IMC III- Long Term Care

About the role

This Income Maintenance Caseworker III provides responsible oversight of an assigned caseload in the Adult Medicaid program areas, including Long Term Care (LTC and Private Living Arrangement (PLA)), Special Assistance, and other Medicaid Programs. Duties involve accurately determining eligibility, processing applications, providing case maintenance, and terminating support when necessary. The position works under the regular supervision of the Income Maintenance Supervisor II and is part of the Adult Medicaid Unit within the Income Maintenance Division. The role also includes performing mandatory shelter duty when required and may involve other duties as assigned, with responsibilities shifting to meet agency or client needs.

Responsibilities

• Interview applicants and determine/re-determine eligibility for Adult Medicaid in Long Term Care (LTC).
• Take and process applications for LTC, Special Assistance (SA), and other Medicaid Programs.
• Complete re‑certifications for these programs and process program changes as received.
• Utilize the NC FAST system to manage applications and caseload.
• Perform intake duties: receive applications for assigned programs; interview applicants to obtain information needed for eligibility determination.
• Refer clients to other agencies or community services that may meet their specific needs.
• Make inquiry notes pertaining to programs discussed, referrals made, and document why a client is ineligible for Medicaid or Food and Nutrition benefits.
• Ensure all appropriate forms are completed and signed for each applicant/client/benefit and store forms in the client’s interactive case folder.
• When eligible, enter applicant information into NCFAST; contact third‑party sources for needed information when required.
• Verify applicant information, including sources of income, Social Security benefits, vehicles, etc.
• Process paperwork and applications timely and accurately according to Federal, State, and County policy and procedural guidelines.
• Monitor cases on an ongoing basis; obtain new forms/paperwork as needed.
• Keep clients apprised of the status of their pending application.
• Perform case maintenance and conduct reviews/redeterminations for eligibility according to Federal, State, and County policy/procedure schedules.
• Process review/redetermination paperwork/forms according to Federal, State, and County policy/procedure.
• Process changes in client status to maintain up‑to‑date files and re‑determine eligibility for economic support when necessary.
• Adhere to federal, state, county, and department rules, regulations, and policies.
• Perform mandatory Shelter Duty when needed and serve as a mandatory emergency shelter duty team member.
• Other duties as assigned.
• Duties may shift as the needs of the agency or client population change.

Requirements

Education and Experience: Graduation from an accredited associate degree program in Human Services Technology, Social Services Associate, Paralegal Technology, Business Administration, Secretarial Science, or a closely related curriculum; or graduation from high school and two years of paraprofessional, clerical, or other public contact experience which included negotiating, interviewing, explaining information, gathering and compiling of data, analysis of data and/or performance of mathematical or legal tasks with at least one year of such experience being in an income maintenance program; or graduation from high school and three years of paraprofessional, clerical or other public contact experience which included negotiating, interviewing, explaining information, the gathering and compiling of data, the analysis of data and/or the performance of mathematical or legal tasks; or an equivalent combination of training and experience. AND Two years of experience as an Income Maintenance Caseworker; or an equivalent combination of training and experience. Experience gained in a public service position requiring interaction with the general public is desirable.

Licenses and Certifications: Valid North Carolina Driver License.

Skills and Knowledge

• Thorough knowledge of Adult Medicaid, Special