ELIGIBILITY SPECIALIST III FAMILY & CHILDREN'S MEDICAID QUALITY ASSURANCE
Applicants are encouraged to apply early. The application review process will take place immediately and continue until the position is filled. This recruitment may close any time after the first review or when a sufficient number of qualified applications have been received. Hiring range for this position is $47,486.40 - $56,742.40. Initial placement for new employees is customarily at entry level through 35% percentile. Pay grade for this position is 17.General Definition of Work: Performs difficult paraprofessional work involving the determination or redetermination of the eligibility of applicants or recipients requesting financial, medical, or food assistance through the Department of Social Services. Work is circumscribed by a variety of federal, state and county court decisions, laws, policies, regulations, and procedures. Daily guidance and direction concerning program policies and regulations may be provided to eligibility specialist staff. Work is performed under Quality and Training Specialist Coordinator.Examples of DutiesEssential Functions/Typical Tasks: Serving as Q&T Specialist for I/II eligibility specialist staff. Reviewing case actions completed by other eligibility specialist; verifying correctness and accuracy in policy interpretation, mathematical calculations, documentation, certifications, and forms; providing daily technical assistance regarding program policies and procedures; trains new or transitional caseworkers; may resolve client appeals of actions taken by eligibility specialist staff; and analysis of program-wide problem areas which include recommendations for corrective action.Functioning with a great deal of independence with the responsibility for performing a variety of complex tasks and functions in the Food and Nutrition and/or Medicaid programs. Resolving complex problems/cases where the consequence of actions may have a considerable effect on the client. Review of work is minimal. Position may require work at a physical location away from the agency.Participate in shelter/emergency services duties as required by Cabarrus County and the State of North Carolina. Position may perform other duties as assigned by the Supervisor, Program Manager, Eligibility Program Administrator, Deputy Director and Director.Work may also include performing the same eligibility determination functions as the eligibility specialist I and/or II: Interviewing, gathering information, assessing situations, taking, and processing applications, reapplications, applications for re-certification and process changes for Food and Nutrition and/or Medicaid programs. Conducting interviews, determining eligibility, and processing applications, changes, and reviews for Medical Assistance and/or Food and Nutrition program cases; computing initial budgets and revising budgets as changes occur in the household or in income; entering and maintaining case data in the appropriate county and state systems; maintaining a caseload or participating in maintaining the case bank and reviewing all cases at designated review periods to determine a family's or individual's continuing eligibility; maintaining records, files, and confidentiality. (These are intended only as illustrations of the various types of work performed. The omission of specific duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.) Gathers and reviews household income, financial resources, and residency data, computes budget.Reviews declaration forms and other application forms; verifies this information through telephone calls and correspondence with local government representatives, employers, attorneys, neighbors, and other similar contacts.Explains program requirements and options and advises or refers client to other programs or services as appropriate.Informs client of rights and obligations as prescribed by program policies.Responds to inquiries from clients and citizens regarding benefits, application process, and/or program eligibility; provides information and assistance.Compute and authorize amounts of assistance for programs.Operates computer terminal entering and retrieving data from the appropriate state and county systems.Documents electronic case record.Produces monthly financial reports; searches documents for posting errors.Operates computer, scanner, calculator, and other standard office equipment incident to maintaining records.Provide social workers with pertinent information gathered during applicant interviews and the process of case maintenance.Participates in ongoing training as required.Participates in teams, task forces, committees, job fairs, off-site applications and outreach activities as assigned.Performs related tasks as required to potentially include but not limited to emergency shelter operations.Knowledge, Skills, and Abilities: Thorough knowledge of the programs, areas, and functions of assignment. Considerable knowledge of and ability to read, analyze, interpret, and apply federal, state, and County program rules, regulations, and procedures. Considerable knowledge of agency and community programs and services. Working knowledge of standard office procedures, practices, and equipment. Skill to use a variety of office machines, computers, applicable software and typing. Ability to advise and counsel lower level staff on policies and regulations of the means tested programs; to work effectively in any line staff position assigned, which includes all means tested programs and functions; to understand and follow oral and written directions; to establish and follow detailed work procedures; to perform caseworker functions within structured time frames; to prioritize work; to perform mathematical reasoning and computations with speed and accuracy; to prepare and maintain accurate records and reports; to communicate effectively orally and in writing with persons of varied social, economic, cultural and educational backgrounds; to maintain composure, keeping emotions in check, even in difficult situations; to attend work regularly; and to establish and maintain effective working relationships with associates and the general public.Minimum Education / Experience requirementsEducation and Experience: Requires graduation from high school or equivalent and two years eligibility specialist experience, preferably in NC. Equivalent education and experience may be considered.Some county job postings indicate that you can qualify with an "equivalent combination of education and experience." If this language is included in the job description, it means you may qualify through either education, your years of directly related experience, or a combination of both.If you have indicated that you have earned a certificate, diploma, or degree from a technical school, college, or university, please note that Cabarrus County will verify your educational credentials. Official transcripts must clearly show the specific credential awarded to ensure accurate validation.Special Requirements: Possession of an appropriate driver’s license valid in the State of North Carolina. Position may occasionally require working before/after normal business hours to meet the needs of families/clients. May be required to travel for trainings/meetings. May be required to staff a Disaster Shelter during State/Local or National crisis.