California Children's Services Tech. II - County of Riverside
Riverside, CA 92501
About the Job
The County of Riverside - Riverside University Health System (RUHS) - Public Health Department is seeking to fill a Spanish Bilingual California Children Services Technician II position located in Riverside, CA with a 9/80 work schedule with every other Friday off.
Incumbents will be responsible for telephonic case management, financial and residential eligibility determination, annual case renewal, authorization, and denial of medical services, services referrals, record keeping and updating, and communicating with clients as well as medical professionals.
The objective of the California Children's Technician II is to improve the health outcomes for children and youth with special health care needs by providing care coordination and case management services.
The most competitive candidates will possess a high school degree, medical or clinical background, excellent computer and case management skills, Spanish listening/speaking skills, and work well with families and medical/clinical professionals.
EXAMPLES OF ESSENTIAL DUTIES
• Intake CCS referrals; conduct interviews with prospective client families.
• Explain and interpret program purpose, rules and regulations to the public and to callers.
• Determine family's ability to pay for part of services needed (assessment/enrollment fees) based upon financial data; obtain personal, family, insurance and financial data required; recommend payment for medical care and treatment.
• Ensure that service providers are CCS approved.
• Communicate and work with physicians and other health care providers having questions about the CCS program, client service authorizations, proper billing procedures, payment of claims and other concerns.
• Initiate and follow-up in assessment and/or enrollment fee reimbursement plans.
• Process accounts receivable (assessment and enrollment fees and provider reimbursements)
• Maintain necessary case records including medical and therapy reports, service authorizations, claims, correspondence.
• Enter required and appropriate log notes and information received into chart and case file.
• Make referrals to other appropriate community resources as necessary.
• Consults with supervisor or medical staff when required by program guidelines or when advice is needed.
• Obtain medical reports from physicians and abstract essential diagnostic and treatment information needed for medical staff to determine medical eligibility.
• Provide verbal or written authorizations, as directed by medical staff to inform service provider and parents that the proposed services will be funded.
• Follow up with families who fail to keep their appointments or fail to comply with reimbursement plan.
• Research the more complex issues and resolve for program clarification and/or necessary corrections.
• Follow up on the services that were authorized by securing medical reports documenting that service/equipment was provided.
• Provide case history information to physicians, hospitals, nurses, medical office staff members, and other authorized personnel as requested.
• Review a variety of the more complex cases; forward or reject claims, or resolve discrepancies with claimant.
• Determine initial and continuing eligibility; compute amounts of changing funds authorized; perform other similar required computations; may prepare and maintain other documents associated with the program and eligibility determining process.
• Review and monitor progress through the CCS case management file process.
MINIMUM QUALIFICATIONS
Knowledge of: Modern office practices, including report and correspondence preparation; Filing and record keeping techniques; Effective interviewing; Data entry or use of computers; Medical terminology; Standard medical nomenclature and the international system of classification of diseases particular to CCS eligible medical conditions; Basic rules and regulations governing eligibility and California Children's Service program; Issues requiring referral to social service staff; Standard office procedures and practices; Goals of public social service agencies, hospitals and health care facilities.
Ability to: Learn, interpret, and apply policies and regulations pertaining to CCS; Interview and obtain personal, family, and financial information; Gather data, record, and evaluate data necessary for determining medical, residential, and financial eligibility for CCS benefits; Identify problems requiring referrals to other department staff or community resources; Make basic arithmetical computations; Establish and maintain effective working relationships with a variety of individuals; Review medical reports and abstract medical information; Organize work and maintain systematic, detailed and accurate records; Deal with the public and professional medical personnel.
Experience: OPTION I
Considerable and full case-processing experience as a California Children's Service Technician I or similarly comparable position with Riverside County, or with another public service agency in California Children Services;
OPTION II
Progressively and demonstrated responsible, decision-making experience in a medical setting; in a disability insurance, worker's compensation, or a social service agency; or with an insurance firm.
SUPPLEMENTAL INFORMATION
Job Competencies:
• Proficiently utilizes time constraints.
• Capably articulates with applicants.
• Uses professional terminology and dialogue with medical professionals and of subject matter with clients.
• Exhibits comprehensive utilization of computerized systems in programs and other office applications.
• Speaks and writes effectively.
• Demonstrates and articulates a credible understanding of client's needs and application of California Children Services procedures.
• Effectively communicates integrity and ethics of the County and of the State programs.
• Succinctly provides knowledgeable options to clients' needs.
• Exhibits confidence in the effective application of the case process.
• Maintains responsibility and continuity in meeting time constraints.
• Meets and adheres to commitments.
• Skillfully manages competitive assignments.
• Communicates work progress and processes clearly and thoroughly to medical professionals, supervisors, and the public, both in written and oral form.
• Tolerates a great amount of detail and job pressure.
• Takes independent and judicious actions within standards without the need for securing supervisory guidance.
• Seeks out alternatives in meeting program objections and/or clients' needs.
• Proficiently uses necessary computerized programs required by the job function.
• Demonstrates a wide span of knowledge in medical terminology necessary in the CCS program.
Other Requirements
License/Certificate: Possession of a valid California Driver's License may be required.
Incumbents are required to be registered on the date of hire with an Alcohol and Other Drug certification in accordance with Health and Safety Code Section 11833(b)(1).
Veteran's Preference
The County has a Veterans Preference Policy. Upload a copy of your (or your spouse's) Member-4 Form DD-214 (or NGB-22) indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veteran's preference. See the policy here:
https://www.rivcocob.org/wp-content/uploads/2018/07/C-3-Veterans-Preference-Program.pdf
Open to Internal Employees
This recruitment is open to internal applicants only.
Qualified applicants may be considered for future vacancies throughout the County.
Application Period
BASED ON THE NUMBER OF APPLICATIONS RECEIVED, THIS POSITION MAY CLOSE WITHOUT NOTICE.
Applications received prior to the closing date will be considered based on the information submitted. Changes or alterations cannot be accepted. No late applications will be permitted.
Include relevant work experience details on resume and/or application
Applicants who fail to provide information demonstrating they possess the position requirements may not be considered further in the application process. A description of job duties directly copied from the job classification or job posting will not be considered.
Upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account. If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services (NACES) or Association of International Credential Evaluators, Inc. (AICE).
Reasonable Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at: http://dao.rc-hr.com/.
For specific questions regarding this position, please contact Edgar Manzo at emcardenas @rivco.org
GENERAL APPLICATION INFORMATION:
Please read and follow any special application instructions on this posting. Click the 'Apply' link located on this page to submit your application. For instructions on the application process, examinations, Veteran's preference, pre-employment accommodation or other employment questions, please refer to our web site, www.rc-hr.com . A pre-employment physical examination and background check may be required.
MEDICAL/DENTAL/VISION INSURANCE: A choice of different medical, dental and visions plan are available to elect. The County provides a Flexible Benefit Credit contribution as governed by the applicable LIUNA Memorandum of Understanding to contribute towards the cost of these plans.
Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list here .
MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (CalPERS).
- Tier I (Classic Member - Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is eight (8%) percent.
- Tier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. The employee contribution is seven (7%) percent.
- Tier III (PEPRA New Member - Formula 2% @ 62): Applicable to CalPERS local miscellaneous new members hired on or after the implementation of the Public Employees' Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013. As of July 1, 2020, the employee contribution is 7.25% and subject to change annually.
A new member is defined as any of the following:
CalPERS refers to all members that do not fit within the definition of a new member as "classic members".
Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.
Note:
This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to retirement@rivco.org or by calling the Benefits Information Line at (951) 955-4981,
Option 2.
If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at (888) 225-7377 to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary.
DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.
VACATION ACCRUAL (Bi-Weekly Accrual):
0< 3 year = 80 Hours (10 Days)
4< 9 years = 120 Hours (15 Days)
10 or more years = 160 Hours (20 Days)
Maximum Vacation leave accumulation is 480 hours.
SICK LEAVE: Four (4) hours Sick Leave accrual per pay period with unlimited accrual.
HOLIDAYS: Normally 12 paid holidays per year
BEREAVEMENT LEAVE: Allowed 5 days (3 days are County paid; 2 additional days can be taken from accrued Sick Leave balance)
BASIC LIFE INSURANCE: Equal to one times annual base salary not to exceed $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase.
DISABILITY: Short-term Disability benefit pays up to a maximum of $461.54 weekly, payable up to a maximum of 52 weeks.
POST RETIREMENT MEDICAL CONTRIBUTION: A monthly contribution is made by the County towards retiree health insurance offered through the County as governed by the applicable Memorandum of Understanding.
OTHER: There may be other benefit provisions as specified in the applicable Memorandum of Understanding. Please contact the recruiter listed on the job posting directly for more information.