Jobs · OTHR · North Carolina

INCOME MAINTENANCE CASEWORKER LEAD (ADULT MEDICAID)- 40010753

Durham County Government · Durham, NC · 1 mo ago
OTHR$54k–$73k/yrFull-time

Durham County Government is home to over 2,000 dedicated professionals working together to deliver essential services that strengthen and support our vibrant, diverse community. As the heart of a fast‑growing region, we offer meaningful careers across a wide range of fields—giving you the opportunity to make a real impact where you live, work, grow, and play. Learn more at www.dconc.gov. Department: Social Services (DSS).

Posting Date: September 18, 2026 | Closing Date: October 2, 2026 | Hiring Range: $54,312.00 – $73,289.00 | Position Number: 40010753 | Job Type: Full‑time, Non‑exempt.

Duties and Responsibilities

  • Serve as lead worker over a unit of a single program area, performing intake, processing, review, and redetermination; at least 25 % of time in lead‑worker capacity.
  • Perform eligibility determination functions comparable to an Income Maintenance Caseworker III.
  • Execute a wide range of eligibility determination/redetermination tasks requiring in‑depth knowledge of all income‑maintenance programs and functional processes.
  • Resolve client appeals of actions taken by income maintenance caseworkers.
  • Analyze program‑wide problem areas, recommend corrective action, and provide staff re‑training or targeted training.
  • Work independently on complex tasks within Medicaid programs, including multiple functions in long‑term care programs.
  • Assume responsibility for resolving complex problems with significant impact on clients or the agency.
  • Report to a higher‑level supervisor with minimal review of work.

Knowledge, Skills, and Abilities

  • Considerable knowledge of NC FAST and Social Service programs.
  • Ability to read, analyze, and interpret rules, regulations, and procedures.
  • Ability to research, analyze, and interpret automated system problems.
  • Effective communication with clients, applicants, the public, and public officials to obtain data and explain rules and procedures.
  • Capability to perform caseworker functions within structured time frames.
  • Ability to work under pressure and handle multiple tasks.

Minimum Education and Experience Requirements

  • Two years of experience as an Income Maintenance Caseworker, or a degree from an accredited college or university.
  • Or an associate’s degree in accounting, business administration, human services, secretarial science, or a closely related field plus at least two years of paraprofessional, clerical, or other public‑contact experience involving negotiating, interviewing, obtaining, analyzing, and/or evaluating data.
  • Or a high school diploma plus at least five years of paraprofessional, clerical, or other public‑contact experience involving negotiating, interviewing, obtaining, analyzing, and/or evaluating data.

Americans with Disabilities Act (ADA) Compliance

Durham County is an Equal Opportunity Employer. ADA requires Durham County to provide reasonable accommodations to qualified persons with disabilities. Prospective and current employees are encouraged to discuss ADA accommodations with management.

Background Check

This position may be subject to a background check, which could include criminal history (employment‑related and/or SBI fingerprint‑based), credit history, motor vehicle records, educational verification, and checks of the sexual offender registry, depending on the specific requirements of the role. A conviction record does not automatically disqualify an applicant from employment consideration, unless otherwise required by applicable state law.

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