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Humboldt County, CA
Eureka, CA | Full Time
$41k-52k (estimate)
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CALHR
Eureka, CA | Full Time
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Humboldt County
Eureka, CA | Full Time
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County of Humboldt
Eureka, CA | Full Time
$38k-49k (estimate)
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Eligibility Specialist I/II
$38k-49k (estimate)
Full Time | Ambulatory Healthcare Services 5 Months Ago
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County of Humboldt is Hiring an Eligibility Specialist I/II Near Eureka, CA

This is a County of Humboldt job position; however, the job application is submitted through Merit System Services. To apply for this position, click on this link: https://www.governmentjobs.com/careers/mss/jobs/4536332/eligibility-specialist-i-ii?sort=PostingDate|Descending&pagetype=jobOpportunitiesJobs

The Eligibility Specialist classifications determine the eligibility of applicants and recipients for public assistance programs through interactive interviewing and fact gathering; maintain current knowledge of program regulations and procedures necessary for multi-program caseload administration; initiate and process casework through automated systems; identify needs and make appropriate referrals for health, social, and/or employment services; and perform related work as required.

Eligibility Specialist I

The Eligibility Specialist I is the entry-level classification in the Eligibility Specialist series. Incumbents may have prior experience determining eligibility for loans, financial assistance, unemployment or veterans benefits, or publicly or privately funded health, counseling or social services programs; have completed initial classroom training provided as part of the Eligibility Specialist Trainee training program; or may have the required level of education. Incumbents will be placed in a work team and initially may receive classroom instruction prior to being assigned casework and/or tasks. Incumbents will work under close supervision while learning to independently determine public assistance eligibility, and apply knowledge and skills learned from their training in completing eligibility tasks and applying complex regulations. As incumbents gain experience and work toward the journey level in the series, they are expected to work with more independence and have the ability to complete more complex tasks and/or handle larger client caseloads. Incumbents are expected to progress to the journey-level Eligibility Specialist II upon completion of one year of satisfactory performance in the entry-level Eligibility Specialist I classification. 

Eligibility Specialist II

The Eligibility Specialist II is the journey-level classification in the Eligibility Specialist series. Incumbents demonstrate working knowledge of eligibility regulations, procedures and eligibility software systems. Eligibility Specialist II incumbents handle more complex tasks and/or caseloads independently with consultation as needed by Eligibility Specialist IIIs or Eligibility Supervisors. Positions in this class are flexibly staffed and are normally filled by advancement from the lower level or if filled from the outside, require prior experience as an Eligibility Specialist, Eligibility Worker or comparable position.

The class of Eligibility Specialist II is distinguished from the Eligibility Specialist I as the latter requires a higher level of consultation and supervision and is working toward achieving a working knowledge of program rules and regulations. The Eligibility Specialist II class is distinguished from the Eligibility Specialist III in that the latter class is assigned lead specialist duties or special assignments with a greater degree of independent judgment.

SUPERVISION EXERCISED AND RECEIVED

Incumbents in the Eligibility Specialist I and II classifications typically receive supervision from an Eligibility Supervisor and may receive lead direction from an Eligibility Specialist III.

Duties may include, but are not limited to, the following (for Eligibility Specialist I, duties are performed at the entry level):

