To perform the more difficult, complex, and/or confidential functions related to determining eligibility for, or continuation of, designated and specialized client services programs and their respective benefits; to exercise technical and functional supervision over other staff members as assigned; and to function as an integral and supportive member of assigned departmental and multi-disciplinary team(s).
This is the advanced journey level class in the Eligibility Specialist series. Positions at this level are distinguished from other classes within the series by the level of responsibility assumed, complexity of duties assigned, independence of action taken; as well as by the nature of the public contact required. Employees in this job class perform the most difficult and responsible types of duties assigned to classes within this series. Employees at this level are required to be fully trained in all procedures related to assigned program area(s) as well as cross trained in other client services programs.
Receives direction from supervisory or management staff.
May exercise technical and functional supervision over other employees as assigned.
Duties may include, but are not limited to, the following:
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Train and lead subordinate staff in eligibility determination and case management support processes.
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Perform eligibility determination and ongoing case maintenance generally involving the more specialized, complicated, and/or confidential situations.
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Review, evaluate, and investigate selected cases and determine accuracy and completeness of all statements of fact provided by applicants or participants during initial and continuing eligibility determinations.
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Contact and interview applicants, participants, individuals, and representatives of business or government organizations to verify facts and/or resolve discrepancies pertinent to the correct determination of eligibility.
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Perform specialized functions and tasks in support of assigned program(s), such as processing overpayments and vouchers, issuing checks, and making referrals to fraud investigations, as necessary.
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Provide technical and/or specialized expertise to other clerical/technical staff; interpret regulations and revisions, court orders and policies to staff, clients, and the general public.
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Review requests for Fair Hearings, including interviewing program staff and client(s), clarifying department action, and evaluating all data to determine compliance with or exception to regulations and policies; when appropriate, attempt to resolve cases without a hearing; and represent the department in Fair Hearings as scheduled.
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Act as resource regarding assigned client services program(s), including criteria, regulations, guidelines, client records, and administrative procedures.
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Maintain appropriate and accurate case records and files, including data entry into automated record system; prepare and maintain other documents, materials, and correspondence associated with eligibility process.
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Troubleshoot and resolve system issues and inconsistencies in information as it relates to the various automated systems used for generating eligibility determinations.
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Assist with developing, updating, and providing training materials to less experienced staff.
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Build and maintain positive working relationships with co-workers, other County employees, and the public utilizing principles of effective customer service.
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Perform related duties as required.
Work is typically performed in an indoor office environment and controlled temperature conditions. Position may require travel to and from other locations in a variety of outdoor weather conditions.
Experience and Training
Any combination of experience and training that would provide the required knowledge and abilities is qualifying. A typical way to obtain the required knowledge and abilities would be:
Experience: Two (2) years of responsible, journey level eligibility determination experience performing duties similar to an Eligibility Specialist II with Placer County.
Training: Equivalent to the completion of the twelfth grade. Completion of the equivalent of thirty (30) semester units in social services, sociology, social work, psychology, behavioral science, business or public administration, or a related field from an accredited college or university is highly desirable.
Required License or Certificate:
May need to possess a valid driver's license as required by the position. Proof of adequate vehicle insurance and medical clearance may also be required.