Adult Medicaid Long Term Care - Eligibility Caseworker III

What You'll Be Doing

The Wake County Department of Social Services' Economic Self-Sufficiency division has over 225 Eligibility Caseworkers who provide critical resources for the citizens of Wake County. Eligibility Caseworkers determine eligibility based on factors such as income, family size, medical information, medical evaluations/ health conditions, resources, deductible expenses, and needs. Applications are processed in NCFAST (the electronic case management system) and OnBase (the document management system) to issue benefits and perform case management functions.

The Eligibility Caseworkers spend the majority of time within NCFAST and OnBase to determine clients' eligibility. We are currently seeking an Adult Medicaid Long Term Care - Eligibility Caseworker III to join our Economic Self-Sufficiency team.

• Providing case management service by determining on-going eligibility for Long Term Care and Special Assistance
• Entering all required data into computer systems in order to authorize benefits
• Refer household to outside community resources if needed
• Maintaining thorough knowledge of all policy and procedures by attending training and keeping abreast of all policy changes
• Providing back up to other Case Managers
• Providing accurate and timely documentation, utilize document management system for caseload management
• Determining eligibility for a State or County Department of Social Services program (Medicaid, Adult Medicaid, Long Term Care, Special Assistance)
• Determining eligibility for a Financial or Insurance Provider for financial assistance or insurance claims

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!

• Associate's degree in Human Services or a related field
• Two years of job-related experience
• Equivalent education and experience are accepted

• Two years of experience determining eligibility in Adult Medicaid, Long Term Care, Special Assistance
• NCFast knowledge

• Ability to determine eligibility for Medicaid, Adult Medicaid, Long Term Care, Special Assistance
• Ability to identify issues, obtain relevant information, relate and compare data from different, and identify alternative solutions
• Knowledge and strong understanding of Adult Medicaid policy
• Ability to interpret new and changed policies
• Ability to develop and maintain strong relationships with clients by listening to the clients and understanding and responding to identified needs
• Ability to explain Medicaid policy, in layman's terms for beneficiaries, family members, and facility representatives can understand
• Excellent organizational skills and ability to maximize the use of time so that the many diverse tasks associated with the position can be completed in a timely manner
• Ability to accomplish tasks and processes accurately and completely

Location:

Wake Medical Center7

Raleigh, NC 27610

Employment Type:

Regular

Work Schedule:

Mon - Fri 8:00 am-4:30 pm

Hiring Range: 26.16 to 31.99

Market Range: 26.16 - 37.81

Posting Closing Date: 7:00 pm on 1/14/2026

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…