Long Term Care Case Manager

State of Maryland • Baltimore City, MD

4d

About The Position

When you join the Maryland Department of Human Services (DHS), you join a team of more than 5,000 employees across the state dedicated to positively changing the lives of more than 1 million Marylanders each year. We do this by providing economic support, preventive services, and caring for children and adults. We aim to deliver services so that we more quickly meet the needs of the people we serve. At DHS, we grapple with hard questions to find new ways to foster a culture of bold innovation. We do this to ensure that in Maryland, we leave no one behind. The primary function of this position is to determine eligibility and provide case management services for Long Term Care (LTC) and Modified Adjusted Gross Income (MAGI) and Non- MAGI Medical Assistance in accordance with federal, State, and local regulations policies, and procedures. The Long Term Care Medical Assistance program provides financial assistance to Maryland’s residents in need of nursing home care. Community Medical Assistance eligibility is tested for Maryland residents upon exit from nursing care facilities.

Requirements

• Graduation from an accredited high school or possession of a high school equivalency certificate.
• One year of experience performing administrative staff, clerical, clerical technical, or secretarial work.
• Candidates may substitute 30 credit hours from an accredited college or university for the required experience.
• Candidates may substitute U.S. Armed Forces military service experience as a non-commissioned officer involving staff work requiring regular use of independent judgment and analysis in applying and interpreting rules and regulations in accordance with agency laws and policies on a year-for-year basis for the required experience.

Nice To Haves

• Six months of experience processing eligibility for governmental assistance programs.
• Six months of experience using computer software such as Microsoft Word, Excel, Google Docs and Sheets.
• Six months of customer service experience with staff members, agencies, and the general public.

Responsibilities

• Determines customer eligibility for Long Term Care and Community, MAGI and Non-MAGI, as well as Department policies and procedures with 90% accuracy.
• Maintains and monitors caseload in order to ensure timely services to customers in accordance with federal and State regulations and Department policies and procedures with 96% compliance.
• Interview/screen customers by analyzing verifications, interpreting and applying program knowledge of federal and State regulations and policies and Department policies and procedures prior to issuing a Request for Information with 90% accuracy.
• Maintains a working knowledge of all federal and State regulations and policies, Department policies and procedures, and eligibility and data repository systems.
• Completes assignments timely 96% of the time.
• All Corrective Action Requests (CAR) will be completed by the due date with 90% accuracy.

Benefits

• health insurance, dental, and vision plans offered at a low cost.
• Personal Leave- new State employees are awarded six (6) personnel days annually (prorated based on start date).
• Annual Leave – ten (10) days of accumulated annual leave per year.
• Sick Leave – fifteen (15) days of accumulated sick leave per year.
• Parental Leave – up to sixty (60) days of paid parental leave upon the birth or adoption of a child.
• Holidays – State employees also celebrate at least twelve (12) holiday per year.
• Pension – State employees earn credits towards a retirement pension.
• Positions may be eligible for telework.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees