Placer County

Eligibility Specialist - I (#15542)

$21.68-$26.35 Hourly / $3,757.87-$4,567.33 Monthly / $45,094.40-$54,808.00 Yearly

Eligibility Specialist - II (#15543)

$23.90-$29.04 Hourly / $4,142.67-$5,033.60 Monthly / $49,712.00-$60,403.20 Yearly


DEFINITION

To determine eligibility for, or continuation of, designated and specialized client services programs and their respective benefits; to provide administrative and technical support for designated program operations and the provision of services; to track and monitor the continuing quality of services provided and client needs to ensure compliance with program guidelines and regulations; and to function as an integral and supportive member of assigned departmental and multi-disciplinary team(s).

DISTINGUISHING CHARACTERISTICS

Eligibility Specialist I: 

This is the entry level class in the Eligibility Specialist series.  This class is distinguished from the journey level by the performance of the more routine tasks and duties assigned to positions within this series.  Employees at this level are not expected to perform with the same independence of direction and judgment on matters allocated to the journey level.  Since this class is typically used as a training class, employees may have only limited or no directly related work experience.  Employees work under immediate supervision while learning job tasks.

Eligibility Specialist II: 

This is the full journey level class within the Eligibility Specialist series.  This class is distinguished from the Eligibility Specialist I by the assignment of the full range of duties.  Employees at this level receive only occasional instruction or assistance as new or unusual situations arise and are fully aware of the operating procedures and policies within the work unit.  Positions in this class are flexibly staffed and are normally filled by advancement from the entry level. This class is distinguished from the Eligibility Specialist - Senior in that the latter performs the more difficult and/or confidential program support and assistance and exercises technical and functional supervision over assigned eligibility staff.

SUPERVISION RECEIVED AND EXERCISED

Eligibility Specialist I

Receives immediate supervision from supervisory or management staff and may receive technical and functional supervision from an Eligibility Specialist - Senior.  

Eligibility Specialist II

Receives general supervision from supervisor or management staff and may receive technical and functional supervision from an Eligibility Specialist - Senior.

EXAMPLES OF ESSENTIAL DUTIES

Duties may include, but are not limited to, the following:

  • Interview applicants for and participants in designated client services programs and services; assist applicants in the completion of appropriate applications, financial disclosures, and declaration forms necessary to process application; determine and request necessary verification and data to accurately evaluate the applicant or client’s eligibility, and determine applicant’s/participant’s eligibility for designated program(s).
  • Interpret and explain designated program(s) regulations, obligations, procedures and other pertinent information on an individual basis, in person or by telephone, or in group settings to applicants, participants and the general public.
  • Educate, recommend and determine initial and continuing eligibility in accordance with established procedures for various assigned programs including verification of reported information and of benefits provided by other jurisdictions; screen applicants/participants to determine eligibility for expedited, expanded and/or modified services.
  • Maintain appropriate and accurate case records, documentation and files, including performing data entry into automated record systems; monitor and follow-up on due dates; prepare and maintain other documents associated with designated program area(s) and related reporting requirements.
  • Recognize the need for and provide referrals to other client services and/or community resources/agencies to assist applicants/participants in identifying and utilizing the resources and services available; establish and maintain liaison with local private and public resources to provide continuity of services and awareness of designated program area(s).
  • Conduct program orientation and/or information sessions for clients, applicants, vendors, contractors, landlords, employers, and the general public to disseminate accurate information regarding assigned program area(s) and pertinent criteria, regulations, and guidelines.
  • Perform specialized functions and tasks in support of assigned program(s) such as processing claims for reimbursement of tenant damages; preparing lease/contract documents; issue certificates, overpayments and vouchers, issuing checks and making referrals to fraud investigations as necessary; conduct surveys and/or field housing quality inspections relative to compliance standards.
  • Make appropriate determinations according to established criteria and assigned program’s regulations; perform calculations to verify mathematical and financial data; initiate appropriate process according to determination.
  • When assigned to the WIC program, conduct nutritional and related classes under the direction of a Nutritionist, including determining nutritional goals according to established criteria, and collecting, documenting, and evaluating clinical and dietary information.
  • Assist with troubleshooting and the resolving system issues and inconsistencies in information as it relates to the various automated systems used for generating eligibility determinations.
  • Perform a variety of administrative support and clerical duties related to assigned program activities to include filing, maintaining records and statistics, word processing, and answering the telephones.
  • Build and maintain positive working relationships with co-workers, other County and departmental employees, community agencies and resources, and the public utilizing principles of effective customer service.
  • Perform related duties as required.

