Income Maintenance Caseworker II - Adult Medicaid

Randolph County•Asheboro, NC
•Onsite

About The Position

The primary purpose of the position is to be responsible for intake, processing, and review functions of determining and/or re-determining applicant/client eligibility for services in the Medicaid Program(s). Work involves performing intake, processing and review for various services in the Medicaid Program using a state-interconnected web-based application and includes, but is not limited to, such tasks as: Interviewing clients and/or reviewing other forms of media including mail-in applications and electronically collected data such as Electronic Pre-Assessment Screening Service (ePASS) to obtain required information. Entering information into a web-based application to complete initial applications and verify the information obtained. In the intake function, the employee is responsible for obtaining all pertinent data concerning the clients' family composition, financial, employment and health status. Determining and/or verifying eligibility using a web-based application. In the processing function, the employee is involved in processing clients' applications through the verification of all information obtained during intake. Completing scheduled reviews by obtaining required information and processing updated information in a web-based application. In the review function, work involves the redetermination or review of the clients' case on a periodic basis, to re-verify the clients' eligibility for continued participation in the various services. Take care of case maintenance such as changes, updates, etc. Inform clients of their rights and obligations as prescribed under program policies. Explain requirements and options and advise or refer clients to other program services as appropriate. Regular attendance and punctuality are essential. This position must be available during working hours so that eligible clients can receive the necessary services. Work includes performing other related duties as assigned.

Requirements

  • One year of experience as an Income Maintenance Caseworker; or an equivalent combination of training and experience.
  • Graduation 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 graduation from high school and two years of paraprofessional, clerical, or other public contact experience which included negotiating, interviewing, explaining information, gathering and compiling of data, analysis of data and/or performance of mathematical or legal tasks with at least one year of such experience being in an income maintenance program; or graduation from high school and three years of paraprofessional, clerical or other public contact experience which included negotiating, interviewing, explaining information, the gathering and compiling of data, the analysis of data and/or the performance of mathematical or legal tasks; or an equivalent combination of training and experience.

Responsibilities

  • Performing intake, processing, and review functions for Medicaid Program services.
  • Interviewing clients and reviewing various forms of media (mail-in applications, ePASS) to obtain required information.
  • Entering information into a web-based application for initial applications and verification.
  • Obtaining pertinent data on clients' family composition, financial, employment, and health status.
  • Determining and/or verifying eligibility using a web-based application.
  • Processing clients' applications through verification of obtained information.
  • Completing scheduled reviews by obtaining required information and processing updated information.
  • Redetermining or reviewing client case eligibility periodically.
  • Performing case maintenance such as changes and updates.
  • Informing clients of their rights and obligations.
  • Explaining requirements and options, and referring clients to other program services.
  • Ensuring regular attendance and punctuality.
  • Being available during working hours to provide necessary services to eligible clients.
  • Performing other related duties as assigned.
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