Community Support Specialist II - Long Term Care Speciality

Overall Job Objective

What Success Looks Like In This Job

This is an intermediate level position that interviews and assesses initial and/or ongoing eligibility for public assistance programs, with primary responsibility for Long Term Care and certain specialty programs. This position operates under general supervision.

Examples of Duties for Success

• Interviews applicants/participants regarding income, resources, household composition, and employment status to assess their eligibility for financial, medical, and food assistance.
• Assists applicants in completing all forms and obtaining necessary documentation.
• Reviews applications for accuracy and completeness, verifies all information, and computes assistance allotment.
• Explains program eligibility requirements to applicants, including all rules and regulations, his/her rights and responsibilities, available benefit dates, reason for approval or denial, and the right to appeal.
• Completes monthly reports that are instrumental in discovering discrepancies that could affect participant's eligibility.
• Reviews and completes re-certifications. Reviews cases regularly for continuing eligibility taking necessary action in response to changes.
• Participates in the dispute resolution process with applicants/participants when requested.
• Prepares evidence, attends and testifies in state level hearings on applicant/participant appeals.
• Partners with service providers and other agencies to achieve positive outcomes for clients.
• Performs other related duties and responsibilities as required.

Qualifications for Success

• Knowledge of rules for all public assistance programs, as applicable.
• Conduct effective interviews relevant to determining eligibility.
• Knowledge of CBMS.
• Apply basic math and read, interpret, and apply rules and regulations.
• Communicate clearly and concisely, both orally and in writing.
• Differentiate between relevant and non-relevant information when making eligibility decisions.
• Input data accurately and detect errors/make corrections.
• Skills related to customer service.
• Ability to establish, maintain, and foster positive and harmonious working relationships with those contacted in the course of work.

More Qualifications for Success

• Experience:
  • One (1) year full time responsible office/clerical experience or extensive public contact experience is required.
  • CBMS program knowledge in Adult Financial, Food Assistance, Magi, and Non-Magi Medicaid, and Long Term Care experience is also required.
  • Long Term Care Program eligibility determination experience is strongly preferred.
• Education and Training:
  • High School Diploma or GED equivalent.
  • Satisfactory completion of an Associate's or Bachelor's Degree in business, behavioral science, or another appropriately related field is preferred.
• License or Certificate: None.
• Background Check: Must pass a criminal background check.
• Other:
  • Ability to work in a standard office environment.
  • Special preference will be given to Bilingual applicants.