Supervising Human Service Specialist Resume Example

As a Health Care Options Human Service Specialist, I was out-stationed at South Region Family Resource Center where I was responsible for conducting orientations for Health and Human Service customers who were applying for various programs such as CalWorks, Calfresh and Medi-Cal.  Orientations were held 5 times a day in a classroom environment for 30-40 applicants per session; customers were informed of their rights and responsibilities and how to select a managed health care plan for their Medi-Cal program.  I was also responsible for assisting walk in customers who needed assistance in enrolling or dis-enrolling from mandatory managed health care plans.  I would also assist customers from SSA who had questions in regards to Medicare managed health care for customers who were elderly or disabled.  Some other duties include:

• Monitor and track Health Care Option applications
• Responsible for providing monthly statistics
• Responsible for ordering supplies such as enrollment forms and health care plan literature
• Provide resources available throughout our community, resources such as food banks, low cost no cost prescription, free vaccination PODS, local shelters and referrals to 211 for additional resources

As a bilingual (Eng/Spa) Human Service Specialist (HSS) I conducted intake interviews for applicants requesting assistance for the following programs:  Calworks, Calfresh and Medi-Cal.  Duties included:

• Interview customers of diverse socioeconomic background and temperaments using a variety of standard interview and interaction techniques to determine eligibility and need for public assistance programs and services; interview customers individually and in group settings to obtain required information needed to determine eligibility.
• Determine program eligibility in accordance with a variety of regulations.
• Assist customers in the completion of applications and declaration of forms upon which eligibility decisions are based; elicits information in difficult and emotional situations on such matter as applicants earnings and financial obligations, parental status and living arrangements.
• Establish and maintain case files; prepare necessary documentation to initiate, continue and modify public assistance; plan and organize caseloads to ensure that necessary work is completed in accordance with regulations relating to eligibility and timeliness, review documentation for accuracy, completeness and consistency; contact applicants and recipients regarding discrepancies and refer questionable cases to the fraud unit for further follow up.
• Update budgets using all potential income and allowable deductions from earnings. make computer entries, read and interpret computer print outs and information screens.
• Provide information and make routine referrals to resources available through the County and within the community which help meet health, housing, and food needs or which provide assistance with employment, child care and transportation, make referrals to protective services.

As a Human Service Specialist for the Mission Valley Family Resource Center, I was responsible for a caseload of approximately 350 -375 grated Medi-Cal cases.  Duties included:

• Monitor and process monthly Medi-Cal redeterminations in a timely and efficient manner
• Determined ongoing eligibility in accordance with rules and regulations.
• Establish and maintain case files, prepare necessary documentation to continue and or modify level of benefits.
• Review documents for accuracy, completeness and consistency, contact recipients regarding discrepancies and refer questionable cases to the fraud department.
• Responsible for updating and reviewing case budgets; ensuring customers are within the income and property limits.
• Process out of hearing resolutions or ALJ from our Appeals Department
• Provide resource information available through the County and within the community which help customers meet health, housing and food needs or which provide assistance with employment, child care and transportation, make referrals to child support and protective service.

As a Intermediate Clerk Typist my responsibilities and duties included:

• Provide general customer service to customers applying for public assistance; process incoming applications for the following programs: CalWorks, Medi-Cal, Health Families, and Food Stamps.
• Responsible for clearing applications using customer information using MEDS system, CDS systems.
• Issue warrants, Medi-Cal cards, EBT cards and bus tokens
• Make referrals to outside agencies for customers seeking other resources.
• Greet customers, handle incoming calls and perform general administrative duties.
• Deal directly with customers either by phone or face to face; handle and resolve customer complaints at the lowest level possible, respond promptly to customer inquiries.
• Operate office machines such as photocopier, fax, scanners, voice mail systems and computer programs such as MEDS, Word, Excel and Power Point.