CrawlJobs Logo

Disability Determination Specialist

wgfd.wyo.gov Logo

Wyoming Game and Fish Department

Location Icon

Location:
United States , Cheyenne

Category Icon
Category:
Public Sector

Job Type Icon

Contract Type:
Employment contract

Salary Icon

Salary:

24.78 USD / Hour
Save Job
Save Icon
Apply Position

Job Description:

This Disability Determination Specialist is responsible for determining medical eligibility for disability benefits under the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) program by gathering, evaluating, and analyzing medical and non-medical data. Document the disability determination by citing legal references from the Social Security regulations. Writes the rationale to explain, justify, and effectively communicate the disability determination. Confer and collaborate with medical consultants, psychological consultants, speech-language pathologists, and team panels to clarify data as needed. Responsible for managing disability claims caseload.

Job Responsibility:

  • Determine medical eligibility for disability benefits under SSDI and SSI programs by gathering, evaluating, and analyzing medical and non-medical data
  • Document the disability determination by citing legal references from Social Security regulations
  • Write the rationale to explain, justify, and effectively communicate the disability determination
  • Confer and collaborate with medical consultants, psychological consultants, speech-language pathologists, and team panels to clarify data as needed
  • Manage disability claims caseload
  • Gather, evaluate, and analyze medical and non-medical data for initial SSDI and/or SSI disability claims and prioritize claims based on criteria
  • Assess functional abilities, consult with medical consultants, and complete necessary forms
  • Request and coordinate the scheduling of claimants' consultative examinations and other medical testing
  • Develop and prepare functional assessments and vocational analyses based on the vocational and medical facts of each case
  • Review and analyze evidence of medical conditions and vocational factors that prevent an individual from working
  • Determine whether the claimant is disabled as defined by Federal, District, Appellate, and Supreme Court decisions
  • Social Security laws, regulations, and rulings
  • Social Security policies and procedures
  • Program Operations Manual System (POMS)
  • and regional directives
  • Prepare a legally defensible analysis explaining the disability determination, including the facts of the case, basis for the determination, and relevant Social Security Act (SSA) guidelines and regulations, and prepare a notice of the determination to send to the claimant and SSA
  • Interview claimants, various professionals (doctors, lawyers, teachers, etc.), and other interested parties to obtain necessary information
  • Explain the Social Security disability programs to applicants, the public, and various other professionals
  • Confer and collaborate with DDS contract medical consultants and other DDS specialists to clarify gathered data as needed

Requirements:

  • Bachelor's Degree
  • 0-1 year of progressive work experience (typically in Benefits and Eligibility)
  • OR 3-4 years of progressive work experience (typically in Benefits and Eligibility) as a substitution for education
  • Knowledge of current SSA rules, regulations, and policies related to disability benefits for SSI and/or SSDI
  • Comprehensive knowledge of Social Security disability programs, policies, and procedures, particularly the Listing of Impairments
  • Excellent case development and case management skills
  • Ability to think analytically and critically
  • Excellent writing skills to prepare a detailed analysis of case facts
  • Knowledge of Federal and State laws, rules, and regulations regarding employment, disability insurance, and supplemental security income benefits
  • Knowledge of the various methods and procedures used in the adjudication of disability claims
  • Knowledge of industrial, commercial, and professional occupations
  • Knowledge of medical and psychological terminology

Nice to have:

  • Prior case management experience
  • Excellent ability to analyze information and write detailed information
  • Excellent organizational and time management skills
What we offer:
  • Comprehensive health, dental, and vision insurance
  • Paid vacation, sick leave, FMLA, and holidays
  • Retirement - Pension and 457B plans
  • Flexible schedules and work-life balance options

Additional Information:

Job Posted:
March 26, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Icon
Wyoming Game and Fish Department - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Disability Determination Specialist

