Family & Children Medicaid - Eligibility Caseworker I

Wake County Government•Raleigh, NC

15d•Onsite

About The Position

The Eligibility Caseworker I works in Wake County's Economic & Social Services Division, assigned to the Family and Children Medicaid (FCMA) Program. The role helps eligible residents access resources that support their health. Positions are available at the Northern Regional Center in Wake Forest and at Raleigh locations. Caseworkers are trained in application and recertification functions, and client interaction may range from extensive to minimal, in person or by phone, depending on location and function. New hires receive intensive, mandatory in-person training on the program and systems. Formal training normally lasts two to three months, includes testing in some areas with a usual passing-grade expectation of 80%, and requires attendance at least 90% of the training.

Requirements

High school degree or GED.
Two years of related experience; equivalent education and experience are accepted.
Adaptability and high stress tolerance.
Accountability, integrity, and strong attention to detail.
Ability to communicate complex policy and determine client budgets, and to develop proficiency in calculating client budgets.
Customer-service orientation, appreciation of client diversity, and ability to develop and maintain strong customer relationships and respond to identified needs.
Ability to perform accurately in a fast-paced, deadline-driven environment and adapt to frequent changes.
Proficiency with basic computer skills, such as Microsoft Word and Excel.

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.
Experience in a Human Services Technician role supporting a program in a county or state Department of Human Services or Social Services agency.
Direct clerical or customer service experience supporting a Department of Social Services program, such as Medicaid, Food and Nutrition Services, Work First, Child Care Subsidy, Child Support, WIC, or Energy Assistance.
Spanish language skills.
Proficiency with NCFAST, Hyland OnBase (PRIME), and OLV (Online Verification).

Responsibilities

Provide case management by processing applications and reviews.
Determine initial and ongoing eligibility for Family and Children Medicaid.
Enter required information into computer data systems, including NCFast, to authorize benefits.
Refer households to outside community resources when needed.
Maintain knowledge of policies and procedures through training and by keeping abreast of policy changes.
Provide backup for other caseworkers.
Process and document caseload information accurately and promptly using the document management system, OnBase.