USA
2 days ago
Intake & Eligibility Specialist

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in three Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit www.publicconsultinggroup.com.

This position requires the consistent use of independent judgment in interpreting policies, evaluating client needs, and determining appropriate courses of action. The specialist is empowered to make decisions that directly impact client eligibility outcomes and service access.

Duties and Responsibilities:Accept applications for services and collect required documentation.Exercise independent judgment in interpreting eligibility criteria and advising clients on complex application scenarios, ensuring alignment with regulatory guidelines.Coordinate needs assessments (SIS-A for individuals 16 and over and Needs Assessment for individuals 15 and under).Submit complete applications to the State per regulatory guidelines.Ensure compliance with eligibility requirements in accordance with State System Care Plans.Provide live phone support during State business hours (8:00 AM–4:30 PM EST); respond within one business day to messages left after hours.Maintain accurate and timely documentation in State databases and case management systems.Choice CounselingProvide interactive, short-term, consumer-directed support for individuals exploring case management options.Apply discretion in tailoring counseling approaches to individual client circumstances, using professional judgment to guide service selection and resource recommendations.Develop and maintain scripts, decision trees, and job aids to support consistent delivery of counseling services.Participate in State-provided initial training and maintain up-to-date knowledge through ongoing training.Intake and Referral SupportReceive and process calls, and electronic inquiries (email, phone, fax) related to developmental disabilities services.Confirm receipt of documents and follow up as needed.Document case notes and call outcomes in a timely and accurate manner.Refer individuals to appropriate resources and services.Outreach and Community EngagementAssist in the implementation of an annual community engagement strategy to raise awareness of DS services.Distribute approved marketing materials (brochures, digital content, newsletters, toolkits).Conduct or support community engagement events such as workshops, information sessions, and webinars.Serve as a liaison to the public and key stakeholders by providing clear, consistent messaging and education.Administrative and Quality Assurance ActivitiesComply with ADRC and CLW documentation protocols.Independently identify areas for process improvement and contribute to the development of quality assurance protocols, demonstrating discretion in prioritizing and implementing solutionsAssist in accurate data collection and reporting to meet contract requirements.Uphold confidentiality, security protocols, and State policies in all aspects of work.

Required Skills

Solid understanding of eligibility criteria and service options within a DS Program and Services.Competency in applying quality customer service principles in a high-volume call center or service setting.Knowledge of disability rights, independent living philosophy, and consumer-directed services.Strong organizational, documentation, and problem-solving skills.Excellent communication and interpersonal skills, with sensitivity to diverse populations.Ability to work independently and collaboratively in a remote team environment.Familiarity with Medicaid regulations and relevant state and federal laws.Proficiency in creating and using decision support tools (scripts, job aids, decision trees).

Qualifications

Education

Bachelor’s degree in social work, human services, business administration, or a related field; equivalent experience considered.

Experience

1–3 years of experience working with individuals with disabilities, in long-term care, community health, case management, or similar settings.

Certification

N/A

Working Conditions

Hybrid Must have reliable transportation for onsite, in-person meetings if requestedMust have reliable internet and phone services

Supervisory Responsibility

IC

The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities or skills of personnel so classified.

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As required by applicable law, PCG provides the following reasonable range of compensation for this role: $55,000-$65,000. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave

Compensation:

Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience.  As required by applicable law, PCG provides the following reasonable range of compensation for this role below. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave.

EEO Statement:

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

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