Benefits Programs Specialist

We are looking for an experienced REMOTE Benefits Programs Specialist to join ou...
Location
Location
United States , Newport News
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of two years of experience as a Benefits Programs Specialist
  • Proven expertise in determining eligibility for aged, blind, and disabled populations, including long-term services and auxiliary grants
  • Strong knowledge of Medicaid regulations and benefits coordination processes
  • Familiarity with benefits analysis and administration, including compensation and benefits functions
  • Proficiency with forms and documentation related to benefits programs
  • Ability to analyze complex cases and make informed eligibility determinations
  • Effective communication and collaboration skills for working within a team environment
  • Strong organizational skills to manage multiple cases and maintain accurate records
Job Responsibility
Job Responsibility
  • Assess Medicaid eligibility for individuals classified as aged, blind, or disabled by conducting detailed case evaluations
  • Analyze available resources and determine eligibility criteria for Medicaid programs
  • Identify individuals who meet protected status requirements and complete comprehensive Medicaid evaluations
  • Review and interpret organizational forms and documentation for updates, changes, or conversions
  • Ensure accurate application of Medicaid regulations and guidelines during casework processes
  • Collaborate with team members to streamline benefits coordination and administration
  • Provide insights and recommendations based on benefits analysis to support decision-making
  • Maintain detailed records and documentation for all case evaluations and eligibility determinations
  • Stay informed about changes in state and federal Medicaid policies to ensure compliance
  • Deliver thorough and timely services to meet the needs of beneficiaries
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • eligible to enroll in company 401(k) plan
Read More
Arrow Right

Social Worker - Children with Disabilities

Are you a skilled and experienced Social Worker ready to take on a high-value co...
Location
Location
United Kingdom , Carlisle
Salary
Salary:
44.00 - 45.00 GBP / Hour
https://www.randstad.com Logo
Randstad
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • A recognized professional qualification in Social Work
  • Current registration with Social Work England (SWE)
  • A minimum of 2 years post-qualified experience, ideally within a CiWD or specialist disability team
  • Expert knowledge of the Children Act 1989 and relevant parts of the Care Act 2014 (transitions)
  • Ability to manage a complex caseload autonomously
  • Full UK Driving Licence and access to a vehicle are essential for traveling across the Carlisle locality
  • be able to manage challenging situations
  • be person centred
  • can work as an individual or part of a team
  • caring
Job Responsibility
Job Responsibility
  • Conducting statutory assessments (e.g., Section 17, Carers Assessments) to determine eligibility for services
  • Developing and implementing comprehensive, personalised care packages, including short breaks, direct payments, and resource allocation
  • Leading transition planning for young people moving from children's to adult services
  • Working closely with the SEND (Special Educational Needs and Disability) framework and EHC (Education, Health and Care) Plans
  • Managing complex safeguarding concerns, including Deprivation of Liberty (DoLs) matters for 16/17-year-olds
  • Handling Child Protection (CP) and Child in Need (CIN) cases within the CiWD cohort
  • Liaising effectively with Health, Education, and specialist voluntary sector partners
What we offer
What we offer
  • £100 per week Expense Allowance
  • Fulltime
Read More
Arrow Right

Support Worker

Community Integrated Care is one of the UK's largest health and social care char...
Location
Location
United Kingdom , Bramley
Salary
Salary:
13.12 GBP / Hour
communityintegratedcare.co.uk Logo
Community Integrated Care
Expiration Date
May 23, 2026
Flip Icon
Requirements
Requirements
  • Patience
  • Empathy, compassion and sensitivity to others
  • A strong work ethic
  • Reliability
  • Honesty
  • Determination
  • A problem solver
  • Resilience
Job Responsibility
Job Responsibility
  • Supporting two ladies in their 30's with autism and learning disabilities
  • Assisting with activities such as walking, shopping, going to church, listening to music, watching films, arts and crafts, visiting the local pub, swimming, and community activities
  • Working shifts including mornings 7:00am to 2:30pm, afternoons 2:30pm to 10:00pm, and sleeping night shifts 10:00pm to 07:00am
  • Lone working with at least 1 colleague on shift
  • Participating in 1:1 hours for chosen activities
  • Receiving specialist training in autism and learning disabilities
What we offer
What we offer
  • £13.12 per Hour
  • Work doing the things you enjoy
  • Work for a multi award-winning Charity
  • Managed by supportive leaders
  • 28 Days annual leave inclusive of statutory bank holidays (pro-rata for part time)
  • Pension Scheme
  • No uniform - casual clothes
  • Flexible Working Hours & Shift patterns
  • DBS paid for
  • Based in one location, no need to be a car driver
  • Parttime
Read More
Arrow Right
New

Integrated Care Manager - Remote AZ

Location
Location
United States of America , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
  • Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
  • Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
  • Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
  • Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC)
  • Intermediate PC proficiency
  • Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
  • Intermediate skill in word processing, spreadsheet, and database software
  • Maintain confidentiality and privacy
  • Advanced and current clinical knowledge
Job Responsibility
Job Responsibility
  • Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan
  • Answer a diverse and high volume of health insurance related customer calls on a daily basis
  • Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc
  • Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
  • Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
  • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
  • Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
  • Maintain complete and accurate records per department policy
  • Demonstrate ability to apply plan policies and procedures effectively
  • Fulltime
Read More
Arrow Right

