Family & Children Medicaid - Eligibility Caseworker I

Job Description:

Family & Children Medicaid - Eligibility Caseworker I

Description

What You'll Be Doing

As an Eligibility Caseworker I, you will work in our Economic & Social Services Division assigned to the Family and Children Medicaid (FCMA) Program. You will help provide critical resources for eligible residents of Wake County, which supports keeping them healthy! Currently we have positions available at the Swinburne and Somerset locations. Eligibility Caseworkers can be assigned application and/or review functions in one program; however, sometimes they may be responsible for multiple programs or functions. Interaction can be extensive or minimal with clients - in person or via phone - depending on program and function.

Your primary responsibilities will include:

• Providing case management service by processing applications and/or reviews
• Determining initial and/or on-going eligibility for Family and Children Medicaid
• Entering all required information into our computer data systems (NCFast) to authorize benefits
• Referring households to outside community resources, if needed
• Maintaining thorough knowledge of all policy and procedures via training and keeping abreast of all policy change
• Providing back-up for other Caseworkers, and accurate and timely documentation processing utilizing document management system (OnBase) for caseload management

Orientation & Training
We provide intensive training for new hires - (i.e., program, systems, etc.) Formal training normally lasts 2 to 3 months from its start date. Training requires testing in some areas, with a passing grade expectation of normally 80% upon completion. You would be expected to attend at least 90% of our new hire training. Training is in person and mandatory. Training is provided to assist in your success as a new employee. After training, a hybrid work schedule may be available.

Beyond Benefits
Consider joining #TeamWake, where you can make a difference in the community while working for an award-winning employer that values you! #WorkingforWake offers comprehensive benefits and wellness programs are the rewards that go beyond the paycheck, including a 5% employer contribution to NC 401(k), on-site Employee Health Centers, employee assistance programs, and medical, dental, vision, and life insurance options. Wake County also offers a generous paid leave program, furthering its commitment to supporting employees and their families, both inside and outside of work.
Families in need you to help with their health and wellness needs! If you have the desire to help your community with their wellness, this is the job for you!

About Our Team

Wake County Health and Human Services (WCHHS) is the consolidation of programs and services that include social services, public health, job search assistance, child support, and transportation. Our mission, in partnership with the community, is to facilitate full access to high quality and effective health and human services for Wake County residents. In addition to our numerous standard programs, Wake County Health and Human Services (WCHHS) is engaged in a number of special initiatives that are impacting services and programs throughout our entire agency. Whether legislated down from the changing regulations on the Federal or State level or bubbling up from the entrepreneurial spirit of our staff, you can always look forward to Wake County Health and Human Services implementing new and exciting enhancements to our services and programs.

The Basics (Required Education and Experience)

• High school degree or GED
• Two years of related experience
• Valid Driver's License and "safe" driving record
• Equivalent education and experience are accepted

• Please include ALL prior work experience on your application and resume.

Beyond the Basics (Preferred Education and Experience)

• Experience determining eligibility for a State or County Department of Social Services program (Medicaid, Food and Nutrition Services, Work First, Child Care Subsidy, Child Support, WIC or Energy Assistance Program)
• Experience in a Human Services Technician role supporting any Human Services program in a county or state Department of Human Services or Social Services agency
• Direct clerical or customer services experience providing support to a Department of Social Services program (Medicaid, Food and Nutrition Services, Work First, Child Care Subsidy, Child Support, WIC, or Energy Assistance Program)
• Spanish language skills preferred but not required

How Will We Know You're 'The One'?

• Demonstrated adaptability and high tolerance for stress in dynamic work environments.
• Strong sense of accountability and integrity, with exceptional attention to detail.
• Excellent communication skills, with the ability to explain complex policies and determine client budgets; capable of developing proficiency in budget calculations.
• Customer-service oriented, respectful of client diversity, and skilled in building and maintaining strong client relationships based on identified needs.
• Thrives in fast-paced, deadline-driven settings with a high level of accuracy; flexible and adaptable in environments with frequent changes.
• Proficient in Microsoft Word and Excel; experience with NCFAST, Hyland OnBase (PRIME), and OLV (Online Verification) systems.

About This Position

Location: HSC Swinburne Raleigh, NC 27610

Employment Type: Regular

Work Schedule: Mon - Fri 8:00 am - 5:00 pm

Hiring Range: $22.84 - $27.43

Market Range: 22.84 - 32.03

Please include ALL prior work experience on your application and resume.

Posting Closing Date: 7:00 pm on 5/18/2025

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 to the spectacular mountains or coast. Wake County Government is governed by a seven-member Board of Commissioners, who are elected at-large to serve two-year terms. Wake County Government has a general operating budget of $1.874 billion, employs over 4400 employees, experiences minimal turnover, and is an award-winning leader in wellness and technology initiatives; such as offering employees and covered spouses free access to the Employee Health Center. Wake County Government offers a wide range of training and development opportunities, a stable career in public service with a balance of work and family life, flexible work schedules and a competitive salary and benefits package.

Equal Opportunity Statement

Wake County provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

Background Check Statement

Position may require a background check that may include: criminal, credit, motor vehicle, education, and sexual offender registry or others based on job requirements. Unless required by state law, a record of conviction will not automatically exclude you from consideration for employment. Wake County Government is an Equal Opportunity Employer.

Emergency Service Worker Statement

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.

Salary:

$22.84 - $27.43