  • Performs interactive interviews to elicit eligibility information, obtain and/or verify financial, employment, tax and personal demographic information and determine eligibility for public assistance programs and services
  • Analyzes financial and eligibility information to determine initial or continuing eligibility for multiple aid programs
  • Explains regulations, rules and policies to clients and apprises them of their rights, responsibilities and eligibility for participation in various public assistance programs and services
  • Ensures accuracy and completion of application and declaration forms
  • Resolves discrepancies by securing documentation, medical records and confirmation from other agencies
  • Enters and retrieves numerical and narrative data and issues benefits from an automated computer system
  • Determines the level of benefits to which the client is entitled by making complex computations and/or computer entries and then analyzing the results
  • Reviews and interprets information provided on a variety of forms both by the client and third parties to assist with eligibility determination
  • Evaluates clients for and answers questions on Advanced Payment Tax Credits (APTC) related to health care reform
  • Explains a variety of plan options, costs and individual plan features through Covered California
  • Monitors on-going eligibility by obtaining periodic updated information of eligibility factors and takes appropriate actions on changes
  • Determines need for additional services and makes referrals as needed for employment and other services to outside agencies to assist clients toward self-sufficiency and directs clients accordingly
  • Organizes and prioritizes caseload so that necessary case records and documents are processed and updated within specific time limits established by regulation and local policy
  • Enters and maintains case records, including written narratives, forms and computer documents in a clear and readable format
  • Troubleshoots task and/or case issues to determine appropriate resolution of problems, involving Help Desk as needed
  • Communicates both orally and in writing with clients and others related to the initial and ongoing eligibility determination while maintaining confidentiality
  • Responds to questions and complaints of clients in person, by telephone, mail and/or email communication 
  • Provides pertinent forms and pamphlets to clients as required
  • Identifies suspected fraud and makes referrals for investigation
  • Makes referrals to social service workers as needed
  • Participates in special projects, studies, work assignments and committees
  • Prepares correspondence and reports
  • Performs related duties as assigned

EMPLOYMENT STANDARDS

Note: The level and scope of the knowledge and skills listed below are related to job duties as distinguished between the two levels in the Definition section.

Knowledge of:

  • General goals and purpose of public social services programs
  • Laws, rules, regulations, policies and procedures governing eligibility for diverse public assistance programs and related case administrative techniques
  • Methods and techniques of conducting an investigative interview and information gathering
  • Computer terminology and computer keyboard arrangement
  • Modern office practices, methods and procedures
  • Record keeping practices and procedures
  • Principles of mathematical calculations
  • Intricacies of health insurance plans, medical health plan options and associated terminology
  • Regulations and rules regarding household filing status related to the Affordable Care Act
  • Cultural and human behavior, including knowledge of self, to interact effectively with clients and staff
  • Principles and practices of effective customer service
  • Structure and content of the English language including the meaning and spelling of words, rules of composition and grammar
  • Modern equipment and communication tools used for business functions and program, project and task coordination
  • Computers and software programs (e.g., Microsoft software applications) to conduct research, assess information and/or prepare documentation

Ability to:

  • Apply the policies, procedures and programs of the County Social Services Department
  • Apply the laws, rules and regulations governing eligibility and grant determination for multiple public assistance programs and the case administration of these programs
  • Identify available resources and communicate with others to obtain and verify information concerning eligibility
  • Use fact finding techniques and perform in-depth and interactive interviewing
  • Determine appropriate course of action in emergency situations
  • Make referrals to appropriate agencies and social service programs
  • Detect and evaluate potential fraudulent situations
  • Analyze and interpret written, numerical and verbal data from various sources
  • Utilize multiple electronic information, social services systems and analyze and interpret such information
  • Enter and maintain data accurately and timely into a computerized system
  • Navigate through computer screens and effectively use computer systems, software applications and modern business equipment to perform a variety of work tasks
  • Identify when computer output is incorrect and make corrections
  • Process cases manually as required
  • Plan and organize caseload to ensure work is completed in accordance with regulations relating to eligibility and timeliness
  • Function effectively in a system with strict deadlines and constant changes
  • Read, understand, apply and explain complicated and detailed correspondence, reports, regulations and policy directives
  • Perform a variety of mathematical computations accurately and rapidly
  • Prepare clear, concise and accurate records and reports
  • Explain complex rules and programs so they can be understood by people of diverse socio-economic, cultural and educational backgrounds
  • Gather, record and correctly evaluate tax filing data, income and additional necessary information required for the determination of eligibility for one or more programs
  • Explain health insurance plan options and plan details available to clients through the Affordable Care Act
  • Review a variety of tax documents to obtain needed household filing information
  • Explain health care reform tax credit implications to clients
  • Refer clients to other community services as needed
  • Assess and manage difficult and hostile persons or situations; or call for intervention when appropriate
  • Interact with people in a courteous manner in person, on the telephone, by mail or email
  • Work in a fast-paced, professional office environment and prioritize a wide range of duties with varying time requirements to ensure timely completion
  • Communicate clearly and concisely, both orally and in writing, using appropriate English grammar and syntax
  • Establish and maintain cooperative working relationships with the public and staff
  • Follow written and oral directions and instructions

