Family & Children Medicaid - Eligibility Caseworker

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, Somerset, Southern Regional, and Eastern Regional 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 – inperson 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 #Team Wake, where you can make a difference in the community while working for an award‑winning employer that values you! #Working for Wake 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 Wake County 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!

The Wake County Department of Social Services team is grounded in a deep commitment to connection, compassion, and community. We bring together experienced professionals who collaborate to support individuals and families through complex challenges, connect them with critical resources, and promote long‑term stability. We value insight, innovation, and a solutions‑focused approach, and we welcome those who are ready to contribute their expertise to meaningful, community‑centered work.

Join us in making a lasting difference!

• High school degree or GED
• Two years of related experience
• Equivalent education and experience are accepted

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

• 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

• Adaptability with high stress tolerance
• Accountability and integrity with a…