Health/Human Service Case Manager II

State of Delaware•Dover, DE

About The Position

The Health/Human Service Case Manager II determines financial and technical eligibility for Delaware residents seeking Medicaid State Plan programs and the Supplemental Nutrition Assistance Program (SNAP). The position maintains a high-volume caseload of Medicaid and Medicaid/SNAP cases, completing initial eligibility determinations and annual redeterminations, processing interim changes, and responding accurately and promptly to inquiries about cases, eligibility, and services from applicants, recipients, their representatives, stakeholders, providers, other DHSS agencies, and the public. The role also involves assessing individuals’ needs for health and human services, developing and monitoring service plans, maintaining case records and reports, coordinating referrals and services, and using automated information systems to research and report on case data. The position is not a licensed social work role and does not involve diagnosing disorders, conducting related clinical assessments, providing psychotherapy, or developing assessment-based treatment plans.

Requirements

At least six months of experience in case management, including assessing, planning, developing, implementing, monitoring, and evaluating options and services to meet an individual's human service needs.
At least six months of experience making recommendations as part of a client's service plan, such as clinical treatment, counseling, or determining eligibility for health or human services or benefits.
At least six months of experience interpreting laws, rules, regulations, standards, policies, and procedures.
At least six months of experience using an automated information system to enter, update, modify, delete, retrieve or inquire about, and report on data.
At least six months of experience in narrative report writing.
Applicants must be legally authorized to work in the United States.

Responsibilities

Determine financial and technical eligibility for Delaware residents for Medicaid State Plan programs and SNAP.
Maintain a high-volume caseload of Medicaid and Medicaid/SNAP cases.
Complete initial eligibility determinations and annual redeterminations, and process interim changes.
Respond accurately and timely to inquiries about cases, eligibility, and services from applicants, recipients, their representatives, stakeholders, providers, DHSS agencies, and the public.
Interview clients, family members, or professional sources to determine needs for health and human services.
Develop cost-effective service plans using in-house resources, referrals, contracted providers, or institutions.
Monitor and assess service delivery, and authorize or recommend changes and adjustments as needed.
Maintain comprehensive case records, summaries, statistical and narrative reports, and required forms.
Establish effective working relationships with clients, families, community members, and professional sources.
Provide guidance and information to connect clients with needed services, including protective, adoption, and related services.
Provide information and case coordination in person, by email, or by telephone to individuals or groups.
Respond to inquiries about client services from families, community members, and government agencies.
Provide supportive casework before, during, or after hospitalization when appropriate based on physician diagnosis and recommended treatment.
Use automated information systems and computer software to research, review, evaluate, and report health and human services data.
Communicate and interact effectively with people across cultures and ranges of ability, genders, ethnicities, ages, and races.
Perform other related duties as required.