Health/Human Service Case Manager II

State of Delaware•Dover, DE

About The Position

Make a Difference with DHSS Our mission at the Department of Health and Social Services (DHSS) is to improve the quality of life of Delaware citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. We prioritize personal and family independence by assisting individuals and families in a variety of life areas. We offer numerous career opportunities and are dedicated to attracting and retaining highly talented individuals who are ready to make a difference in their community today. DHSS is a great place to kick-start your profession. For more information, please visit https://dhss.delaware.gov/dhss/ today! Summary Statement This position determines financial and technical eligibility for Delaware residents for all Medicaid State Plan programs and the Supplemental Nutrition Assistance Program (SNAP). This position is responsible for maintaining a high-volume caseload of Medicaid and Medicaid/SNAP cases. The incumbent will be responsible for completing initial eligibility determinations, annual redeterminations, processing interim changes, responding accurately and timely to case, eligibility, and service-related inquiries from applicants, recipients, and representatives of applicants and recipients, internal and external stakeholders, Medicaid providers, other DHSS agencies, and the public. Essential Functions Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, employees can complete job duties of a similar kind not specifically listed here. This class is distinguished from a licensed Social Worker as employees do not perform the following duties: diagnose individuals for mental, emotional, behavioral, addictive, and/or developmental disorders and disabilities; perform related client assessment or evaluation; provide psychotherapeutic treatment; or develop and implement assessment-based treatment plans. An employee in this class may participate as a member of a multi-disciplinary team to implement behavioral health services or treatment plans in accordance with Delaware Code, Title 24. Interviews client, family, or professional sources to determine the client’s needs for a variety of health and human services which may include employment, job search, and basic skills remediation. Develops a comprehensive cost-effective service plan utilizing in-house sources, referrals, contracted providers, or institutions (Service plans may include job training and employability, housing, general public assistance, in-home services and supports or home-delivered meals, de-escalation techniques, peer services, or skill development). Conducts ongoing monitoring and assessment of service delivery for optimum quality and efficiency; authorizes and recommends necessary changes and adjustments. Maintains comprehensive case records, summaries, statistical and narrative reports, and completes required forms. Establishes effective working relationships with clients, family, community, and professional sources. Provides guidance and relevant information to connect clients with needed services which may include protective, adoption, and related services. Provides information and case coordination on-site, via email or telephone to individuals or groups. Supplies information and responses to inquiries regarding services for clients, family, community, and government agencies. May provide supportive casework to clients prior to, during, or after hospitalization based on physician diagnosis and recommended treatment. Uses automated information systems and computer software to research, review, evaluate, and report on health/human service data. Communicates and interacts effectively with people across cultures, ranges of ability, genders, ethnicities, ages, and races. Performs other related duties as required.

Requirements

Six months' experience in case management which includes assessing, planning, developing, implementing, monitoring, and evaluating options and services to meet an individual's human service needs.
Six months' experience in making recommendations as part of a client's service plan such as clinical treatment, counseling, or determining eligibility for health or human services/benefits.
Six months' experience in interpreting laws, rules, regulations, standards, policies, and procedures.
Six months' experience in using an automated information system to enter, update, modify, delete, retrieve/inquire and report on data.
Six months' experience in narrative report writing.

Responsibilities

Determines financial and technical eligibility for Delaware residents for all Medicaid State Plan programs and the Supplemental Nutrition Assistance Program (SNAP).
Maintains a high-volume caseload of Medicaid and Medicaid/SNAP cases.
Completes initial eligibility determinations, annual redeterminations, and processes interim changes.
Responds accurately and timely to case, eligibility, and service-related inquiries from various stakeholders.
Interviews clients, families, or professional sources to determine needs for health and human services.
Develops comprehensive cost-effective service plans.
Conducts ongoing monitoring and assessment of service delivery.
Maintains comprehensive case records, summaries, statistical and narrative reports.
Establishes effective working relationships with clients, family, community, and professional sources.
Provides guidance and relevant information to connect clients with needed services.
Provides information and case coordination on-site, via email or telephone.
Supplies information and responses to inquiries regarding services.
May provide supportive casework to clients prior to, during, or after hospitalization.
Uses automated information systems and computer software to research, review, evaluate, and report on health/human service data.
Communicates and interacts effectively with people across cultures, ranges of ability, genders, ethnicities, ages, and races.