Adult Medicaid Long Term Care - Eligibility Caseworker III - Sign-On Bonus Up To $5,000

County of Wake, NC•Raleigh, NC

2d•$27 - $33•Onsite

About The Position

The Wake County Social Services' Economic Self-Sufficiency division has over 225 Eligibility Caseworkers who provide critical resources for the citizens of Wake County. Eligibility 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 Eligibility Caseworkers spend the majority of time within NCFAST and OnBase to determine clients’ eligibility. We are currently seeking Adult Medicaid Long Term Care - Eligibility Caseworkers III to join our Economic Self-Sufficiency team.

Requirements

Associate's degree in Human Services or a related field
Two years of job-related experience
Equivalent education and experience are accepted
Ability to determine eligibility for Medicaid, Adult Medicaid, Long Term Care, Special Assistance
Ability to identify issues, obtain relevant information, relate and compare data from different sources, and identify alternative solutions
Knowledge and strong understanding of Adult Medicaid policy
Ability to interpret new and changed policies
Ability to develop and maintain strong relationships with clients by listening to the clients and understanding and responding to identified needs
Ability to explain Medicaid policy, in layman's terms for beneficiaries, family members, and facility representatives can understand
Excellent organizational skills and ability to maximize the use of time so that the many diverse tasks associated with the position can be completed in a timely manner
Ability to accomplish tasks and processes accurately and completely

Nice To Haves

Two years of experience determining eligibility in Adult Medicaid, Long Term Care, Special Assistance
NCFast knowledge

Responsibilities

Providing case management service by determining on-going eligibility for Long Term Care and Special Assistance
Entering all required data into computer systems in order to authorize benefits
Refer household to outside community resources if needed
Maintaining thorough knowledge of all policy and procedures by attending training and keeping abreast of all policy changes
Providing back up to other Caseworkers
Providing accurate and timely documentation, utilize document management system for caseload management
Determining eligibility for a State or County Department of Social Services program (Medicaid, Adult Medicaid, Long Term Care, Special Assistance)
Determining eligibility for a Financial or Insurance Provider for financial assistance or insurance claims
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.