What are the responsibilities and job description for the Social Work Case Specialist position at CAI?
Job ID Number R2612
Employment Type Full time
Worksite Flexibility Onsite
Job Summary As the Product Specialist, you will be responsible for providing data entry of Medicaid Renewal applications
Job Description
We are looking for a Social Work Case Specialist to provide data entry of Medicaid Renewal applications . This position will be full-time and on-site.
What You’ll Do
Serve as a knowledgeable guide and support for individuals applying for Medicaid , ensuring a thorough understanding of the application process
Acquire a thorough understanding of the State of Delaware's Health and Social Services programs of assistance
Maintain a thorough knowledge of HIPAA regulations and ensure confidentiality and security of client information
Understand and apply Delaware's MAGI-based eligibility standards for Medicaid and related programs
Determine eligibility for a minimum of 10 cases each day, with diligent follow-up on cases requiring additional client contact
Analyze applicants' financial data and input calculations into the eligibility system for accurate case management
Conduct client interviews, exchanging general and sensitive information to determine eligibility
Collaborate closely with clients to securely collect application documents in digital formats (pdf, jpg, etc.)
Document all case management activities and communications within the eligibility system
Attend Fair Hearings to support clients who are disputing denials or other decisions related to their cases
Participate actively in one-on-one and staff meetings to stay informed and up-to-date with processes and procedures
Handle additional case management responsibilities as required, adapting to the evolving needs of the department
What You'll Need
Required:
High school diploma or equivalent
Minimum of one year of social work case processing experience
Minimum of one year of customer service experience
Strong written and verbal communication skills, with fluency in English and Spanish
Strong proficiency with Microsoft Office Suite (Excel, Word, Teams)
Strong understanding of Delaware's MAGI-based eligibility standards for Medicaid
In-depth knowledge of Medicaid and the State of Delaware’s Programs of Assistance eligibility criteria
Ability to manage multiple cases and tasks effectively
Exceptional organizational skills with a focus on attention to detail
Ability to perform financial calculations and analyze complex data
Proven problem-solving skills
Responsible and self-driven individual committed to community service in a team-oriented environment
Reliable transportation to and from the office, with a record of punctuality
Availability to work extra hours or a Saturday each month as needed
Preferred:
Bachelor's degree in Social Work or related field
3-5 years of experience in social work, particularly with processing applications for assistance programs
Physical Demands
Ability to safely and successfully perform the essential job functions consistent with the ADA and other federal, state and local standards
Sedentary work that involves sitting or remaining stationary most of the time with occasional need to move around the office to attend meetings, etc.
Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard, and monitor
Reasonable Accommodation Statement
If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employment selection process, please direct your inquiries to application.accommodations@cai.io or (888) 824 – 8111.
Equal Employment Opportunity Policy Statement
It is the policy of CAI not to discriminate against any employee or applicant due to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran. It is also the policy of CAI to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Employees and applicants of CAI will not be subject to harassment due to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran. Additionally, retaliation, including intimidation, threats, or coercion, because an employee or applicant has objected to discrimination, engaged or may engage in filing a complaint, assisted in a review, investigation, or hearing or have otherwise sought to obtain their legal rights under any Federal, State, or local EEO law is prohibited.
Employment Type Full time
Worksite Flexibility Onsite
Job Summary As the Product Specialist, you will be responsible for providing data entry of Medicaid Renewal applications
Job Description
We are looking for a Social Work Case Specialist to provide data entry of Medicaid Renewal applications . This position will be full-time and on-site.
What You’ll Do
Serve as a knowledgeable guide and support for individuals applying for Medicaid , ensuring a thorough understanding of the application process
Acquire a thorough understanding of the State of Delaware's Health and Social Services programs of assistance
Maintain a thorough knowledge of HIPAA regulations and ensure confidentiality and security of client information
Understand and apply Delaware's MAGI-based eligibility standards for Medicaid and related programs
Determine eligibility for a minimum of 10 cases each day, with diligent follow-up on cases requiring additional client contact
Analyze applicants' financial data and input calculations into the eligibility system for accurate case management
Conduct client interviews, exchanging general and sensitive information to determine eligibility
Collaborate closely with clients to securely collect application documents in digital formats (pdf, jpg, etc.)
Document all case management activities and communications within the eligibility system
Attend Fair Hearings to support clients who are disputing denials or other decisions related to their cases
Participate actively in one-on-one and staff meetings to stay informed and up-to-date with processes and procedures
Handle additional case management responsibilities as required, adapting to the evolving needs of the department
What You'll Need
Required:
High school diploma or equivalent
Minimum of one year of social work case processing experience
Minimum of one year of customer service experience
Strong written and verbal communication skills, with fluency in English and Spanish
Strong proficiency with Microsoft Office Suite (Excel, Word, Teams)
Strong understanding of Delaware's MAGI-based eligibility standards for Medicaid
In-depth knowledge of Medicaid and the State of Delaware’s Programs of Assistance eligibility criteria
Ability to manage multiple cases and tasks effectively
Exceptional organizational skills with a focus on attention to detail
Ability to perform financial calculations and analyze complex data
Proven problem-solving skills
Responsible and self-driven individual committed to community service in a team-oriented environment
Reliable transportation to and from the office, with a record of punctuality
Availability to work extra hours or a Saturday each month as needed
Preferred:
Bachelor's degree in Social Work or related field
3-5 years of experience in social work, particularly with processing applications for assistance programs
Physical Demands
Ability to safely and successfully perform the essential job functions consistent with the ADA and other federal, state and local standards
Sedentary work that involves sitting or remaining stationary most of the time with occasional need to move around the office to attend meetings, etc.
Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard, and monitor
Reasonable Accommodation Statement
If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employment selection process, please direct your inquiries to application.accommodations@cai.io or (888) 824 – 8111.
Equal Employment Opportunity Policy Statement
It is the policy of CAI not to discriminate against any employee or applicant due to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran. It is also the policy of CAI to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Employees and applicants of CAI will not be subject to harassment due to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran. Additionally, retaliation, including intimidation, threats, or coercion, because an employee or applicant has objected to discrimination, engaged or may engage in filing a complaint, assisted in a review, investigation, or hearing or have otherwise sought to obtain their legal rights under any Federal, State, or local EEO law is prohibited.
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