Income Maintenance Caseworker II- Adult Medicaid

Lee County Data Processing; Howrah; On-site; INR 3,629,000 - 4,967,000; Full time

Job summary

Lee County Data Processing in Sanford, NC seeks an Income Maintenance Caseworker to administer eligibility determinations for Adult Medicaid and related sub-programs. You will interview clients, verify information, and determine initial and ongoing eligibility for new applications, reapplications, recertifications, and changes in circumstance using NC FAST.

The role requires maintaining the caseload, processing recertifications and monthly/quarterly reports, responding to requests, and

Qualifications

• Considerable knowledge of the program areas of assignment.
• Ability to communicate with clients and public officials to obtain data.
• Ability to read and interpret rules and procedures.

Responsibilities

• Interview clients to obtain required information and determine eligibility.
• Process Medicaid eligibility for various programs.
• Maintain caseload with recertifications, changes, and reports.
• Complete SSI exparte reviews and case maintenance.

Skills

Mathematical reasoning

Analytical reading

Communication with clients

Ability to interpret rules

Job description

General Definition Of Work

This position is assigned to administering the eligibility determination process for Adult Medicaid and sub-programs. Included are MAA (Medicaid for the Aged), MAB (Medicaid for the Blind), MAD (Medicaid for the Disabled), MQB (Medicare Qualified Beneficiaries), SAA (Special Assistance for the Aged), and SAD (Special Assistance for the Disabled). This caseworker must interview clients to obtain required information, verify the information obtained, and determine initial and ongoing eligibility for all assigned applications, reapplications, recertifications and changes in circumstance utilizing the North Carolina Families Accessing Services through Technology (NC FAST) system. This caseworker will be on Adult Medicaid intake on a rotating basis and will process these applications. Applications received by methods other than in-person will be assigned on a rotating basis. Maintenance of the assigned caseload consists of processing recertifications, monthly/quarterly reports, changes in circumstance, monitoring continual compliance with all program requirements, responding to requests for program information or other matters as they arise during the time the case is open, and terminating or reducing benefits when the individual is no longer eligible for the program or sub-program. This position is also required to process SSI exparte reviews and provide case maintenance for SSI cases.

Participation in shelter management is required in the event of emergencies or disasters. This service, if required, will take precedence over duties described in this position vacancy announcement. This position is required to perform other duties as assigned by the supervisor and could be subject to overtime which is given in the form of compensatory time.

Knowledge, Skills And Abilities

Considerable knowledge of the program/areas of assignment. General knowledge of all agency and community programs and services which could affect the client/applicant. Good mathematical reasoning and computational skills. Ability to read, analyze, and interpret rules, regulations, and procedures. Ability to communicate with clients/applicants, the public at large, and public officials to obtain data, and to explain and interpret rules, regulations, and procedures. Ability to instruct and to evaluate the work of lower-level employees. Ability to perform caseworker functions within structured time frames.

Education And Experience

One year of experience as an Income Maintenance Caseworker; or an equivalent combination of training and experience.

Sanford, NC 27331

Position will remain open until filled.

Pre-employment Drug Testing Is Required.

EQUAL OPPORTUNITY EMPLOYER