Family & Children Medicaid - Eligibility Caseworker I
About The Position
The Economic and Social Services Division in Wake County is looking for an Eligibility Case Manager I to join our Family and Children Medicaid Dual team. This job posting will be located onsite two days per week at SouthLight HealthCare in Garner. This role involves determining initial and ongoing eligibility for Medicaid programs, working closely with center patients, and interacting with center staff. The work is fast-paced, deadline-driven, and requires independence and focus. 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!
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
- Enter required data and documentation into NCFAST and other electronic systems to authorize benefits.
- Assess information to determine eligibility for Medicaid programs (initial and ongoing).
- Respond to client inquiries, phone calls, emails, and requests for information
- Provide required notifications of information needed and case outcomes
- Manage queues and workflows in OnBase, NCFAST, and other systems
- Complete 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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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
