Income Maintenance Caseworker III Lead (Adult Medicaid)

Granville County•Granville County, NC

About The Position

Serves as lead worker and mentor for Income Maintenance Caseworkers, providing guidance, oversight, training, and quality assurance. Oversees eligibility determination and case processing for Adult Medicaid and other income maintenance programs, reviewing cases for accuracy, policy compliance, proper documentation, and timely processing. Resolves complex eligibility issues, client appeals, and escalated cases; identifies program-wide issues and recommends corrective actions; and provides specialized training for new and transitional employees. Applies extensive knowledge of income maintenance programs, policies, procedures, and NC FAST. May carry a caseload and perform full Income Maintenance Caseworker III duties as needed. Spends more than 25% of the time providing supervision, mentorship, reviewing work, and monitoring staff performance. Performs other duties as assigned. The role also includes interviewing applicants and recipients, verifying documentation, reviewing household information, and determining eligibility. It processes applications, changes, redeterminations, and benefit authorizations across programs including Medicaid, Food and Nutrition Services, Work First, Child Care Subsidy, Energy Assistance, and Long-Term Care. The caseworker maintains accurate and timely case information in NC FAST, monitors deadlines, handles complex or escalated cases, prepares documentation for hearings and appeals, and assists with audits and quality control reviews. The position maintains current knowledge of federal, state, and local policies and regulations; interprets and applies policies while guiding staff; maintains and reviews reports, logs, and quality assurance documentation; and assists with compliance reviews, monitoring visits, and data integrity efforts. It may provide emergency coverage or after-hours support and serve as a liaison with DSS divisions, community agencies, and other stakeholders.

Requirements

At least two years of experience as an Income Maintenance Caseworker, or an equivalent combination of training and experience.
High school diploma.
Valid North Carolina driver's license.
Thorough knowledge of assigned income maintenance programs.
Considerable knowledge of agency and community programs and services available to clients.
General knowledge of all income maintenance programs.
Good mathematical reasoning and computational skills.
Ability to read, interpret, and apply complex regulations, policies, and procedures.
Ability to work independently and prioritize assignments.
Ability to instruct, mentor, and evaluate lower-level employees.
Ability to train employees on rules, regulations, policies, and procedures.
Ability to understand and respond to client needs and concerns.
Ability to complete caseworker functions within established timeframes.

Nice To Haves

Three years of experience determining eligibility for State or County Department of Social Services programs, such as Medicaid, Food and Nutrition Services, Work First, Child Care Subsidy, Child Support, or Energy Assistance.
Two years of program-specific experience.

Responsibilities

Serve as lead worker and mentor for lower-level caseworkers, providing guidance, coaching, and technical support.
Conduct second-party case reviews for accuracy, compliance, proper documentation, and timely processing.
Identify recurring errors and recommend training or process improvements.
Assist supervisors with monitoring staff performance, workload distribution, and training needs.
Participate in hiring, onboarding, and performance evaluations as requested.
Provide ongoing training on policy changes, NC FAST, and procedural updates.
Interview applicants and recipients, verify documentation, review household information, and determine eligibility.
Process applications, changes, redeterminations, and benefit authorizations for Medicaid, Food and Nutrition Services, Work First, Child Care Subsidy, Energy Assistance, and Long-Term Care.
Maintain accurate and timely case information in NC FAST and ensure case actions meet required timeframes.
Handle complex or escalated cases and provide caseload coverage when needed.
Prepare documentation for hearings and appeals and assist with audits and quality control reviews.
Maintain current knowledge of applicable federal, state, and local policies and regulations, and interpret and apply them while guiding staff.
Maintain and review reports, logs, and quality assurance documentation.
Assist with audits, compliance reviews, monitoring visits, and data integrity efforts.
Recommend procedural improvements to increase accuracy and efficiency.
Participate in staff meetings, training, and professional development.
Provide emergency coverage or after-hours support as required.
Serve as a liaison with DSS divisions, community agencies, and other stakeholders.
Perform other duties as assigned.