Adult Medicaid - Eligibility Caseworker II

The Wake County Social Services' Economic Self-Sufficiency division has over 225 caseworkers who provide critical resources for the citizens of Wake County. 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 caseworkers spend the majority of time within NCFAST and OnBase to determine the clients’ eligibility.

We are currently seeking Adult Medicaid - Eligibility Caseworkers II to join our Economic Self-Sufficiency team.

This job posting will select multiple candidates for vacancies over the next couple of months for positions located at Wake County Social Service’s Raleigh Offices for Adult (AMA). Caseworkers typically are assigned one function (applications or reviews) and one program; however, sometimes they are responsible for multiple programs/functions. They may interact extensively or minimally with the client – in person or on the phone – depending on the program and function.

They work in a fast-paced environment with tight deadlines within a team of professionals focused on agency goals and outcomes.

Responsibilities Include:

• Provide case management service by completing an assessment and determining initial as well as on-going eligibility for Medicaid
• Evaluate individuals/families for other Economic Service Programs
• Enter all required data into computer systems in order to authorize benefits
• Refer household to outside community resources if needed
• Maintain thorough knowledge of all policy and procedures by attending training and keeping abreast of all policy changes
• Providing back up to other Caseworkers
• Provide accurate and timely documentation, utilize document management system for caseload management

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.

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
• Three years of job-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
• Experience determining eligibility for a Financial or Insurance Provider for financial assistance or insurance claims
• Experience assessing the…