Wake County
Adult Medicaid Long Term Care - Eligibility Caseworker III
Wake County, Raleigh, North Carolina, United States, 27601
What You'll Be Doing
The Wake County Department of Social Services' Economic Self-Sufficiency division has over 225 Eligibility Caseworkers who provide critical resources for the citizens of Wake County. Eligibility Caseworkers determine eligibility based on factors such as income, family size, medical information, medical evaluations/ health conditions, resources, deductible expenses, and needs. Applications are processed in NCFAST (the electronic case management system) and OnBase (the document management system) to issue benefits and perform case management functions. The Eligibility Caseworkers spend the majority of time within NCFAST and OnBase to determine clients’ eligibility. We are currently seeking an Adult Medicaid Long Term Care - Eligibility Caseworker III to join our Economic Self-Sufficiency team.
Essential Functions:
Providing case management service by determining on-going eligibility for Long Term Care and Special Assistance
Entering all required data into computer systems in order to authorize benefits
Refer household to outside community resources if needed
Maintaining thorough knowledge of all policy and procedures by attending training and keeping abreast of all policy changes
Providing back up to other Case Managers
Providing accurate and timely documentation, utilize document management system for caseload management
Determining eligibility for a State or County Department of Social Services program (Medicaid, Adult Medicaid, Long Term Care, Special Assistance)
Determining eligibility for a Financial or Insurance Provider for financial assistance or insurance claims
Note: This position is located at Wake MedicalCenter--Raleigh campus on New Bern Ave- Raleigh.
About Our Team The Wake County Department of Social Services team is grounded in a deep commitment to connection, compassion, and community. We bring together experienced professionals who collaborate to support individuals and families through complex challenges, connect them with critical resources, and promote long-term stability. We value insight, innovation, and a solutions-focused approach, and we welcome those who are ready to contribute their expertise to meaningful, community-centered work. Join us in making a lasting difference!
The Basics (Required Education and Experience)
Associate's degree in Human Services or a related field
Two years of job-related experience
Equivalent education and experience are accepted
Beyond the Basics (Preferred Education and Experience)
Two years of experience determining eligibility in Adult Medicaid, Long Term Care, Special Assistance
NCFast knowledge
How Will We Know You're 'The One'?
Ability to determine eligibility for Medicaid, Adult Medicaid, Long Term Care, Special Assistance
Ability to identify issues, obtain relevant information, relate and compare data from different sources, and identify alternative solutions
Knowledge and strong understanding of Adult Medicaid policy
Ability to interpret new and changed policies
Ability to develop and maintain strong relationships with clients by listening to the clients and understanding and responding to identified needs
Ability to explain Medicaid policy, in layman's terms for beneficiaries, family members, and facility representatives can understand
Excellent organizational skills and ability to maximize the use of time so that the many diverse tasks associated with the position can be completed in a timely manner
Ability to accomplish tasks and processes accurately and completely
About This Position Location: Wake Medical Center 7 Raleigh, NC 27610
Employment Type: Regular
Work Schedule: Mon - Fri 8:00 am-4:30 pm
Hiring Range: 26.16 to 31.99
Market Range: 26.16 - 37.81
Posting Closing Date: 7:00 pm on 1/14/2026
What Makes Wake Great Home to the State Capital, Wake County is one of the fastest growing areas in the nation and the most populous county in the state, with more than 1.1 million residents. The County has received national and international rankings and accolades from publications such as Money, Fortune, and Time magazines as being one of the best places to live, work and play. The central location of the County allows for a short drive
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Essential Functions:
Providing case management service by determining on-going eligibility for Long Term Care and Special Assistance
Entering all required data into computer systems in order to authorize benefits
Refer household to outside community resources if needed
Maintaining thorough knowledge of all policy and procedures by attending training and keeping abreast of all policy changes
Providing back up to other Case Managers
Providing accurate and timely documentation, utilize document management system for caseload management
Determining eligibility for a State or County Department of Social Services program (Medicaid, Adult Medicaid, Long Term Care, Special Assistance)
Determining eligibility for a Financial or Insurance Provider for financial assistance or insurance claims
Note: This position is located at Wake MedicalCenter--Raleigh campus on New Bern Ave- Raleigh.
About Our Team The Wake County Department of Social Services team is grounded in a deep commitment to connection, compassion, and community. We bring together experienced professionals who collaborate to support individuals and families through complex challenges, connect them with critical resources, and promote long-term stability. We value insight, innovation, and a solutions-focused approach, and we welcome those who are ready to contribute their expertise to meaningful, community-centered work. Join us in making a lasting difference!
The Basics (Required Education and Experience)
Associate's degree in Human Services or a related field
Two years of job-related experience
Equivalent education and experience are accepted
Beyond the Basics (Preferred Education and Experience)
Two years of experience determining eligibility in Adult Medicaid, Long Term Care, Special Assistance
NCFast knowledge
How Will We Know You're 'The One'?
Ability to determine eligibility for Medicaid, Adult Medicaid, Long Term Care, Special Assistance
Ability to identify issues, obtain relevant information, relate and compare data from different sources, and identify alternative solutions
Knowledge and strong understanding of Adult Medicaid policy
Ability to interpret new and changed policies
Ability to develop and maintain strong relationships with clients by listening to the clients and understanding and responding to identified needs
Ability to explain Medicaid policy, in layman's terms for beneficiaries, family members, and facility representatives can understand
Excellent organizational skills and ability to maximize the use of time so that the many diverse tasks associated with the position can be completed in a timely manner
Ability to accomplish tasks and processes accurately and completely
About This Position Location: Wake Medical Center 7 Raleigh, NC 27610
Employment Type: Regular
Work Schedule: Mon - Fri 8:00 am-4:30 pm
Hiring Range: 26.16 to 31.99
Market Range: 26.16 - 37.81
Posting Closing Date: 7:00 pm on 1/14/2026
What Makes Wake Great Home to the State Capital, Wake County is one of the fastest growing areas in the nation and the most populous county in the state, with more than 1.1 million residents. The County has received national and international rankings and accolades from publications such as Money, Fortune, and Time magazines as being one of the best places to live, work and play. The central location of the County allows for a short drive
#J-18808-Ljbffr