variety of health and human services which may include employment, job search, and basic skills remediation.
• Develops a comprehensive cost-effective service plan utilizing in-house sources, referrals, contracted providers, or institutions (Service plans may include job training and employability, housing, general public assistance, in-home services and supports or home-delivered meals, de-escalation techniques, peer services, or skill development).
• Conducts ongoing monitoring and assessment of service delivery for optimum quality and efficiency; authorizes and recommends necessary changes and adjustments.
• Maintains comprehensive case records, summaries, statistical and narrative reports, and completes required forms.
• Establishes effective working relationships with clients, family, community, and professional sources.
• Provides guidance and relevant information to connect clients with needed services which may include protective, adoption, and related services.
• Provides information and case coordination on-site, via email or telephone to individuals or groups.
• Supplies information and responses to inquiries regarding services for clients, family, community, and government agencies.
• May provide supportive casework to clients prior to, during, or after hospitalization based on physician diagnosis and recommended treatment.
• Uses automated information systems and computer software to research, review, evaluate, and report on health/human service data.
• Communicates and interacts effectively with people across cultures, ranges of ability, genders, ethnicities, ages, and races.
• Performs other related duties as required.

Job Requirements

JOB REQUIREMENTS for Health/Human Service Case Manager II

• Six months' experience in case management which includes assessing, planning, developing, implementing, monitoring, and evaluating options and services to meet an individual's human service needs.
• Six months' experience in making recommendations as part of a client's service plan such as clinical treatment, counseling, or determining eligibility for health or human services/benefits.
• Six months' experience in interpreting laws, rules, regulations, standards, policies, and procedures.
• Six months' experience in using an automated information system to enter, update, modify, delete, retrieve/inquire and report on data.
• Six months' experience in narrative report writing.

Conditions of Hire

This position is a classification organized under an exclusive bargaining representative (labor organization) that has been elected by employees as their representative for collective bargaining and other applicable terms and conditions of employment, in accordance with Title 29, Chapter 59 and Title 19, Chapter 13 and 16. This position is covered by a collective bargaining agreement based on its individual terms. All new hires are required to report to the Statewide New Employee Orientation (SNEO) on their first day of employment. Sessions are held at designated locations in Kent or New Castle County. Applicants must be legally authorized to work in the United States. The State of Delaware participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our Job Seeker Resources. DHSS does not provide employment-based sponsorship.

Benefits

To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/

Accommodations

Accommodations are available for applicants with disabilities in all phases of the application and employment process.

Individuals who use TDD may request auxiliary aid or service by calling [phone] or by visiting delawarerelay.com.

If you need assistance with an accommodation under the Americans with Disabilities Act (ADA) or general applicant support, you may call [phone] or email [e-mail].

Equal Opportunity

The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.