Family & Children Medicaid - Eligibility Caseworker I

County of Wake, NC•Raleigh, NC

5d•$25 - $33•Onsite

About The Position

The Economic and Social Services Division includes more than 500 staff that provide a variety of services to address the needs of Wake County citizens. We are currently seeking an Eligibility Case Manager I to join our Family and Children Medicaid Intake team. This job posting will be located onsite two days per week at NeighborHealth Center to determine eligibility and/or ongoing eligibility for Medicaid programs. This position will interact closely with center patients taking and processing applications; will key auto newborn cases; will evaluate cases for ongoing eligibility; will check applications statuses; will work closely with center staff; and perform other duties as assigned. The work is fast paced with tight deadlines. The ideal candidate must work well independently. 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. 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! What Makes Wake Great Consistently ranked high among the best places to live and work in America, Wake County is home to NC State University, Research Triangle Park, and 2006 Stanley Cup Champions, the Carolina Hurricanes. In addition to being Wake County’s seat of government, Raleigh is also the center of state government, with the Capitol Building, legislature and many state government offices located in Raleigh. With an estimated population of just over 1.2 million residents, Wake County is North Carolina’s most populous county. Entertainment, recreation, and art and culture abound with the North Carolina Museum of Art, JC Raulston Arboretum, and the Neuse River Trail all in the heart of Wake County. Wake County uses the Council/Manager form of government. Currently, the seven members of the Board of Commissioners are elected by district on a partisan basis and serve four-year terms. In Fall 2026, two at-large seats will be added for nine total commissioners. The County is regarded as a fiscally responsible and well-managed government, enjoying a AAA bond rating. The County’s FY2026 General Fund budget is approximately $2.1 billion, and the County has over 5,100 full time employees. Wake County Government came in at #2 on the Healthiest Employers list for 2024. This year, US News & World Report ranked Raleigh #5 on its list of Best Places to Live, and the Milken Institute ranked Raleigh #1 on its 2025 list of Best-Performing Cities.

Requirements

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.
Adaptability with high stress tolerance
Accountability and integrity with a strong attention to detail
Strong ability to communicate complex policy and determine client budgets; and the ability to develop proficiency in calculating client budgets
Customer service oriented, appreciative of client diversity, and possesses the ability to develop and maintain strong relationships with customers and responding to their identified needs
Ability to perform in a fast-paced deadline-driven environment with extreme accuracy, to include flexibility and adaptability in an environment with frequent changes
Proficient with basic computer skills (e.g. Microsoft Word and Excel) and NCFAST, Hyland OnBase (PRIME), and OLV (Online Verification)

Nice To Haves

Experience determining eligibility for a State or County Medicaid program or 1 Year Experience determining eligibility for a Financial or Insurance Provider for financial assistance or insurance claims; or 1 Year Experience assessing the financial capabilities and need for financial assistance (e.g. Financial Counseling)
Spanish language skills preferred but not required

Responsibilities

Enters required data and documentation into NCFAST and other electronic systems to authorize benefits
Assesses information provided to determine initial and/or ongoing eligibility for assigned program(s)
Responds to client inquiries, phone calls, emails, and requests for information
Provides required notification of information needed and case outcome
Manages queues and workflows in OnBase, NCFast, and other systems as needed
Completes daysheets, timesheets, and case action forms

Benefits

Consider joining #TeamWake, where you can make a difference in the community while working for an award-winning employer that values you!
#WorkingforWake 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.

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