Forsyth County, NC
Eligibility Specialist III (Long Term Care) (Medicaid Services)
Forsyth County, NC, Winston Salem, North Carolina, United States, 27104
Salary :
$42,952.00 - $49,394.80 Annually Location :
Winston-Salem, NC Job Type:
Full Time Job Number:
07847 Department:
Social Services Division:
Economic Services Opening Date:
08/29/2025 Closing Date:
9/12/2025 12:00 AM Eastern
General Statement of Duties
The Forsyth County Department of Social Services is seeking a customer-driven and focused individual to join the Medicaid Services Division. This position is located within the Adult Medicaid/Long Term Care Section of the Medicaid Services Division.
Distinguishing Features
The staff member in this role must be flexible and capable of interpreting, communicating, and implementing policies and procedures for all Medicaid programs accurately and within required timeframes, in compliance with internal, state, and federal mandates.
Responsibilities include conducting all tasks related to the initial determination and ongoing redetermination of eligibility for Medicaid applicants and recipients. This includes programs such as Family and Children's Medicaid, Adult Medicaid for the Aged and Disabled (private living), Long Term Care Medicaid, Special Assistance, the Program of All-Inclusive Care for the Elderly (PACE), and the Community Alternative Program (CAP).
Individuals must support the Forsyth County Guiding Principles of WeCare which include Integrity, Awareness, Accountability, Respect, and Excellence Minimum Education and Experience
Graduation from high school or GED and two (2) years of experience as a caseworker or investigator in an income maintenance program.
A higher education level may be considered as a substitution for all or part of the experience requirement.
The preferred candidate will have at least 2 years of experience in Adult Medicaid policy and processing cases in NCFast.
A strong working knowledge of Adult Medicaid programs is essential to establish eligibility for individuals requiring skilled or intermediate nursing facility care, adult daycare, assisted living, and in-home nursing services.
The position also requires the ability to verify both financial and non-financial eligibility factors and accurately calculate complex budget situations. Essential Duties and Responsibilities Key Responsibilities: Interpret and apply complex rules and regulations to determine program eligibility. Utilize good judgment in making accurate and timely eligibility decisions. Maintain exceptional organizational and time management skills to manage multiple tasks efficiently. Perform basic mathematical calculations to assess resource and financial eligibility. Work timely and accurately within strict deadlines. Utilize internal and external universal computer technology and general office equipment effectively. Adapt to a fast-paced, frequentlychanging, team-oriented environment. Effective communication and customer service deliveries. Proficient in basic computer functions and office equipment. Work on-site and within an office type setting, Monday - Friday, 8:00AM - 5:00PM.
Click to view information.
Click to view information.
These links do not apply to positions that are Part Time, no benefits. 01
The following supplemental questions may be used as a scored evaluation of your knowledge, skills and experience. Be certain that the choices you make correspond to the information you have provided on your application. Please be as honest and accurate as possible. You may be asked to demonstrate your knowledge and skills in a work sample or during a hiring interview.By completing this supplemental evaluation you are attesting that the information you have provided is accurate. Any information you provide may be reviewed by the hiring manager. Any misstatements or falsification of information may eliminate you from consideration or may result in dismissal. "See resume" is not an acceptable answer to the questions.
Yes I understand and agree No I do not agree
02
Please select your highest level of completed education.
Some high school High school diploma or GED Some college, trainings, certifications Completion of a vocational program Associate's degree Bachelor's degree Master's degree or higher
03
Did you graduate from college with a four-year degree in a human services field or related curriculum?
Yes No
04
What best describes your years of experience in eligibility, case management or related work?
No experience Less than 2 years 2 to 4 years 4 to 6 years More than 6 years
05
In which of the economic services and/or functional areas are you proficient? Select all that apply
Medicaid Services Child Care Subsidy Services Work First Program Integrity Food and Nutrition Services Energy Program None of the above
06
Which best describes your years of experience working with NCFAST?
No experience Less than 1 year 1 to 2 years 2 to 3 years 3 to 4 years More than 5 years
07
With which software are you proficient (choose all that apply)?
Microsoft Word Microsoft Excel Microsoft PowerPoint Microsoft Access Google Docs Google Sheets Google Forms Google Slides
08
Which best describes your years of experience working in an office environment?
No experience Less than 2 years 2 to 4 years 4 to 6 years More than 6 years
09
Do you have experience working for a public sector Social Services department (city, county, state, etc.)?
Yes No
10
Which best describes your years of experience training and mentoring new employees?
No experience Less than 2 years 2 to 4 years 4 to 6 years More than 6 years
11
Are you able to type 45 words per minute or faster?
Yes No
12
What best describes your years of experience in customer service?
No Experience Less than 3 years 3 to 5 years 5 to 7 years 7 to 10 years More than 10 years
13
Do you have a valid driver's license?
