Skip to main content
Tallo logoTallo logo

Find Jobs

Find Jobs Near You – Available Work in Your Location

Skip to job details
Apply for this opportunity

To apply for this job, you'll continue to an external website or email application.

State of South Carolina

EEMS Escalation Supervisor I (LTC) (Eligibility Coordinator I) / 60015792

Career Insights for Eligibility Specialist

See where this job fits in the broader career landscape. Knowing your career path helps you see what's possible from here.

Scorecard

Based on South Carolina data

Review key factors to help you decide if this role fits your goals. How is this calculated?

Were these scores useful?

What they do

An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.

$43,142 / year median in South Carolina

+20% projected growth

Explore Career

Job Description

Job Responsibilities The Agency's mission is to be boldly innovative in improving the health and quality of life for South Carolinians. This position is located in Specialty Unit , Statewide. This is an in-office role and not a telecommute or remote position. Are you the One? We are looking for an EEMS Escalation Supervisor I (LTC) , who will serve as Supervisor and is responsible for the leadership and direction of the Tier One Escalation LTCW Escalation Specialists. Responsible for timely and accurate eligibility determinations and positive customer service. Is directly responsible for ensuring team members are held accountable for timely and accurate determinations. Serves as the back up point of contact for the EEMS Escalations Supervisor (LTC). Leads a team of skilled Medicaid Eligibility Specialists, directing the efforts of Specialists and managing work within the team. Monitors team member performance on a day-to-day basis. Implements agency-standard workflow processes and procedures. Provides guidance to team members and agency managers on the effectiveness of agency policies, procedures, and processes. Ensures Specialists are held accountable to established guidelines for the performance of workplace duties. Receives and interprets employee performance reports and provides accurate counseling to Eligibility Specialists in a timely manner. Performs correct administrative follow-up activities after employee counseling and consults human resources when needed to complete employee evaluation or disciplinary action. Reviews and assist with identifying staff needs, workforce development opportunities and forecasting training opportunities for staff within the LTC Escalation Team. Identifies high-performing employees as candidates for reward or promotion. Provides positive reinforcement and messaging to employees about departmental goals and standards. Leads a team that meets, in the aggregate, Medicaid Eligibility Specialist performance standards. Provides technical assistance to Medicaid Eligibility Specialists and aids in the resolution of common questions, concerns, and escalations received by Medicaid Eligibility Specialists. Accurately addresses or routes questions and escalations to the appropriate resource including team leads, training staff, or help desk professionals, among others. Periodically spot-checks worker performance with respect to attendance, productivity, completeness of application workbooks, and accuracy of determinations. Performs fundamental supervisory and leadership functions in accordance with Department policies and procedures, best practices and Federal and State rules and regulations, especially with regard to Equal Employment Opportunity Commission (EEOC) standards. Maintains an effective organizational team and motivates staff to accomplish mission critical operations and objectives. Promotes workforce engagement and a safe, professional, and productive work environment for all employees. Attends meetings and training sessions as required. Makes and keeps schedules, completes tasks timely and reports to work timely. Assists eligibility management and senior leadership with projects as assigned. Performs related duties as assigned or required. Ensures Eligibility Specialists attend and successfully complete all training. Performs and coordinates preparedness/shelter duty activities as assigned. Serves as the back up point of contact for the Program Coordinator
II, EEMS
Escalations Supervisor (LTC). Works closely with Member Services, Bureau of Managed Care Organization, and Appeals to address opportunities for enhancing customer service. Ensures accurate eligibility determinations and strives to improve stakeholder experience and outcomes. As needed, provides data driven recommendations to leadership of trends and findings, address federal standards of promptness guidance, and strives to increase efficiency and productivity. Collaborate and streamlines with stakeholders and state agencies to ensure all expectations are met. The South Carolina Department of Health and Human Services offers an exceptional benefits package for FTE and TGE positions that includes: Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children. 15 days annual (vacation) leave per year. 15 days sick leave per year. 13 paid holidays. State Retirement Plan and Deferred Compensation Programs. Minimum and Additional Requirements A high school diploma and relevant experience in customer services, social services, human services, and/or Medicaid processing. A bachelor's degree may be substituted for the required program experience.
Preferred :
At least two (2) years of supervisory experience
Additional Requirements:
Requires holder to drive routinely. Occasional overnight travel Overtime and/or weekend work with Deputy approval. Sitting or standing for long periods of time.
Lifting requirements:
20 lbs. Valid driver's license Requires Emergency Preparedness/shelter duties In-office Role Preferred Qualifications Extensive knowledge of the Medicaid Program, human services programs, or eligibility processing preferred. Supervisory and management experience preferred. Knowledge of laws, regulations, policies and procedures relevant to Medicaid eligibility. Ability to exercise judgment and discretion. Ability to establish and maintain effective working relationships. Ability to effectively manage time and prioritize tasks and projects with competing deadlines. Demonstrated ability to lead and manage a diverse staff. Ability to communicate and collaborate with staff from different levels of the workforce. Additional Comments Please complete the State application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position. Supplemental questions are considered part of your official application for qualification purposes. All applicants must apply online. All correspondence from the Office of Human Resources will be through electronic mail. The South Carolina Department of Health and Human Services is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.