Disability Determination Manager I

State of North Carolina•Wake County, NC

3d•Onsite

About The Position

This position is located at the Division of Disability Determination Services (DDS) at the North Carolina Department of Health and Human Services in Raleigh, NC. DDS makes medical entitlement decisions on Social Security, Supplemental Security Income, and Medicaid disability claims. The role requires an experienced disability examiner with strong skills in Social Security and Medicaid claims development and adjudication. The Case Consultant leads in-service training for new examiners and provides guidance to experienced examiners, directing all facets of claims development and adjudication. The consultant processes claims left unattended due to absences, assists examiners experiencing performance problems, provides training, and assesses general performance deficiencies. Many duties are performed electronically, including producing forms and evaluations and creating electronic images of medical records. The consultant performs the full range of supervisory functions when the supervisor is absent. This is an internal posting open to current North Carolina DHHS employees, eligible North Carolina State Government RIF candidates, and current temporary employees. The position is funded in part through federal funds.

Requirements

Bachelor’s degree from an appropriately accredited institution and four years of progressive experience as a Disability Determination Specialist, or an equivalent combination of education and experience.

Nice To Haves

At least 36 months of documented experience as a Disability Analyst at a State DDS office or related SSA component.
Documented experience adjudicating Initial, Reconsideration, Age 18 Redetermination, and Continuing Disability Review cases.
Demonstrated ability to move quickly between tasks, strong organizational skills, and ability to recognize complex issues.
Proficiency with computer applications and software specific to the Social Security Administration and an electronic case processing system.

Responsibilities

Lead in-service training for new examiners.
Guide experienced examiners and direct all facets of claims development and adjudication.
Process claims that are unattended due to absences.
Assist examiners experiencing performance problems.
Provide training and assess general performance deficiencies.
Use computer systems to produce forms and evaluations and create electronic images of medical records.
Perform the full range of supervisory functions in the supervisor’s absence.