Adult Medicaid Long Term Care - Eligibility Caseworker III - Sign-On Bonus Up To $5,000

About the role

The Wake County Social Services' Economic Self-Sufficiency division employs over 225 Eligibility Caseworkers who determine eligibility for programs such as Medicaid, Adult Medicaid, Long Term Care, and Special Assistance based on income, family size, medical information, resources, deductible expenses, and needs. Caseworkers process applications in NCFAST and OnBase to issue benefits and perform case management functions. This position is for an Adult Medicaid Long Term Care - Eligibility Caseworker III located at HSC Swinburne, Raleigh, NC 27610.

Responsibilities

• 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
• Referring 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 Caseworkers
• Providing accurate and timely documentation, utilizing 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
• In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected; employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, during and after the emergency; employee may also be required to participate in relevant exercises and regular preparedness training

Requirements

• Associate's degree in Human Services or a related field
• Two years of job-related experience
• Equivalent education and experience are accepted
• Please include ALL prior work experience on your application and resume

Qualifications

• Two years of experience determining eligibility in Adult Medicaid, Long Term Care, Special Assistance
• NCFAST knowledge

Skills

• 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
• 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

Pay

Hiring Range: $26.82 - $32.79 per hour; Market Range: $26.82 - $38.76 per hour.

Schedule

Work Schedule: Monday – Friday, 8:30 am – 5:15 pm.

Posting closes: 7:00 pm on 11/30/2026.