MINIMUM QUALIFICATIONS

Eligibility Specialist I

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 years of journey level clerical experience that includes substantial public contact, interviewing, obtaining financial and personal history information, decision making based on complex rules and regulations, and/or written and financial record keeping.

Training:
Equivalent to the completion of the twelfth grade.  Completion of the equivalent of 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.

License or Certificate:

  • When assigned to Veteran Services, ability to obtain, within the probationary period, certification from the State of California Department of Veterans Affairs to present claims to the United States Department of Veterans Affairs pursuant to Title 38, Code of Federal Regulations (CFR) 14.629.
  • When assigned to the WIC program, ability to obtain, within the probationary period, certification from the State of California as a WIC Nutrition Assistant.
  • 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. 

Eligibility Specialist II
 
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:
One year of responsible experience performing duties similar to an Eligibility Specialist I with Placer County.

Training:
Equivalent to the completion of the twelfth grade.  Completion of the equivalent of 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.

License or Certificate:

  • When assigned to Veteran Services, possession of certification from the State of California Department of Veteran Affairs to present claims to the United States Department of Veterans Affairs pursuant to Title 38, Code of Federal Regulations (CFR) 14.629.
  • When assigned to the WIC program, ability to obtain, within the probationary period, certification from the State of California as a WIC Nutrition Assistant.
  • 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.

KNOWLEDGE, SKILLS, AND ABILITIES

Eligibility Specialist I

Knowledge of:

  • Techniques of interviewing and information gathering, and record keeping practices.
  • Modern office procedures, methods and computer hardware and software and its applications.
  • English usage, spelling, grammar and punctuation.
  • Basic mathematical calculations.

Ability to:

  • On a continuous basis, know and understand all aspects of the job; intermittently analyze work papers; identify and interpret technical and numerical information; explain designated and specific regulations and procedures to clients and the general public.
  • On a continuous basis, sit at a desk for long periods of time; intermittently walk, stand, bend, climb, squat, twist and reach while retrieving or returning files or making field visits.  Intermittently twist to reach equipment surrounding desk; perform simple grasping and fine manipulation; use telephone and write or use a keyboard to communicate through written means; see with correctable acuity sufficient to read characters on computer screen; hear and speak with correctable acuity sufficient to communicate with clients; and lift moderate weight.
  • Learn to apply the policies, procedures, and programs of the Health and Human Services Department.
  • Learn to apply the laws, rules, and regulations governing eligibility for multiple public assistance programs.
  • Make referrals to appropriate agencies and programs.
  • Learn to detect and evaluate potential fraudulent situations.
  • Make rapid and accurate arithmetic calculations including addition, subtraction, multiplication and division.
  • Effectively interview a wide variety of individuals from diverse cultural and socio-economic backgrounds and who may be physically, emotionally or mentally impaired or distressed.
  • Maintain confidentiality.
  • Work with various cultural and ethnic groups in a tactful and effective manner.
  • Plan and prioritize caseload to ensure work is completed in accordance with regulations relating to eligibility and timeliness.
  • Follow written and oral direction and instructions.
  • Obtain information through interview; work fairly and courteously with the public; handle multiple case assignments; and work effectively with interruptions.
  • Analyze situations quickly and objectively and determine proper course of action within established guidelines and parameters.
  • Use a computer and related software applications.
  • Use modern office equipment, such as a calculator, telephone, facsimile machine, and photocopy machine.
  • Type at a speed necessary for successful job performance.
  • Communicate clearly and concisely, both orally and in writing.
  • Establish and maintain effective working relationships with those contacted in the performance of required duties.

Eligibility Specialist II

In addition to the qualifications for Eligibility Specialist I:

Knowledge of:

  • Federal, State, and County policies and procedures, especially as related to eligibility criteria for assigned program.
  • Pertinent laws and regulations affecting the provision and qualifying criteria for assigned program.
  • Community resources available to designated client population.
  • Human behavior and cultural and socio-economic diversity.

Ability to:

  • Apply the policies, procedures, and programs of the Health and Human Services Department.
  • Apply the laws, rules, and regulations governing eligibility for multiple public assistance programs.
  • Detect and evaluate potential fraudulent situations.
  • Apply complex laws and regulations to a variety of situations in an independent manner.
  • Interpret financial and personal information to make an accurate determination of eligibility.
  • Prioritize work in an effective and timely manner.
  • Effectively utilize multiple automated systems to enter and retrieve information and to track and monitor participants through assigned program components.

CLASS: 15542; EST: 4/14/1997; REV: 11/13/2017;
CLASS: 15543; EST: 4/14/1997; REV: 11/13/2017;