Yes No
Required Question
$42,952.00 - $49,394.80 Annually Location :
Winston-Salem, NC Job Type:
Full Time Job Number:
07847 Department:
Social Services Division:
Economic Services Opening Date:
08/29/2025 Closing Date:
9/12/2025 12:00 AM Eastern
General Statement of Duties
The Forsyth County Department of Social Services is seeking a customer-driven and focused individual to join the Medicaid Services Division. This position is located within the Adult Medicaid/Long Term Care Section of the Medicaid Services Division.
Distinguishing Features
The staff member in this role must be flexible and capable of interpreting, communicating, and implementing policies and procedures for all Medicaid programs accurately and within required timeframes, in compliance with internal, state, and federal mandates.
Responsibilities include conducting all tasks related to the initial determination and ongoing redetermination of eligibility for Medicaid applicants and recipients. This includes programs such as Family and Children's Medicaid, Adult Medicaid for the Aged and Disabled (private living), Long Term Care Medicaid, Special Assistance, the Program of All-Inclusive Care for the Elderly (PACE), and the Community Alternative Program (CAP).
Individuals must support the Forsyth County Guiding Principles of WeCare which include Integrity, Awareness, Accountability, Respect, and Excellence Minimum Education and Experience
Graduation from high school or GED and two (2) years of experience as a caseworker or investigator in an income maintenance program.
A higher education level may be considered as a substitution for all or part of the experience requirement.
The preferred candidate will have at least 2 years of experience in Adult Medicaid policy and processing cases in NCFast.
A strong working knowledge of Adult Medicaid programs is essential to establish eligibility for individuals requiring skilled or intermediate nursing facility care, adult daycare, assisted living, and in-home nursing services.
The position also requires the ability to verify both financial and non-financial eligibility factors and accurately calculate complex budget situations. Essential Duties and Responsibilities Key Responsibilities: Interpret and apply complex rules and regulations to determine program eligibility. Utilize good judgment in making accurate and timely eligibility decisions. Maintain exceptional organizational and time management skills to manage multiple tasks efficiently. Perform basic mathematical calculations to assess resource and financial eligibility. Work timely and accurately within strict deadlines. Utilize internal and external universal computer technology and general office equipment effectively. Adapt to a fast-paced, frequentlychanging, team-oriented environment. Effective communication and customer service deliveries. Proficient in basic computer functions and office equipment. Work on-site and within an office type setting, Monday - Friday, 8:00AM - 5:00PM.
Click to view information.
Click to view information.
These links do not apply to positions that are Part Time, no benefits. 01
The following supplemental questions may be used as a scored evaluation of your knowledge, skills and experience. Be certain that the choices you make correspond to the information you have provided on your application. Please be as honest and accurate as possible. You may be asked to demonstrate your knowledge and skills in a work sample or during a hiring interview.By completing this supplemental evaluation you are attesting that the information you have provided is accurate. Any information you provide may be reviewed by the hiring manager. Any misstatements or falsification of information may eliminate you from consideration or may result in dismissal. "See resume" is not an acceptable answer to the questions.
Yes I understand and agree No I do not agree
02
Please select your highest level of completed education.
Some high school High school diploma or GED Some college, trainings, certifications Completion of a vocational program Associate's degree Bachelor's degree Master's degree or higher
03
Did you graduate from college with a four-year degree in a human services field or related curriculum?
Yes No
04
What best describes your years of experience in eligibility, case management or related work?
No experience Less than 2 years 2 to 4 years 4 to 6 years More than 6 years
05
In which of the economic services and/or functional areas are you proficient? Select all that apply
Medicaid Services Child Care Subsidy Services Work First Program Integrity Food and Nutrition Services Energy Program None of the above
06
Which best describes your years of experience working with NCFAST?
No experience Less than 1 year 1 to 2 years 2 to 3 years 3 to 4 years More than 5 years
07
With which software are you proficient (choose all that apply)?
Microsoft Word Microsoft Excel Microsoft PowerPoint Microsoft Access Google Docs Google Sheets Google Forms Google Slides
08
Which best describes your years of experience working in an office environment?
No experience Less than 2 years 2 to 4 years 4 to 6 years More than 6 years
09
Do you have experience working for a public sector Social Services department (city, county, state, etc.)?
Yes No
10
Which best describes your years of experience training and mentoring new employees?
No experience Less than 2 years 2 to 4 years 4 to 6 years More than 6 years
11
Are you able to type 45 words per minute or faster?
Yes No
12
What best describes your years of experience in customer service?
No Experience Less than 3 years 3 to 5 years 5 to 7 years 7 to 10 years More than 10 years
13
Do you have a valid driver's license?
Yes No
Required Question