Eligibility Case Manager I or II

ESSENTIAL DUTIES AND RESPONSIBILITIES: (The following examples are illustrative only and are not intended to be all inclusive.)

• Conduct interviews with applicants and recipients by phone and in-person to collect information necessary to determine eligibility. Explain complex regulation and expectations to applicants and recipients related to their application or redetermination.
• Gather, organize and review information supplied by applicants and recipients regarding financial and non-financial criteria relevant to the initial and continuing eligibility for public assistance programs as identified.
• Informs applicants and recipients of the relevant requirements and benefits of programs for which they have eligibility. Clarifies and interprets for clients their appeal rights and procedures. Assist and guide applicants in completing forms, securing documents and other verifications needed in completing their application.
• Determines the need for recovery of funds or referral for fraud investigations. Completes informational reports for submission to the proper investigative resource in cases of suspected fraud. Verifies the pertinent statements given the agency by phone contacts, written requests and/or direct contact with collateral resources. Prepares for and testifies as needed at evidentiary or other hearings.
• Approves or denies applications and informs applicants of results within the appropriate time frame and in a manner that can be understood by the client. On an ongoing basis, inform recipients of changes in the law or regulations affecting eligibility and/or amount of grant. Provides information and assesses need for referral to services staff and other community agencies for available assistance.
• Interface on a daily basis with statewide computer system requiring accurate and complete data entry of information. Interprets and evaluates computer generated data to determine application to individual case processing for approvals, changes, denials and discontinuations.
• Utilizes computer daily for inquiry and data entry for preparation of complex correspondence, spreadsheet development and record maintenance and research. Maintain client records within the Colorado Benefit Management System (CBMS) and electronic case file in the Department’s electronic document management system. Document all actions taken on applications and cases within CBMS.
• Performs complex calculations and tabulates figures. (Level II)
• Maintaining computer based records. (Level II)
• Performs other duties as assigned.

EDUCATION and/or EXPERIENCE:
Eligibility Case Manager I:

• High School Diploma or GED Equivalent.
• Two (2) years full time public contact experience.
• A combination of experience and education may be considered.

Eligibility Case Manager II:

• High School Diploma or GED Equivalent. Associate or Bachelor degree preferred.
• Two (2) years full time public contact experience.
• One year of experience with determining eligibility for Supplemental Nutrition Assistance Program (SNAP), Medicaid, Temporary Assistance to Needy Families (TANF), Old Age Pension (OAP), or Aid to the Needy Disabled (AND) is required.
• Experience using the Colorado Benefit Management System (CBMS) to determine eligibility for the above programs, is preferred.
• A combination of education and experience may be considered.

CERTIFICATIONS, LICENSES, & REGISTRATIONS:

Eligibility Case Manager I:

• Individuals hired are expected to complete Colorado Benefits Management Systems (CBMS) Training within three (3) months of hire.
• Individuals hired are also expected to complete program-specific training such as MAGI Medicaid, Non-MAGI Medicaid, Long-Term Care, SNAP, Colorado Works, and Adult Financial.
• This position requires successful completion of a criminal background check including fingerprinting through a national database.

Eligibility Case Manager II:

• Have and maintain Colorado Benefits Management Systems (CBMS) certification. Individuals hired without certification are expected to complete Colorado Benefits Management Systems (CBMS) Training within three (3) months of hire.
• Individuals hired are also expected to have and maintain program-specific training such as MAGI Medicaid, Non-MAGI Medicaid, Long-Term Care, SNAP, Colorado Works, and Adult Financial.
• This position requires successful completion of a criminal background check including fingerprinting through a national database.