Eligibility Supervisor

Eligibility Supervisor

As an Eligibility Supervisor at Communities Connected for Kids, you will work with other dedicated professionals who share your passion for helping individuals in need. We offer :

Opportunities to make a positive impact in the lives of children in need of support

Unique rewards that come from seeing families improve and flourish with the services you referred them to

Salary for the eligibility supervisor position starts as high as $55,000 annually

Excellent benefits including low-cost, high-coverage health insurance, generous time-off, and competitive retirement

Our Communities Connected for Kids Program provides services for children and families in the child welfare system, to ensure a community without abuse, neglect and abandonment. Based out of Port Saint Lucie, FL, this position is responsible for supervising the Eligibility team, which monitors, obtains, maintains, and processes client information to determine eligibility for federal reimbursement and to determine Medicaid and adoption eligibility.

This position handles the following job responsibilities and skills :

Manages the FLCBCEDS@cckids.net email box, delegates new cases, case issues, and new tasks to Eligibility Staff

Obtains appropriate case documentation (i.e. court orders, court reports), correspondence, CIC packet documentation, birth certificates, social security cards, household income verification, etc. for completing initial application and annual reevaluation determinations for continued eligibility of clients for Federal funding and for maintaining compliance.

Completes appropriate applications in FSFN for Medicaid and Title IV-E Eligibility for all children in out-of-home care; submits to Economic Self Sufficiency (ESS) for benefit activation by the Child in Care (CIC) Specialist. Ensures appropriate notification to ESS when a child's circumstances change via FSFN.

Reviews completed Title IV-E Federal Monitoring Tool for each child in out of home care; approve Title IV-E module in FSFN when completed by Eligibility Specialist.

Completes Medicaid applications for children that have reached permanency by adoption.

Provides case management and Protective Investigators (PI) a Letter of Assurance so medical needs can be immediately addressed before Medicaid is issued.

Enrolls new children in care into the Sunshine Child Welfare Specialty Plan and MCNA Dental Plan, and other plans as requested for child's special needs.

Resolves outstanding medical bills with billing provider; submits check requests to Finance if CCKids is financially responsible.

Completes Florida ACCESS applications to assist caregivers caring for dependent children to obtain cash assistance.

Monitors client eligibility determination by utilizing Metric Mail notifications and submits changes in the FSFN system as needed.

Maintains open communication with PI and Case Managers responsible for supervising children in care, obtains information on income, household composition and family resources to determine eligibility.

The Eligibility staff receive TANF forms from PI / Case Management and review for accuracy and completion. Upon receipt of accurate TANF form, eligibility staff will ensure income and asset information is entered in the FSFN modules. Other income sources will be entered into FSFN as needed to ensure income limitations are accurately weighted for ongoing determinations.

Downloads monthly TANF due report from FSFN and submits to case managers.

Assists Case Management with eligibility documentation required when a case is referred to the adoptions unit or when an ICPC is due to occur in the future.

Regularly logs into uRefer system to ensure outstanding CBHA referrals have active Medicaid numbers inputted correctly for each child. Once confirmed and / or updated, approves or denies all referrals using staff discretion.

Refers children who may meet Social Security benefits to Master Trust Specialist.

Reviews, organizes and maintains pre-adoption files submitted by Adoption Case Managers. Process MAS agreements as needed; update FSFN placements and non-placement services; communicate with Adoption Case Managers on case assignments and finalizations. Sign completed files as reviewed and completed prior to staff scanning in FSFN's post-adoption case.

Creates invoices in FSFN to issue payment to contracted lawyers who facilitate adoption finalization proceedings on behalf of CCKids clients.

Updates Kronos system for employee timecards; enters Medicaid hours reported by staff on a weekly basis.

Attends monthly Finance and Eligibility Committee conference calls; disseminates information to the team in an appropriate manner.

Manages Eligibility Specialists, their work and performance, including regular and ongoing supervision sessions; completes and performs annual performance evaluations.

Weekly debrief with Director of Finance on RevMax processes, procedures, workarounds, successes and deficiencies.

Prepares and submits the annual Federal Monitoring Plan due to DCF, as well as subsequently conducting case reviews and writing the Federal Monitoring Report.

Facilitate and attend staff meetings, in-service training and other meetings, staffings or conferences as scheduled by the Director of Finance, or training department.

Other duties as assigned

This list of essential functions is not intended to be exhaustive. Communities Connected for Kids reserves the right to revise this job description as needed to comply with actual job requirements or activities.

Qualifications

EDUCATION : Required : Bachelor's degree in human services, social work, or related field from an accredited school or university. Preferred : Master's degree in human services, social work, or related field from an accredited school or university.

EXPERIENCE : Required : Experience in a nonprofit organization, accounting or financial background, experience in child welfare, RevMax, Medicaid, and FSFN experience required Preferred : Experience in a supervisory role. Experience leading a team.

Company Overview

About Communities Connected for Kids

Communities Connected for Kids provides oversight and coordination of the child-welfare system in Indian River, Martin, Okeechobee and St. Lucie counties. At any given time, there are about 1,300 abused, abandoned or neglected children in our care. We are responsible for the safety and well-being of each one of them. We meet this responsibility through a mix of direct and contracted services.

Who We Serve

Communities Connected for Kids offers a full range of care for children, adolescents, young adults and family members in Okeechobee and the Treasure Coast. We offer our services through a wide variety of approaches including in-home parenting and prevention services, family preservation, case management, residential programs and extended foster care services for teenagers and young adults. In the tradition of true partnership, Communities Connected for Kids works closely with several agencies that are funded through Medicaid, substance abuse / mental health or private funds to offer a continuum of treatment services otherwise unfunded by Community Based Care dollars. These partnerships help families strengthen their capacity to care for their children or help children heal from trauma they've experienced.

Mission

Our mission is to enhance the safety, permanency and well-being of all children in Okeechobee and the Treasure Coast through a community network of family support services.

Values

Communities Connected for Kids values are :

We are accountable to the children and families we serve and to the communities in which we live.

We ensure services provided are :

Individualized, based on the strengths and needs of the families we serve

Respectful and culturally sensitive

Effective and accountable

Evidence based and data driven

Permanency focused

Ensure financial and human resources are managed and maximized

Our Vision

We envision a community without abuse, neglect and abandonment so all children grow to their full potential.