Case Management Specialist II
Summit County, OH - Ohio

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Under general supervision: Determines initial and ongoing eligibility for public assistance programs (i.e., Ohio Work First, Food Stamp, Prevention Retention and Contingency, Diversion, ABD and Institutional Medicaid, Covered Children Medicaid) according to established criteria; may develop self-sufficiency contracts and assign clients to appropriate work activity. Interviews clients; collects data; enters data into computerized systems; prepares and processes support documentation; monitors and maintains case files for multiple public assistance programs; prepares correspondence and reports; communicates with clients on an on-going basis; attends training as required; demonstrates regular and predictable attendance. Performs other related duties as required.

Job Duties:

The duties listed below are intended to depict tasks performed by this classification.

Conducts interactive interviews with applicants/clients, family members, and/or representatives to determine initial and ongoing eligibility for multiple public assistance and/or social services; utilizes interactive interview process through office, home, and/or institutional visits; enters and updates information and data into CRIS-E system; obtains and/or assists with obtaining necessary verifications and documentation; computes budgets; completes spousal resource assessments; assigns clients to appropriate work program components; reviews CRIS-E determinations for accuracy; processes changes as reported; processes alerts generated by CRIS-E.

Advises applicants/clients/representatives of available programs services and requirements; community resources and assists with/ coordinates determination of level of need, eligibility, and provision of services; explains client rights and responsibilities as well as pertinent state, federal, and agency programs, rules, regulations and procedures; authorizes, initiates, and terminates vendor payments as appropriate; prepares notification letters of approval, denial, reduction/suspension, or termination of benefits; reads, interprets, and applies pertinent Ohio Public Assistance Manual provisions, long-term care rules and regulations, transmittal letters, CRIS-E procedural information and related updates.

Monitors and coordinates program and service delivery, and program and procedural compliance; (i.e. requests and reviews medical plan of care and treatment to assess appropriate level of care; records and adjusts hospital leave days and Medicare days as appropriate; corrects discrepancies and processes changes; reviews waiver services within private homes, group homes, independent living and private and/or state certified facilities to assess compliance with program policies and guidelines and eligibility requirements).

Develops and maintains effective working relationships with agency staff, community agencies, governmental agencies, and service providers to facilitate efficient and cost effective service delivery;
updates and corrects case information as needed; reviews CRIS-E; prepares and completes case documentation; maintains and updates client files and records (manual or through computerized systems); processes and records changes affecting client eligibility status; obtain client information through available sources and enters into computerized systems.

May communicate with community representatives and service providers to resolve questions and/or concerns; acts as liaison between client and service provider to resolve problems and concerns; conducts and/or attends case conferences with involved parties to resolve concerns and facilitate effective and/or improved service delivery.

Prepares and maintains current and well organized case records with complete documentation on client eligibility as well as communication with clients and referral agencies and other pertinent information; Prepares reports, documentation, and correspondence; receives and responds to inquiries in both oral and written form; processes changes and corrections; operates personal computer to enter and retrieve data; refers cases of over-issuance or suspected fraud to the appropriate investigative unit; prepares summaries of case histories as requested; attends and participates in hearings as directed.

Attends meetings, conferences, workshops and training sessions to remain up to date on community programs and services as well as policies, procedures and regulations.

Attends and/or conducts meetings to provide information on agency and program rules, regulations, and procedures, and to receive information on available resources and eligibility requirements, and/or provider operating policies, procedures, and regulations.

Minimum Qualifications:

Any combination of training and work experience which indicates possession of the skills, knowledge and abilities listed below.

Completion of bachelor's degree in social or behavioral sciences or other related discipline, or equivalent combination of training and/or experience.

Must possess a valid State of Ohio vehicle operator's license.

Summit County, OH - 8 months ago - save job - block
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