Family & Children Medicaid - Eligibility Team Lead

J  o  b    D  e  s  c  r  i  p  t  i  o  n

Job Information

Title:

Family & Children Medicaid - Eligibility Team Lead

Market Range:

MR15

Approved Date:

2/19/2024 11:53:35 AM

FLSA:

Non-Exempt

EEO Code:

PROFESSIONALS

Career Level:

C4

Career Level Description:

Core Services Level 4

Job Code:

100365

Job Family:

Social Services

Sub Family:

Economic Services

Primary Purpose

Serves as a lead worker for a Family & Children Medicaid team and section. Provides an advanced level of program assistance to clients and caseworker staff by performing duties such as providing supervisory coverage, overseeing work quality, training, instructing, assigning work, and assisting supervisor as needed.

•

Provides on the job training and support to new staff who have completed classroom policy training and provides ongoing instruction as directed on new policies, policy clarifications or on policy/procedure identified through the QA process. Provides refresher training as needed for experienced staff who need extra assistance.

1

30%

•

Delivers assistance to caseworkers; provides advanced level of program assistance to clients and caseworkers; troubleshoots cases, and explains policy decisions and interpretation of policy.

2

20%

•

Processes cases: contacts clients and gathers needed documents, assesses information provided to determine benefits and enters required data and documentation into online and electronic systems to determine eligibility.

3

15%

•

Assigns work to caseworkers utilizing daily spreadsheets and reports. Monitors pending applications or cases and identifies issues within reports.

4

15%

•

Completes processing tasks for absent staff, staff on leave, and vacancies, as well as work late applications or cases.

5

10%

•

Conducts quality assurance reviews for caseworkers.

6

10%

Position(s) may perform other duties in addition to the above as assigned by management.

•

Acts as a local hearing officer for Family & Children Medicaid cases.

•

Completes daysheets and timesheets to document time worked.

•

Prepares presentations and training materials; including cheat sheets and easy to follow guidance.

•

Works NCFast reports and queues as directed.

•

Supports supervisors monitoring reports, completing duty schedules, and other duties as assigned.

*IMPORTANT* In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected. Employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, during and after the emergency. Employee may also be required to participate in relevant exercises and regular preparedness training.

Career Level Dimensions

Career Level:

C4

Career Level Description:

Core Services Level 4

•

Works to complete tasks and achieve operational targets that impact the performance of the Work Group.

•

May require leading, delegating, and reviewing the work of other employees.

•

Responsible for making adjustments or recommending enhancements to systems or processes to solve problems or improve effectiveness of the Work Group.

•

Expected to independently propose solutions to problems for supervisor or manager review.

•

Communicates within and outside Work Group to obtain or provide information for matters of moderate importance.  Explains practices and policies to reach agreement.

•

May act as a team lead and assistant to the supervisor/manager. May delegate tasks to other team members and be responsible for the review of work product.

•

Does not have formal management responsibilities (e.g., performance management, disciplining, etc.), but may provide input to leadership in Work Group.

•

Requires advanced knowledge within a specific discipline typically gained through extensive work experience, technical training, and/or advanced education.

Qualifications

•

Associate's degree in Human Services or a related field

•

Two years of job-related experience

•

Equivalent education and experience are accepted

•

2 Years

Family & Children Medicaid caseworker experience

Or

•

4 Years

Caseworker experience in any State or County Department of Social Services program (Medicaid, Food and Nutrition Services, Work First, Child Care Subsidy, Child Support, Women, Infants, and Children or Energy Assistance Program).

•

Knowledge of Family & Children Medicaid.

•

Excellent written and verbal communication skills.

•

Intermediate or higher skill level in Microsoft Excel.

•

Ability to apply complex policy to determine client eligibility, instruct staff in determining eligibility and monitoring eligibility determinations.

•

Ability to present information to individuals; ability to convey information clearly and concisely either verbally or in writing to ensure that listener understands the information and the message. Ability to listen and respond appropriately to others.

•

Ability to be relied upon to ensure that projects within areas of responsibility are completed in a timely manner.