MINIMUM QUALIFICATIONS (Education and/or Experience)

Eligibility Specialist I:

EITHER

Pattern 1: One year full-time experience in an Eligibility Specialist Trainee classification in an Interagency Merit System (IMS) county;

OR

Pattern 2: One (1) year of full-time experience determining eligibility for health programs, loans, financial assistance, unemployment, or other benefits and two (2) years of clerical work involving public contact;

OR

Pattern 3: Two (2) years of full-time experience determining eligibility for health programs, loans, financial assistance, unemployment, or other benefits;

OR

Pattern 4: Four (4) years of full-time clerical work involving public contact, interviewing, math computations, completion of forms or eliciting information from the public;

OR

Pattern 5: Graduation from an accredited four-year college or university.

Minimum Qualification Interpretation: A combination of education and experience comparable to the type of experience listed may substitute for either pattern. When combining education and experience, two and a half (2.5) semester units or three and a half (3.5) quarter units equal one month of experience.

Eligibility Specialist II:

EITHER

Pattern 1: One (1) year full time experience in an Eligibility Specialist I classification in an Interagency Merit System (IMS) County;

OR

Pattern 2: Two (2) years of full time experience determining eligibility for public assistance programs in a public human services agency.

DRIVER LICENSE REQUIREMENT

Some positions in this classification may require possession of a valid California driver license. Employees who drive on County business to carry out job-related duties must possess a valid California driver license for the class of vehicle driven and meet automobile insurability requirements of the County. Eligibility for employment for those who do not meet this requirement due to disability will be reviewed on a case-by-case basis by the appointing authority.

CalPERS Retirement
  • Tier I: Prior to 7/5/2012: 2.7 @ 55
  • Tier II: Post 7/6/2012: 2.0 @ 55
  • Tier III: Post 1/1/2013: 2.0 @ 62
 Selection Procedure
 The County’s Human Resources system operates by a set of rules and procedures which ensure that employees are hired and promoted on the basis of merit and fitness for the job. Jobs are filled through competitive examinations.

 A complete online application is required for this position. All application materials will be reviewed by a panel of subject matter experts. Those candidates considered to be the most qualified, based on the application materials submitted, will be invited to a written and/or oral examination, or an evaluation of education and experience.

 Policy of Nondiscrimination
 The County of Humboldt does not discriminate on the basis of mental or physical disability in the admission or access to, treatment or employment in, its programs or activities. Human Resources is wheelchair-accessible by entering the Courthouse from the ramp located on the east side of the building next to the marked handicapped parking. Special testing arrangements may be made to accommodate disabilities or religious convictions. Contact Human Resources at (707) 476-2349 well in advance of the examination for assistance.

 The County is an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religion or religious creed, color, age, sex, sexual orientation, national origin, ancestry, marital status, medical condition, mental or physical disability, military service, or any other classification protected by federal, state, or local laws or ordinances. Reasonable accommodation may be made in the testing procedure as well as the work site. If you need accommodation for an exam due to a disability, please contact the Human Resources office as soon as possible.

 How to Apply
 A complete, original application must be filed for each position you are interested in applying for. Although this is a County of Humboldt job position, and you may access the job flyer at http://www.humboldtgov.org/hr , the application must be submitted through the Merit System Services website at www.mss.ca.gov no later than the final filing date listed on the job flyer. The link for the Merit System Services website is located at the top of the job flyer. All applications are screened by subject matter experts. The most qualified candidates may then be invited for further testing. 

 It is important that your application show all the relevant experience and education you possess.

 Please read the job requirements section of the announcement. Be sure you meet these requirements since they will be carefully evaluated during the selection process. Your performance in this examination will be compared with the performance of others who take the test. All candidates who pass will be ranked according to their scores. The examination results will be emailed to you as quickly as possible. Scores will be provided in writing only.

