Income Maintenance Caseworker III

Buncombe County • Asheville, NC

1d • Hybrid

About The Position

This position is an Income Maintenance Caseworker III within a specialized Adult Medicaid unit, focusing on Long Term Care, Special Assistance, Community Alternatives Program (CAP), and Program of All-Inclusive Care for the Elderly (PACE). The role involves managing an active caseload of approximately 225 case heads, performing complex eligibility determinations, and ongoing case management. Core duties include processing applications, completing recertifications and reviews, handling program transfers, and maintaining accurate and timely case actions in accordance with state and federal regulations. The position requires strong policy interpretation, organization, and the ability to independently prioritize workload in a high-volume environment with multiple deadlines. While supervisory support and team collaboration are available, the role is suited for self-directed, detail-oriented candidates comfortable with high accountability. The primary purpose is to ensure eligible individuals receive timely public assistance benefits by determining or redetermining eligibility for Buncombe County residents across multiple Income Maintenance programs. The typical work schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m., with a hybrid work arrangement combining in-office and remote work based on operational needs, training progression, and demonstrated reliability. The anticipated hiring timeline is within one month of the posting date.

Requirements

• Associate’s degree in Human Services Technology, Social Services, Paralegal Technology, Business Administration, Secretarial Science, or a closely related curriculum and three (3) 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, legal tasks or determining eligibility
• graduation from high school and four (4) 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, legal tasks or determining eligibility
• an equivalent combination of training and experience
• Thorough knowledge of multiple income maintenance programs.
• General knowledge of all income maintenance programs.
• Knowledge of all available agency, community, Federal and State programs, along with eligibility criteria, timelines, and requirements which could affect the client/applicant.
• Ability to analyze, comprehend and apply rules and regulations and often changing policies and guidelines pertaining to eligibility requirements for programs.
• Ability to be flexible and adapt to change.
• Ability to maintain a satisfactory working relationship with applicants and others contracted within the course of performing the work.
• Ability to accept work direction from multiple parties and work as part of a team.
• Ability to set priorities and organize work; ability to meet deadlines.
• Ability to work with and interpret facts and figures and perform tasks involving a high degree of accuracy, learn the intricacies of numerous forms and procedures of public assistance programs.
• Good mathematical reasoning and computation skills
• Proficiency working with a variety of computer systems and software.
• Ability to plan and organize ongoing caseloads to ensure timely and accurate determination of eligibility.
• Ability to report and react to changes in programs to clients and update eligibility or program requirements as needed.
• Ability to report potentially fraudulent claims or information to Program Integrity.
• Maintain clear and accurate records, review caseload information on a minimum of an annual basis.
• Assist in local and state hearing processes, as necessary.
• Document findings and maintain up to date records of all cases.
• strong policy interpretation skills
• organization
• ability to independently prioritize workload in a high-volume environment with multiple deadlines
• self-directed
• detail-oriented
• comfortable managing complex caseloads with a high level of accountability

Nice To Haves

• English/Spanish bilingual speakers preferred

Responsibilities

• Determine client eligibility for benefits accurately and within local, community, Federal and State mandated time frames.
• Gather and interpret client data obtained through interview process, case file review and/or third-party verification.
• Provide information to clients/applicants regarding programs, services and eligibility requirements and outcomes.
• Refer client/applicant to other program services as appropriate.
• Plan and organize ongoing caseloads to maintain timeliness and quality assurance per Federal and State guidelines along with Buncombe County best practices.
• Identify cases for investigation of potential fraud and submit appropriate fraud referral documentation.
• Assist in local and state hearings process as necessary.
• Performs other related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 251-500 employees