What You'll Be Doing

The Wake County Human Service’s 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 an Adult Medicaid Long Term Care - Eligibility Caseworker III to join our Economic Self-Sufficiency team.

Essential Functions:

• 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 Case Managers
• 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

Note: This position is located at Wake Medical Center--Raleigh campus on New Bern Ave- Raleigh.

About Our Team

Wake County Health and Human Services (WCHHS) is the consolidation of programs and services that include social services, public health, job search assistance, child support, and transportation. Our mission, in partnership with the community, is to facilitate full access to high quality and effective health and human services for Wake County residents. In addition to our numerous standard programs, Wake County Health and Human Services (WCHHS) is engaged in a number of special initiatives that are impacting services and programs throughout our entire agency. Whether legislated down from the changing regulations on the Federal or State level or bubbling up from the entrepreneurial spirit of our staff, you can always look forward to Wake County Health and Human Services implementing new and exciting enhancements to our services and programs.

The Basics (Required Education and Experience)

• Associate's degree in Human Services or a related field
• Two years of job-related experience
• Valid Driver's License and "safe" driving record
• Equivalent education and experience are accepted

• Please include ALL prior work experience on your application and resume.

Beyond the Basics (Preferred Education and Experience)

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

How Will We Know You're 'The One'?

• 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 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

About This Position

Location: Wake Medical Center7 Raleigh, NC 27610 USA

Employment Type: Regular

Work Schedule: Monday - Friday 8:00am-4:30pm

Hiring Range: 23.57 - 30.28

Market Range: 23.57 - 37.00

Please include ALL prior work experience on your application and resume.

Posting Closing Date: 7:00 pm on 1/3/2025

What Makes Wake Great

Home to the State Capital, Wake County is one of the fastest growing areas in the nation and the most populous county in the state, with more than 1.1 million residents. The County has received national and international rankings and accolades from publications such as Money, Fortune, and Time magazines as being one of the best places to live, work and play. The central location of the County allows for a short drive to the spectacular mountains or coast. Wake County Government is governed by a seven-member Board of Commissioners, who are elected at-large to serve two-year terms. Wake County Government has a general operating budget of $1.874 billion, employs over 4400 employees, experiences minimal turnover, and is an award-winning leader in wellness and technology initiatives; such as offering employees and covered spouses free access to the Employee Health Center. Wake County Government offers a wide range of training and development opportunities, a stable career in public service with a balance of work and family life, flexible work schedules and a competitive salary and benefits package.

Equal Opportunity Statement

Wake County provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

Background Check Statement

Position may require a background check that may include: criminal, credit, motor vehicle, education, and sexual offender registry or others based on job requirements. Unless required by state law, a record of conviction will not automatically exclude you from consideration for employment. Wake County Government is an Equal Opportunity Employer.

Emergency Service Worker Statement

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.

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• Wake County Government

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