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Income Maintenance Caseworker III- Long-Term Care

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Alamance County (NC)

2024-09-24 23:41:08

Job location Raleigh, North Carolina, United States

Job type: fulltime

Job industry: Trades & Services

Job description

Job Purpose The primary purpose of this position is to determine eligibility for Adult Medicaid in Long Term Care (LTC) programs and may serve as a back-up for PLA Medicaid, all while utilizing the NC FAST system to manage the applications and caseload. Responsibilities Receives and processes applications for LTC programs in accordance with established rules, regulations, policy and procedures in NC FAST from clients and/or their authorized representatives. Interview applicants for assistance to determine their eligibility; researches and verifies information provided by applicants. Responsible for maintaining knowledge and understanding of current and new policy and procedures, preparing and maintaining case files, utilizing reports, and related work as apparent or assigned. Performs casework functions both in Private Living Arrangement and Long-Term Care Medicaid programs, including intake, application processing, ongoing case management, completing change in circumstances as appropriate, according to policy. Coordinates with other inter agency staff and community partners to provide needed services. Qualifications Accountability - Ability to accept responsibility and account for his/her actions. Accuracy - Ability to perform work accurately and thoroughly. Advocacy - Taking action to represent and advance interests of others by presenting facts and details. Analytical Thinking - Ability to give thought and consideration to data for a logical judgment to be made. Communication, Oral - Ability to communicate effectively with others using the spoken word. Communication, Written - Ability to communicate in writing clearly and concisely. Concentration, Ability to concentrate on tasks through many distractions. Conflict Management - Ability to be objective and empathic while maintaining self-composure and control of the conversation ensuring proper handling of all comments. Customer Oriented - Ability to take care of the customers' needs while following company procedures. Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards. Honesty / Integrity - Ability to be truthful, maintain high level of confidentiality and be seen as credible in the workplace. Investigative - Ability to inquire intensively into and seeking to expose a malpractice or controversial issue. Judgment - Ability to use good judgment and discretion as it relates to interpreting policies and procedures. Leadership - Ability to mobilize people, create vision and strategy and uphold integrity in assigned work. Multi-tasker - Ability to multi-task in a fast-paced environment. Problem Solving - Ability to find a solution for or to deal proactively with work-related problems. Relationship Building - Ability to effectively build relationships with customers and co-workers. Safety-Minded - Creating a safe work environment; managing risks; reducing exposure liabilities. Time Management - Ability to utilize the available time to organize and complete work within given deadlines. Skills & Abilities Thorough knowledge of income maintenance programs as assigned. Considerable knowledge of all agency and community programs and services which could affect the client/applicant. General knowledge of all income maintenance programs. Good mathematical reasoning and computational skills. Ability to read, analyze, and interpret a variety of regulations, policies and procedures of varying complexity. Ability to work independently and prioritize work. Ability to understand customer needs and perform caseworker functions within structured time frames. Preferred knowledge and interpretation of the Adult Medicaid manual, ability to apply NC FAST job-aids and postcards, knowledge of policies and procedures; ability to understand and apply accounting practices in the maintenance of financial records. Minimum Education & Experience Two years of experience as an Income Maintenance Caseworker; or an equivalent combination of training and experience. Computer Skills: Prior experience with Microsoft Windows suites of products. License/Credentials: Possession of a valid NC driver's license. Additional Position Information: All DSS positions are subject to reallocation contingent upon funding, agency needs and client population and are subject to perform work during emergency or disaster situations as required and may be required to staff shelter overnight. PHYSICAL DEMANDS: N (Not Applicable) Activity is not applicable to this position. O (Occasionally) Position requires this activity up to 33% of the time (0 - 2.5+ hrs./day) F (Frequently) Position requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs./day) C (Constantly) Position requires this activity more than 66% of the time (5.5+ hrs./day) Physical Demands Stand F Walk O Sit F Manually Manipulate F Reach Outward O Reach Above Shoulder O