•

Knowledge of principles and processes for providing excellent customer service. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

An individual must be able to perform each essential duty satisfactorily to perform this job successfully. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Competencies

Reliability

Demonstrates a high level of dependability in all aspects of the job.

Interpersonal Skills

Treats others with courtesy, sensitivity, and respect.  Considers and responds appropriately to the needs and feelings of different people in different situations.  Perceives, assesses, and positively influences one's own and other individuals’ emotions.

Attention to Detail

Thoroughness in accomplishing a task through concern for all the areas involved, no matter how small. Monitors and checks work or information and plans and organizes time and resources efficiently.

Adaptability & Flexibility

Changes behavioral style or method of approach when necessary to achieve a goal; adjusts style as appropriate to the needs of the situation. Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives.

Communication

Creates an atmosphere in which timely and high-quality information flows smoothly up and down, inside and outside of the organization; encourages open expression of ideas and opinions.

Customer Service

Balances interests of a variety of clients, and readily readjusts priorities to respond effectively to pressing and changing demands for information, advice and assistance.  Anticipates and meets the needs of clients; achieves quality end products; and commits to continuous improvement of services.

Coaching & Mentoring

Works to improve and reinforce performance of others. Facilitates their skill development by providing clear, behaviorally specific performance feedback, and making or eliciting specific suggestions for improvement in a manner that builds confidence and maintains self-esteem.

Integrity

Act with honesty, transparency and respect in our interactions with co-workers and those we serve. Adhere, without exception, to laws, policies, procedures and professional standards.

Accountability

Establish high-quality standards for work. Add value. Measure results and hold self and others accountable for making progress toward desired outcomes. Take a logical and data-driven approach to decision-making.

Diversity

Believe that different backgrounds and experiences strengthen the organization and produce better results. Value inclusion across race, gender, age, religion, identity and experience, and strive to reflect in our workforce the diversity of our community.

Collaboration

Foster a work culture in which different ideas and opinions are encouraged and expected. Listen carefully and speak thoughtfully. Work together toward shared goals with mutual respect and cooperation.

Continuous Improvement

Continuously improve work processes and products. Provide a safe environment to be innovative and creative and try new things. When things don't go as planned, use it as an opportunity to learn, regroup and begin again. Provide time and resources for individuals to grow and develop both personally and professionally.

Wellness

Take proactive steps to be physically fit and healthy, emotionally strong, financially secure and socially fulfilled, while inspiring and empowering others to do the same.

Service Orientation

Commit to making a difference within the community. Actively engage in and enjoy our work. Deliver services that exceed expectations, with courtesy, politeness and sensitivity to the experiences, concerns and feelings of all co-workers and customers.

ADA Checklist

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Standard ADA Selection:

Office Environment

Standing

X

Walking

X

Sitting

X

Lifting/Carrying 0-10 pounds

X

Lifting/Carrying 10-20 pounds

X

Lifting/Carrying 20-50 pounds

X

Lifting/Carrying 50-100 pounds

X

Pushing

X

Pulling

X

Climbing

X

Balancing

X

Stooping

X

Kneeling

X

Crouching

X

Crawling

X

Reaching

X

Handling

X

Grasping

X

Fingering

X

Feeling

X

Talking

X

Hearing

X

Visual Perception

X

Repetitive Motions

X

Eye/Hand/Foot Coordination

X

Memorization/Concentration

X

Learning/Knowledge Retention

X

Preparing/Analyzing Numerical Figures

X

Use of Interfaced Commmunication Devices (Phone, Computer, Radio etc.)

X

Analyzing/Examining/Testing Data

X

Emotional/Behavioral Self-Regulation

X

Interacting with Others

X

Comprehension

X

Organization

X

Decision Making

X

Comprehension

Understand and apply non-routine verbal and/or written instructions

Organization

Organize and prioritize individual work schedule to manage multiple tasks and/or projects

Decision Making

Make decisions that have an impact on the immediate work unit's operations and/or services

Communication

Communicate and explain a variety of information

Extreme cold

X

Extreme heat

X

Humid

X

Wet

X

Noise

X

Hazards

X

Temperature Change

X

Atmospheric Conditions

X

Vibration

X

Computers/Monitors

X