Integrated Care Manager

Responsible for promoting continuity of care through a collaborative process tha...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
  • Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
  • Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN.
  • Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
  • Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC.)
  • Intermediate PC proficiency
  • Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
  • Intermediate skill in word processing, spreadsheet, and database software
  • Maintain confidentiality and privacy
  • Advanced and current clinical knowledge
Job Responsibility
Job Responsibility
  • Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan.
  • Answer a diverse and high volume of health insurance related customer calls on a daily basis.
  • Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc.
  • Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests.
  • Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director.
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
  • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines.
  • Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements.
  • Maintain complete and accurate records per department policy.
  • Demonstrate ability to apply plan policies and procedures effectively.
  • Fulltime
Read More
Arrow Right

Manager - Integrated Care

Responsible for developing and managing the day to day processes required to pro...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2 years of experience in full-time equivalent of direct clinical care to the consumer
  • 1 year of experience in a supervisory role
  • Associate’s Degree in general field of study or Post High School Nursing Diploma
  • or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D.
  • Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) as a Registered Nurse (RN)
  • or independent license in the behavioral health profession such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.)
  • Once they have directly supervised the integrated care process within (3) years with the organization, hold a certification in case management from the following certifications
  • Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC)
  • Intermediate skill in use of office equipment including copier, fax machine, scanner and telephones
  • Intermediate PC proficiency
Job Responsibility
Job Responsibility
  • Manage and oversee all staff activities related to the development and delivery of health improvement/management programs for members with both complex and chronic health care needs
  • Promotes the integrated, whole-person approach to a continuum of care
  • Provide oversight and recommendations on the cases being managed through any of the programs
  • Direct all activities required to maintain accreditation for Case and Utilization Management
  • Responsible for monitoring and reporting department and program performance measures including IRR
  • Evaluate, interpret, and negotiate applicable benefit and regulatory requirements
  • Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person
  • Responsible for the review, update and accuracy of documentation, computer files, policies and procedures related to the departmental goals and objectives
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and implement operational changes and process improvement
  • Keep status of unit current in accordance with service standards, systems, procedures, forms and manuals through staff meetings, verbal and written communications
  • Fulltime
Read More
Arrow Right

Integrated Care Manager - Adult

Responsible for promoting continuity of care through a collaborative process tha...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
  • Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
  • Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
  • Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
  • Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC)
  • Intermediate PC proficiency
  • Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
  • Intermediate skill in word processing, spreadsheet, and database software
  • Maintain confidentiality and privacy
  • Advanced and current clinical knowledge
Job Responsibility
Job Responsibility
  • Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan
  • Answer a diverse and high volume of health insurance related customer calls on a daily basis
  • Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc
  • Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
  • Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
  • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
  • Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
  • Maintain complete and accurate records per department policy
  • Demonstrate ability to apply plan policies and procedures effectively
  • Fulltime
Read More
Arrow Right

Advanced Support Worker Specialist

This is an exciting opportunity for experienced and skilled support workers to t...
Location
Location
United Kingdom , Warrington
Salary
Salary:
28000.00 - 38000.00 GBP / Year ▼
communityintegratedcare.co.uk Logo
Community Integrated Care
Expiration Date
May 10, 2026
Flip Icon
Requirements
Requirements
  • Level 3 in Social Care
  • Strong experience in mental health, autism, learning disabilities and physical health
  • Relevant experience in social care if no qualification
  • Calm, patient, and excellent communicator
  • Skilled in verbal and non-verbal communication
  • Experience with Autism or complex mental health
  • Energetic and enthusiastic
  • Share a love for films, music, gadgets, and gaming
  • Driving would be a huge benefit
  • Patience
Job Responsibility
Job Responsibility
  • Support an adult with learning disabilities, Tourette's, OCD, and complex needs to live their best life possible
  • Empower a young man in his new home
  • Foster his independence and enrich his daily life
  • Build strong, meaningful relationships
  • Promote someone's independence
  • Contribute to a young man's happiness and well-being in his new home
  • Spend your whole shift with the person you support
What we offer
What we offer
  • 33 Days annual leave inclusive of statutory bank holidays
  • Pension Scheme
  • No uniform - we wear our casual clothes
  • Flexible Working Hours & Shift patterns
  • We will pay for your DBS
  • Guaranteed & Contracted Hours
  • Shopping Discounts Scheme
  • Ongoing continued professional development and progression opportunities
  • Recommend a Friend Bonus scheme
  • Financial Hardship Fund
  • Fulltime
Read More
Arrow Right