Title: Income Maintenance Caseworker III -LTC

Department: Social Services

Type: Full-Time w/ Benefits/ Hourly

Salary Range: Grade 65a

Starting salary based on qualifications and experience.

Location: Lexington

General Statement of Duties

This Income Maintenance Caseworker III proves responsible oversight of their assigned caseload in the Adult Medicaid program areas, Long Term Care (LTC and Private Living Arrangement( PLA), Special Assistance, and other Medicaid Programs. Is done by accurately determining eligibility, processing applications received and providing case maintenance and terminating support when necessary.

Distinguishing Features of the Class

Position interviews, determines and re-determine applicant's and recipient's eligibility for Adult Medicaid in Long Term Care (LTC). This position takes and processes applications for LTC and SA and other Medicaid Programs. This position also completes re-certifications for these programs, as well as completing program changes as they are received all while utilizing the NC FAST system to manage the applications and caseload

Work is performed under the regular supervision of the Income Maintenance Supervisor II. This position is in the Adult Medicaid Unit which is in the Income Maintenance Division.

Illustrative Examples of Work

- Performs intake duties: receives applications for assigned programs; interviews applicants to obtain information needed to make appropriate determination of eligibility.

- Refers clients to other agencies or community services that may meet their specific needs.

- Makes Inquiry notes pertaining to programs discussed, referrals made and documents why the client is ineligible for Medicaid or Food and Nutrition benefits.

- Ensures all appropriate forms are completed and signed for each applicant/client/benefit and stores forms in the client’s interactive case folder.

- When applicant is eligible for benefits, employee enters applicant information into NCFast; employee may be required to contact third party sources for needed information.

- Verifies applicant’s information including, but not limited to, all sources of income, Social Security benefits, vehicles etc.

- Processes paperwork and applications in a timely and accurate manner according to Federal, State and County policy and procedural guidelines.

- Monitors cases on an ongoing basis; obtains new forms/paperwork as needed.

- Keeps the client apprised of the status of their pending application.

- Performs case maintenance and makes reviews/redeterminations for eligibility according to the schedule set by Federal, State and County policy/procedure.

- Processes review/redetermination paperwork/forms according to Federal, State and county policy/procedure.

- Processes changes in client status to maintain up-to-date files and re-determines eligibility of client for economic support, if necessary.

• Adheres to federal, state, county and department rules, regulations, and policies

• This position performs mandatory Shelter Duty should the need arise and is a

mandatory emergency shelter duty team member

- Other duties as assigned.

- The duties of this position can shift as the needs of the agency or client population changes.

Recruitment and Selection Guidelines

Knowledge, Skills and Abilities

- Must have thorough knowledge of Adult Medicaid, Special Assistance policies and procedures.

- Must have thorough knowledge of NCFAST.

- Must have good interviewing and communication skills, both written and verbal.

- Ability to ask appropriate questions to quickly and efficiently gather needed information.

- Ability to listen to clients, identify needs, and make appropriate referrals to other units within DSS and/or community organizations.

- Must have good documentation skills.

- Ability to work quickly and with total accuracy under stressful situations and with frequent interruptions.

- Must have good general computer skills and knowledge.

- Must have good computation skills to accurately compute budgets and/or deductibles.

- Ability to read, understand, retain and apply constantly changing policies.

- Must be very organized and able to meet deadlines.

- Ability to work with clients from various socio-economic groups and knowledge of the needs of the economically disadvantaged.

- Ability to maintain effective working relationships with coworkers, other County departments, children, adults, school personnel, businesses, civic and community organizations and the general public.

- Ability to work as a team member to meet goals and objectives.

- Ability to multi-task with frequent interruptions.

- Must have positive attitude and good customer service skills.

- Ability to communicate both verbally and in writing.

- Adheres to county, state and federal rules, regulations, and policies

- This position is required to perform mandatory emergency shelter duty should the need arise

- Performs other duties as assigned

Physical Requirements

- Must be able to perform the basic life operational support functions of stooping, kneeling, crouching, reaching, standing, walking, pushing, pulling, lifting, fingering, grasping, feeling, talking, hearing and repetitive motions.

- Light work, exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force to constantly move objects.

- Must have close visual acuity to prepare and analyze data and figures, work on computer terminal and perform extensive reading.

- Worker is subject to inside environmental conditions: Protection from weather conditions but not necessarily from temperature changes.

- Worker is in contact with potentially infectious bodily fluids during the performance of his/her duties.

Education and Experience

- Graduation from an accredited associate degree program in Human Services Technology, Social Services Associate, Paralegal Technology, Business Administration, Secretarial Science, or a closely related curriculum; or graduation from high school and two years of paraprofessional, clerical, or other public contact experience which included negotiating, interviewing, explaining information, gathering and compiling of data, analysis of data and/or performance of mathematical or legal tasks with at least one year of such experience being in an income maintenance program; or graduation from high school and three years of paraprofessional, clerical or other public contact experience which included negotiating, interviewing, explaining information, the gathering and compiling of data, the analysis of data and/or the performance of mathematical or legal tasks; or an equivalent combination of training and experience.

AND Two years of experience as an Income Maintenance Caseworker; or an equivalent combination of training and experience

- Experience gained by having worked in a public service position requiring interaction with the general public is desirable.

Licenses and Certifications

- Valid North Carolina Driver License