Income Maintenance Caseworker Iii - (Adult Medicaid

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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 nc.gov.

SOCIAL SERVICES (DSS)

JULY 29, 2026

OPEN UNTIL FILLED

$49,262.00 - $66,474.00

MULTIPLE

FULL-TIME, NONEXEMPT

Employees in this class are responsible for serving in maintenance roles in a County Department of Social Services. The income maintenance programs involved include Food Stamps, Aid to Families with Dependent Children (AFDC), Medicaid and County Special Assistance. Employees serve in one of the following roles: (1) As lead worker over II level income maintenance caseworkers or as lead worker over a unit of a single program area which performs all functions (i.e., intake, processing, and review).

Work may also include performing the same eligibility determination functions as the Income Maintenance Caseworker I and/or II. Employees are required to spend at least 25 percent of their time in a lead worker capacity. (2) Performing a wide range of tasks in the eligibility determination/re determination process which require an in-depth knowledge of all income maintenance programs and functional processes.

Work also involves the resolving of client appeals of actions taken by income maintenance caseworkers, the analysis of program-wide problem areas which include recommendations for corrective action and the training of new and transitional employees for specialized programs (i.e., LIEAP). (3) Functioning with a great deal of independence in a hospital or medical setting with the responsibility for performing a variety of complex tasks and functions in the Medicaid programs which include performing two or more functions in the long-term care programs.

Employees assume responsibility for the resolution of complex problems where the consequence of their action can have a considerable effect on the client, the medical institution and/or the agency. Employees are viewed by the medical institution's administrative staff as the primary contact for problem resolution. Employees usually report to a higher level supervisor and review of work at this level is minimal.

Employees' work involves performing one of the following combinations of duties and responsibilities in the income maintenance program: (1) As lead worker over II level income maintenance caseworkers, employees must be thoroughly familiar with all functional aspects required to properly process the applications of clients applying for benefits. Employees must be knowledgeable enough to advise and counsel lower level staff on policies and regulations of the income maintenance program(s) which affect the more complex cases.

Work also requires the provision of training to lower level staff in new program policy directives as well as the completion of second party reviews in the work unit assigned. (2) As a troubleshooter in a large agency, employees' work is characterized by the level of program and procedural knowledge required to work effectively in any line staff position assigned, which includes all income maintenance programs and all functions.

Employees act as a hearing officer in resolving client appeals of action taken by income maintenance workers and must be proficient in the analysis of program wide problem areas which include recommendations for corrective action. Work also includes providing training for new and transitional employees. (3) As a hospital/medical setting worker, employees are responsible for determining and/or re-determining client eligibility for the Medicaid programs with particular expertise in the Medicaid long-term care programs.

Work also requires the taking and/or processing of client applications for all other income maintenance programs and the provision of technical expertise to hospital administrators and professional staff on issues impacting upon client eligibility for medical assistance as provided by the Medicaid programs).

• Considerable knowledge of NC FAST and Social Service programs specifically Adult Medicaid
• Ability to read, analyze, and interpret rules, regulations and procedures.
• Ability to…