Climb O Crawl N Squat or Kneel O Bend O Talk/Hear C Lift/Carry 10 lbs. or less O 11-20 lbs. O 21-50 lbs. O 51-100 lbs. N Over 100 lbs. N Push/Pull 12 lbs. or less O 13-25 lbs. O 26-40 lbs. O 41-100 lbs. O See C Taste/Smell N Other Physical Requirements Vision (Near, Distance, Peripheral) Work Environment Standard office setting. Employees are frequently subject to working with agitated clients, heavy workloads and compressed time frames. Health Insurance - Full-time employees are eligible for medical/health (Cigna Insurance) benefits upon the 1st of the month following the 30-day waiting period. Changes to elections can then be made during the annual open enrollment period, usually in the fall, or within 30 days of a qualified life event (marriage, divorce, birth or adoption of a child, change in child's dependent status, death of a spouse or other dependent and other change in employment status). Alamance County Government currently offers three plans of medical/pharmacy benefit options including a COPAY Plan 70, COPAY Plan 80 and a QHDHP with HSA. Dental Benefit - Alamance County offers one dental insurance (Delta Dental) plan for FT employees. The plan, if elected, would be effective the first of the month following 30 days of FT employment. Coverage must be elected within your first 30 days of FT employment or upon a qualifying event. Vision Insurance - A voluntary vision program (Superior Vision) is available to FT employees. The current PPO style plan allows employees to seek treatment and hardware from any vision care provider of their choice. The plan, if elected, would be effective the first of the month following 30 days of FT employment. Coverage must be elected within your first 30 days of FT employment or upon a qualifying event. Voluntary Benefits: Alamance County Government provides a variety of voluntary health related benefits (Voya) to allow employees to purchase protection from what life may bring. A sampling of voluntary benefits includes Flexible Spending Accounts with dependent care opportunities, Health Saving Account with an employer contribution, Short Term Disability, Long Term Disability, Cancer Protection Plan, Group Critical Care Insurance and more. Death Benefit - Alamance County Government has elected to contribute towards a Death Benefit associated with the Retirement System for all employees that are contributing Retirement System members. Once an employee has met at least one (1) year as a contributing member to the retirement system, the employee will have a benefit payable to their beneficiary of no less than $25,000 and no more than $50,000 based on the employee's salary. Benefit is payable if the employee is actively working and has not reached 70 years of age. Life Insurance - Basic term life insurance is the amount of one times the annual salary (no greater than $70,000) is provided for all FT employees. Additional coverage is available for purchase through payroll deductions for employee and eligible dependents. Retirement Benefits - Membership in the NC Local Government Employees Retirement System (NCLGERS) is a requirement for all full-time and regular part-time employees (working more than 1,000 hours annually). Employees contribute six percent (6%) of their annual compensation before it is taxed. If you leave the County service before retirement, you may withdraw your retirement contributions or elect to freeze your contributions in anticipation of future local government employment. If you have at least five (5) years of service, you are considered 100% vested in NCLGERS. Alamance County will be contributing a percentage as required by NCLEGRS on your behalf as well. Time Off Accruals: Vacation Time - All Alamance County full time employees immediately earn a bank of vacation hours that can be used after 6 months of employment (exhausting their probationary period). Vacation time accrues based on the full-time hire date (most recent hire date is used in the case of rehires). Employees with a hire date before the 15th of the month will receive vacation credit for that month; otherwise, time will not be earned. Time will be contributed to the employee's time off bank on the 15th of the month based on a monthly proration of the schedule below. Years of Service - Days of Vacation Annually 0-4 years of service 10 days equivalent to 80 hours 5-9 years of service 13 days equivalent to 104 hours 10-14 years of service 16 days equivalent to 128 hours 15-19 years of service 21 days equivalent to 168 hours 20 years or more 25 days equivalent to 200 hours Sick Time - All Alamance County full-time employees will earn a bank of sick hours to be used when they are away from work for instances related to their own illness or the illness of an immediate family member, death of an immediate family member or when they (or an immediate family member) need to attend a health-related appointment. All County employees earn 12 days of sick leave per year with an earnings of 8 hours per month if employed on or before the 15th of the month . click apply for full job details

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