 To fill a vacancy, Merit Systems Services furnishes the employing department with the most qualified candidate names for the position.
Supplemental Information

** At the discretion of Humboldt County Health and Human Services and with the approval of Merit System Services, qualified candidates certified to the eligible list established by this exam may be appointed to the Eligibility Specialist I, or Eligibility Specialist II level if the appointee meets the minimum requirements.
EXAMINATION INFORMATION
TRAINING & EXPERIENCE EXAMINATION – WEIGHTED 100%
The Training & Experience Examination is designed to elicit a range of specific information regarding each candidate’s knowledge, skill, abilities, and potential to effectively perform the duties relative to the classification. Responses to the questionnaire will be assessed based on pre-determined rating criteria. All applicants must complete the entire examination to receive a score. In order to obtain a position on the eligible list, candidates must receive a minimum rating of 70% on the examination.
If conditions warrant, an Experience and Education examination may be conducted in lieu of the Training and Experience examination. Please review the Experience and Education examination information below:
 
EDUCATION & EXPERIENCE EXAMINATION – WEIGHTED 100%
The Education & Experience examination is based solely upon information provided from the application and supplemental information (e.g., resumes, transcripts). Information provided from the application and supplemental information will be assessed compared to a standard developed in relation to the elements of the. Special care should be taken to submitting a complete description of your education and experience relevant to the typical tasks, scope, and minimum qualifications stated on this bulletin. Supplemental information will be accepted, but competitors should read this bulletin carefully to determine what kind of information will be useful to those individuals completing the evaluation. In order to obtain a position on the eligible list, candidates must receive a minimum rating of 70% on the examination. Examination administration and processing time is approximately two weeks after the closing date of the job bulletin.
 
Examination administration and processing time is approximately two weeks after the closing date of the job bulletin.
SPECIAL TESTING ARRANGEMENTS
Special testing arrangements may be made to accommodate applicants for disability, military, or religious reasons. If you require such arrangements, please contact CalHR at mssprogram@calhr.ca.gov or 916-909-3701 upon notification that your application has been approved. Documentation from medical, military, school or church officials outlining the accommodation request must be received by our office a minimum of five business days prior to a scheduled examination.

 
 MEDICAL EXAMINATION: A pre-employment medical examination provided by the County may be required upon offer of employment.

 OTHER EXAMINATIONS: Some positions also require psychological evaluation and/or extensive background investigation.

 LICENSES: Some classifications require possession of valid professional and/or technical licenses. Some classifications may require the possession of a valid California driver’s license.

 PROBATIONARY PERIOD: Persons appointed to regular County positions serve a probationary period. This is normally six months, but may be up to one year. All designated safety employees serve a one year probationary period.

 EMPLOYMENT ELIGIBILITY: It is the County’s intention to hire only those workers who are authorized to work in the United States, pursuant to the Immigration Act of 1990. If you are offered employment you will be required to verify your eligibility to work in the United States. For law enforcement positions you will be required to verify your U.S. citizenship or legalized status.

 The County is an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religion or religious creed, color, age, sex, sexual orientation, national origin, ancestry, marital status, medical condition, mental or physical disability, military service, or any other classification protected by federal, state, or local laws or ordinances. Reasonable accommodation may be made in the testing procedure as well as the work site. If you need accommodation for an exam due to a disability, please contact the Human Resources office as soon as possible.

 All County of Humboldt employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.

 THE PROVISIONS OF THIS BULLETIN DO NOT CONSTITUTE AN EXPRESS OR IMPLIED CONTRACT. THE COUNTY OF HUMBOLDT RESERVES THE RIGHT TO MAKE NECESSARY MODIFICATIONS TO THE EXAMINATION PLAN IN ACCORDANCE WITH THE HUMBOLDT COUNTY MERIT SYSTEM RULES.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$38k-49k (estimate)

POST DATE

01/29/2024

EXPIRATION DATE

07/08/2024

WEBSITE

efdavis.com

HEADQUARTERS

Eureka, CA

SIZE

<25

INDUSTRY

Ambulatory Healthcare Services

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