Income Maintenance Caseworker III (Adult Medicaid)

Jackson County, NC; Sylva (NC); On-site; USD 42,000 - 54,000; Full time

Job summary

Jackson County, NC is seeking an Income Maintenance Caseworker to administer assistance and maintain a long-term caseload for disabled and aged clients needing rest home placement. The role emphasizes accurate case processing, regulatory compliance, and close collaboration with staff.

The position requires a high school diploma and at least two years of related experience, with a 40-hour workweek, Monday through Friday, and occasional after-hours.

Qualifications

• High school diploma or GED and two years of income maintenance experience or equivalent.
• Thorough knowledge of income maintenance programs and related policies.
• Ability to interpret regulations, prioritize work, and work independently.
• Skilled in training and evaluating staff and mentoring lower-level employees.
• Strong mathematical reasoning and accurate paperwork skills.

Responsibilities

• Conduct intake interviews to assess needs and eligibility.
• Inform Medicaid applicants of rights, appeals, and re-application rules.
• Complete recertifications and changes per guidance and policies.
• Utilize the NCFAST computer system for case management.
• Adhere to deadlines and complete mandated paperwork.
• Review colleagues' work and provide corrective actions.

Skills

Math skills

Analytical reading

Independent work

Staff training

Understanding client needs

Education

High school diploma

Tools

NCFAST

Job description

This position is responsible for administering assistance and maintaining ongoing cases to the disabled and aged who are in need of rest home placement. This person also maintains the ongoing long-term facility caseload assisting the disabled and aged clients in intermediate and skilled nursing facilities.

Grade 21

Work Schedule

8:00 AM to 5:00 PM, 40 hours a week Monday through Friday. Some after-hours work is required on occasion.

• Conduct interviews during intake to assess needs and obtain information.
• Inform Medicaid applicant of their rights, appeal decisions, ability to withdraw application, right to re-apply if found ineligible, responsibilities of the agency.
• Complete recertifications and changes in accordance with provided guidance, regulations, and policies.
• Utilize the NCFAST computer system.
• Adhere to established deadlines.
• Complete paperwork as mandated by the agency or county administration.
• Attend various training workshops/webinars.
• Responsible for the review of the work of other staff, spotting errors and advising them and management of corrective actions needed to rectify errors.
• Employees' decisions impact upon the well-being of the clients who are the recipients of program benefits.
• Perform tasks involving a high degree of accuracy.
• Learn the intricacies of numerous forms and procedures of the eligibility programs.
• Present information orally or in report form.
• Federal and State guidelines require regional quality reviews which ensure that the procedures and processes used to reach the eligibility decision(s) are correct.

Graduation from high school and a minimum of two years experience as an Income Maintenance Caseworker or an equivalent combination of training and experience.

• Thorough knowledge of income maintenance program assigned.
• Considerable knowledge of all agency and community programs and services which could affect the client/applicant.
• General knowledge of all income maintenance programs.
• Good mathematical reasoning and computational skills.
• Ability to read, analyze, and interpret a variety of regulations, policies and procedure of varying complexity.
• Ability to work independently and prioritize work. Ability to instruct arid evaluate the work of lower level employees.
• Ability to train employees in new and existing rules, regulations, policies and procedures.
• Ability to understand the needs and problems of clients/applicants.
• Ability to perform caseworker functions under and within structured time frames.