Information and Eligibility Manager (Orange)

Annual salary: $57,000/yr

POSITION OBJECTIVE:   The Information & Eligibility Manager supervises, monitors, and supports staff responsible for client eligibility determination and data collection activities related to physical and electronic case file maintenance. This position serves as a liaison for Adoption, Foster Board, and GAP programs and functions as a Medicaid information resource.

ESSENTIAL FUNCTIONS:

• Supervise and monitor Information & Eligibility Specialist (IES) staff, including activities related to Dependency, Adoption, and GAP.
• Establish and maintain information management procedures specifically related to Dependency, Adoption and GAP.
• Monitor, approve and supervise client eligibility activities for Medicaid and Federal Funds
• Approve placement and payment information for Adoption, GAP and Foster Board
• Monitor and approve data collection activities.
• Perform quarterly Federal Monitoring Reviews.

·       Obtainandmaintainappropriatecasedocumentation(courtorders,case notes,correspondences,birthcertificates,socialsecuritycards,etc. todetermine client eligibility.

• Perform IES and IEM training activities, including new staff onboarding, ongoing team training, Argos training, DCM orientation, and continued FSFN support.
• Ensure accuracy of staff statistics by performing routine validation sampling.
• Receives consumer and provider calls, log any complaints, respond to requests or assistance in a timely and effective manner.
• Establish and maintain effective mechanisms to promote timely problem identification and resolution.
• Establish and maintain ongoing quality improvement activity to monitor services and ensure they are delivered in an effective and efficient manner.
• Establish and maintain effective mechanisms to monitor workload standards, service goals and priorities.
• Assist the Director of Information & Eligibility with problem resolution and continuing quality improvement.
• Provide coverage, monitor and approve data collection and eligibility activities, as needed
• Demonstrate strong teamwork skills by supporting colleagues, sharing knowledge, and contributing to a positive work environment.
• Facilitate routine staff and team meetings.

·       Set project standards, track progress, define requirements, and plan updates to ensure successful project management.

• Participates in creation and annual reviews of Unit Policy and Procedure Manuals to ensure all policy and procedures reflect current state, federal and system of care requirements.
• Attend regular IES team meetings, staff meetings, service center meetings, case management meetings, in-service trainings and conferences as needed.
• Participates in the agency strategic plan & quality improvement processes.
• Perform other dutiesasrequired.Jobperformancerequires fulfillingotherincidentalorrelated dutiesasassigned,assisting andtrainingothers,andperformingdutiesofhigherratedpositionsfromtimetotimefordevelopmentalpurposes as needed.
• Ability to safely & successfully perform essential job functions consistent with the ADA, FMLA, & other federal, state, & local standards, including meeting qualitative & quantitative productivity standards.
• Ability to maintain reasonably regular, punctual attendance consistent with ADA, FMLA & other federal, state, & local standards
• Ability to comply with all personnel policies & procedures

We understand the importance that every provider, parent and employee plays in the success of our mission to protect and inspire every child, every day.  An essential function of all employees is to provide excellent customer service by being professional and respectful in all interactions each and every day.  It is also expected that all employees are timely and responsive in their communication with others.

NON-ESSENTIAL FUNCTIONS:

• Duties in other counties as assigned
• Records Manager coverage
• Information & Eligibility Manager coverage

This list of functions is not intended to be exhaustive.  The agency reserves the right to revise this job description as needed to comply with actual job requirements.

QUALIFICATIONS:

REQUIRED:

• Associates degree in a administration, management or human services field; or five (5) years of related professional experience
• Supervisory or leadership experience
• Rev Max or equivalent client eligibility determination experience
• Strong knowledge of state and federal IV-E statutes and administrative codes.
• Data management experience

PREFERRED:

• Child welfare or related experience

• Record management experience
• Previous experience in a collaborative or cross-functional team setting

SKILLS:

REQUIRED:

• Ability to work independently with minimal supervision
• Abletobreakdownproblemsandinformationinordertosystematicallyidentifythecauseofproblemsor makerecommendations;gatherinformationfrommultiplesources;analyzecomplexinformation;organize informationforanalysis.
• Proficiency in Outlook, Microsoft Word and Excel

SPECIAL CONDITIONS:

·        Thorough Background Screening upon hire including FBI, FDLE, Local Law check, Employment Reference check, DMV check, Criminal Records check, Social Security Trace & Drug Screening.  FDLE check will be run at least every 5 years.

·        On-call assignments- Yes

·        Travel- local: 60% per week, long-distance: 1% per month

PHYSICAL & MENTAL REQUIREMENTS:                  (N=Needed         P=Preferred)

Analyzing (N), Bending-neck (N), Bending-waist (N), Calculations (N),

Carrying/Lifting (N), Climbing (N), Crawling/Crouching (N), Finger Movements (N), Handling Objects (N), Kneeling (N), Pushing/Pulling (N), Reaching (N), Reading & Comprehending (N), Reasoning (N), Sitting (P), Squatting (N), Standing (N), Twisting-neck (N), Twisting-waist (N), Walking (N), Writing (N)                  

POSITION STATUS:  Exempt

Supervision level:

1 = general direction, 2 = direction, 3 = general supervision, 4 = supervision, 5 = close supervision