Eligibility Specialist- Full-time job - Hamilton Center, Inc. - Terre Haute, IN

Eligibility Specialist

Department: Business Office Division: Administrative Services

Supervised By: Billing and Records Director

FLSA Status: Exempt/Regular/Full-time, Part-time

Effective Date: July 2014

Position Summary

Assist the client in securing benefits. Performs tasks including linkage, advocacy, referral, crisis management and follow-up. Provides services that meet the requirements of funding agencies. Work with clients occurs in a variety of settings.

Essential Duties/Responsibilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Consistently exercises discretion and judgment to analyze, interpret, make deductions and then decide what actions are necessary based on the varying facts and circumstances of each individual case.

Acquires and provides to the team information regarding clients’ progress in the benefit assignment process.

Works with the client on a day-to-day basis using professional judgment and discretion to ensure all tasks are being completed for benefit eligibility determination.

Consults and cooperates with community systems to facilitate linkage, referral, crisis management, advocacy, and follow up with the focus on attaining benefits.

Provides crisis management for clients; makes linkages for interventions as appropriate

Maintains client and program records in accordance with applicable standards and regulations, grant requirements, etc.

Works with supervisory assistance evaluating possible courses of conduct and making decisions where there is no opportunity to seek supervisory assistance.

Maintains an active caseload providing interventions as needed and within area of expertise and limits of credentials; assures procurement of additional services as needed

Maintains a high level of ethical conduct regarding confidentiality, dual-relationships, and professional stature.

Participates in continuing education activities, remaining knowledgeable in area(s) of expertise

Attend meetings as appropriate and meet regularly with supervisor to exchange pertinent information and receive supervision.

Performs other duties as assigned.

Minimum Qualifications/Requirements

Bachelor’s degree required. Preferred majors include Psychology, Social Work, Sociology, Family/Consumer Sciences, Child Development, Substance Abuse, Education, Criminology, Counseling, and Therapy Fields

Only the above majors qualify for Case Manager II status.*

Knowledge and skills in community based behavioral health care and case management preferred

Good interpersonal and communication skills

Ability to demonstrate competent use of Profiler

Agreement to use personal transportation in work capacity including transporting clients

Flexible scheduling required

Certificates, Licenses, Registrations

Valid driver’s license in accordance with HCI Motor Vehicle Policy (Valid Chauffeurs License if drive 15-passenger vans with clients)

Maintain current Crisis Prevention Intervention(CPI) certification

Physical Demands

While performing the duties of the job, the employee is regularly required to communicate in person or by telephone. The employee must be able to travel to client locations. The employee is frequently required to stand, walk, reach, bend; use hands to finger, handle or feel objects, tools or controls; and reach with hands and arms. The employee occasionally must sit. The employee must occasionally lift and/or move up to 40 pounds.

Work Environment

These characteristics are representative of those an employee may encounter performing the essential functions of the job. The employee works with seriously mentally ill individuals where a high degree of stress is possible. The position does not normally involve exposure to blood, body fluids or tissues; but it may require performing unplanned tasks where exposure may occur. The position requires the use of standard precautions.

Conditions of Employment

Satisfactory reference and background investigation checks

Completion of a pre-employment drug screening and completion of post-employment drug or alcohol tests upon reasonable suspicion of use

Demonstrated computer literacy through successful completion of pre-employment testing may be required.

Satisfactory completion of an Indiana Department of Child Services criminal fingerprinting background, Indiana State Criminal History, Sex and Violent Offender Registry, Child Protection Services History, and local law enforcement agency/county sheriff checks at the time of hire and every four years (or at contract renewal when applicable) for any employee that has direct contact on a regular and continuing basis with DCS and IVB clients.

Completion of tuberculin screening no later than three days prior to the new employee’s first work day and annually thereafter

Completion of Center-wide new employee orientation and ALL required paperwork prior to reporting to work

Completion of HCI Commitment to Quality Training, Trauma Informed Care, and Relias Learning.

Completion of HCI Case Management Training

Attendance at all mandatory staff development and training

Successful completion of a six month on-the-job orientation period

Participation in payroll electronic deposit

Adherence to Compliance Program Plan

Job descriptions are not intended, and should not be construed, to be exhaustive lists of all responsibilities, skills, efforts or working conditions associated with a job. They are meant to be accurate reflections of the principal job elements essential for making fair pay decisions about jobs.