Eligibility Determination Worker

About the role

The Texas HIV Medication Program (THMP) seeks an Eligibility Determination Worker to assist in the planning, development, implementation, and coordination of the daily operations and special projects of the program.

Responsibilities

• Evaluates and applies operational processes based on program policies and procedures to determine eligibility for THMP clients.
• Trains other staff, governmental agencies, HIV service agencies, and the public on program eligibility criteria and application processing procedures.
• Provides consultative and technical services to agency program staff, other governmental agencies, community/professional organizations and the public to help coordinate and improve client access to the program and to promote client adherence to physician prescribed medication regimens.
• Contributes to the development of program literature and educational material.
• Develops, implements and maintains data collection and analysis programs using available software applications.
• Serves as a liaison with local ADAP Enrollment Workers who assist with application completion in the region, assisting with explaining the application process and requirements of the THMP.

Requirements

• Graduation from an accredited four-year college or university with major coursework in social work, public health, or health care administration is preferred.
• One year of directly related experience can be substituted for two years of college.
• Experience using manual an/or automated systems to determine eligibility.
• Experience in verbal and written communication.
• Experience working with a team, setting priorities, and meeting deadlines.
• Experience working with Protected Health Information (PHI).
• Experience working in a professional customer service environment.
• Experience in working in TakeChargeTexas (TCT) preferred.

Qualifications

Knowledge of current social, economic, and public health issues related to HIV/AIDS; public health laws and regulations; educational techniques and procedures; and medical terminology and medications commonly used in the treatment of HIV/AIDS and STDs.

Skills in performing applicant eligibility determination using identified screening criteria; in composing, organizing, proofreading, and editing requisitions, reports and correspondence for accuracy and clarity; in instructing others; and in using personal computers for data entry, running reports and developing correspondence using Excel and Word.

Ability to train others; to interpret Public Health laws and regulations; to analyze and assess public health needs; to perform data entry with speed and accuracy; to effectively communicate verbally and in writing; to develop, implement and evaluate policies and procedures; to understand and adhere to applicable laswe and rules regarding confidential information; to plan, organize and process materials that are highly time-sensitive and that require rapid processing; and to verify client eligiblity using third-party verification processes.

Skills

None

Benefits

N/A

Pay

$3,581.33 - $4,476.83 per month

Schedule

Day Shift