Maintenance Caseworker III Adult Medicaid

INCOME MAINTENANCE CASEWORKER III - (Adult Medicaid)

Department: SOCIAL SERVICES (DSS)

Date Posted: JANUARY 8, 2026

Closing Date: CONTINUOUS POSTING

Hiring Range: $47,827.00 – $64,538.00

Salary Range: $47,827.00 – $81,249.00

Position Number: MULTIPLE

Job Type: FULL-TIME (37.5 HOURS, NONEXEMPT)

• Take and process Adult Medicaid applications for Durham County residents.
• Gather information through an interview process to determine applicant/client eligibility.
• Inform the client of their rights and obligations as prescribed under program policies.
• Present the summary of the agency’s evidence for any local or state appeal hearing resulting from case actions taken by this position.
• After random selection, applications are pulled and checked for accuracy and timelines by the Supervisor/Lead Worker and state personnel.
• Assign other duties in the other program work areas as needed.
• Work in the office and remotely when required.

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

Requires two years of experience as an Income Maintenance Caseworker, or a degree from an accredited college or university; or an associates degree in accounting, business administration, human services, secretarial science or a closely related field and at least two years of paraprofessional, clerical or other public contact experience which includes negotiating, interviewing, obtaining, analyzing and/or evaluating data; or a high school diploma and at least five years of paraprofessional, clerical or other public contact experience which includes negotiating, interviewing, obtaining, analyzing and/or evaluating data.

Candidates will be required to pass NC FAST Certification training upon hire.

• Three years or more of direct experience working in Adult Medicaid in local or State Department of Social Services.
• Experience in Adult Medical.

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.

This position may be subject to a background check, which could include, but is not limited to, 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.