Family & Children Medicaid - Eligibility Caseworker I

County of Wake, NC • Raleigh, NC

2d • $26 - $34 • Onsite

About The Position

The Eligibility Caseworker I in Family & Children’s Medicaid (FCMA) works in Wake County’s Economic Services Division to deliver timely and accurate benefits and help clients access essential resources. The role assesses Medicaid eligibility by interviewing individuals, reviewing financial and personal information, and making eligibility determinations. It also supports clients with economic benefits and community referrals, processes applications and redeterminations, conducts reviews, and maintains accurate case documentation. The caseworker uses NCFAST and document management systems for case tracking and accuracy, provides backup support to other caseworkers, and manages reports.

The position is based at Wake Medical Center7 in Raleigh, North Carolina. The regular schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. In emergencies, the employee may be assigned different duties, work hours, or work locations and may participate in preparedness training and exercises.

Requirements

• High school degree or GED; equivalent education and experience are accepted.
• Two years of related experience; equivalent education and experience are accepted.
• Ability to decipher complex policies and apply them to client budgets.
• Ability to calculate and analyze budgets and review financial information.
• Strong attention to detail, integrity, objectivity, and resilience under pressure.
• Commitment to serving clients and providing strong customer service.
• Strong written, verbal, and interpersonal communication skills.
• Ability to use office software and systems; Microsoft Office, NC FAST, and Hyland OnBase are identified.

Nice To Haves

• Experience determining eligibility for a State or County Department of Social Services program, such as Medicaid, Food and Nutrition Services, Work First, Child Care Subsidy, Child Support, WIC, or Energy Assistance, or experience in a homeless setting.
• Experience as a Human Services Technician supporting a human services program in a county or state department or agency.
• Experience determining eligibility for financial assistance or insurance claims, assessing financial capabilities and need for financial assistance, or providing direct clerical or customer service support to an Economic Services Program.
• Spanish language skills.
• Experience working in a hospital setting.

Responsibilities

• Interview individuals by phone or in person to assess Medicaid eligibility.
• Evaluate financial and personal information and make eligibility determinations.
• Assist clients with economic benefits, community referrals, and other resources.
• Process applications and redeterminations, conduct reviews, and maintain case documentation.
• Use NCFAST and document management systems to track cases and ensure accuracy.
• Provide backup support to fellow caseworkers and manage reports.
• Participate in emergency preparedness and response operations when required, potentially in a different role, schedule, or location.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED