Income Maintenance Caseworker I - FCMA & Adult Medicaid

Nash County•Nashville, NC

About The Position

The Income Maintenance Caseworker I assists with FCMA and Adult Medicaid duties, including processing returned mail and Medicaid cards, address and provider changes, work queues, reports, applications, and recertifications. Work must be completed accurately and promptly in accordance with FCMA, Adult Medicaid, and Integrated manuals and applicable federal and state rules. The caseworker documents, scans, and enters information in NC FAST when applicable, and uses program training materials to perform assigned work. The position works from 8:00 a.m. to 5:00 p.m., Monday through Friday. The employee may be expected to work in emergency shelters or perform related disaster duties, as well as other reasonable tasks assigned by agency leadership.

Requirements

Graduate from an accredited associate degree program in Human Services Technology, Social Services Associate, Paralegal Technology, Business Administration, Secretarial Science, or a closely related curriculum; OR
High school graduate with two years of paraprofessional, clerical, or other public-contact experience involving negotiating, interviewing, explaining information, gathering and compiling data, data analysis, and/or mathematical or legal tasks, including at least one year in an Income Maintenance program; Medicaid experience is preferred; OR
High school graduate with three years of paraprofessional, clerical, or other public-contact experience involving negotiating, interviewing, explaining information, gathering and compiling data, data analysis, and/or mathematical or legal tasks; an equivalent combination of training and experience is also acceptable.
Ability to read and interpret policy.
Ability to maintain confidentiality and accuracy, with careful attention to detail.

Nice To Haves

At least one year of experience in an Income Maintenance program, preferably Medicaid, for the high-school-plus-two-years experience pathway.

Responsibilities

Assist FCMA and Adult Medicaid caseworkers with returned Medicaid cards, returned mail, and address changes, including logging returned cards, documenting outcomes, remailing cards when possible, requesting client contact when needed, updating addresses, and notifying workers of follow-up actions.
Assist with provider changes by documenting updated providers in NC FAST and entering Managed Care evidence.
Complete the County Transfer Work Queue daily, including clearing tasks, reviewing benefit history and holds, resolving evidence in edit when applicable, changing case ownership, and providing reports to supervisors.
Complete the SDX Without Owner and SDX Exception Work Queues daily, including assigning tasks to appropriate workers and resolving exception tasks according to the job aid.
Assist with weekly reports, including Bendex and SDX Data Exchange printouts, the NCTRACKS and SSN/SSA Verification Report, and the Recipient on Review report.
Assist with quarterly Interstate and VA Match Reports, including checking NC FAST entries, requesting verifications from other states, scanning reports, and forwarding cases for required action.
Assist with monthly Death Match, COVID-19, and SSI Term reports and related tasks.
Provide backup assistance with FRRs, including reviewing matches, checking and recording verification information, updating NC FAST as allowed by policy, and forwarding verification requests and information to appropriate workers.
Provide backup coverage for the phone call rotation during extended absences of Income Maintenance Caseworker II staff, including receiving, logging, and resolving calls.
Assist with closing old or inactive Income Support and Insurance Affordability cases, including inactive PDCs, and merging cases where allowed.
Assist with keying incoming paper applications, assigning online applications, and completing monthly recertifications when needed; run AVS and OVS and conduct Register of Deed and Property Search verifications when applicable.
Help obtain information needed for reviews by mailing third-party requests or making phone calls.
Log and assign Adult Medicaid applications to caseworkers daily.
Perform other reasonable duties assigned by a supervisor or agency leadership, including emergency shelter or disaster-related tasks.