Income Maintenance Caseworker III - Long Term Care

Randolph County; Asheboro (NC); On-site; USD 35,000 - 52,000; Full time

Job summary

Randolph County is seeking an Income Maintenance Caseworker to manage intake, processing, and review of eligibility for Medicaid and related programs, including Special Assistance.

You will interview clients, enter data in the web-based system, verify information, determine eligibility, and complete periodic reviews, while advising clients of rights and available services. Regular attendance is essential.

Qualifications

• Two years of experience as an Income Maintenance Caseworker; or an equivalent combination of training and experience.

Responsibilities

• Handle intake, processing, and review of Medicaid and Special Assistance programs.
• Interview clients and review mail-in applications and ePASS data to collect required information.
• Enter data into a web-based system to complete initial applications and verify information.
• Determine and verify eligibility through the web-based application; assist in processing applications.
• Complete scheduled reviews and redeterminations for continued eligibility.
• Inform clients of rights and obligations under program policies.
• Explain requirements and refer clients to other program services as appropriate.
• Maintain regular attendance and punctuality; perform related duties as assigned.

Skills

Interviewing

Data entry

Eligibility screening

Customer service

Job description

The primary purpose of the position is to be responsible for intake, processing, and review functions of determining and/or redetermining applicant/client eligibility for services in the federal and state Economic Services Program. Services provided under the Economic Services Program include, but are not necessarily limited to, Long Term Care Medicaid, Special Assistance, Private Living Medicaid, and private living Medicaid cases for an individual whose spouse is receiving Long Term Care Medicaid or special assistance.

Work involves performing intake, processing, and review for various services in the Medicaid and Special Assistance Programs using a state-interconnected web-based application and includes, but is not limited to, such tasks as:

• Interviewing clients and/or reviewing other forms of media including mail-in applications and electronically collected data such as Electronic Pre-Assessment Screening Service (ePASS) to obtain required information.

• Entering information into a web-based application to complete initial applications and verify the information obtained. In the intake function, the employee is responsible for obtaining all pertinent data concerning the clients' family composition, finances, employment and health status.

• Determining and/or verifying eligibility using a web-based application. In the processing function, the employee is involved in processing clients' application through the verification of all information obtained during intake.

• Completing scheduled reviews by obtaining required information and processing updated information in a web-based application. In the review function, work involves the redetermination or review of the clients' case on a periodic basis, to re-verify the clients' eligibility for continued participation in the various services.

• Inform clients of their rights and obligations as prescribed under program policies.

• Explain requirements and options and advise or refer clients to other program services as appropriate.

Regular attendance and punctuality are essential. This position must be available during working hours so that eligible clients can receive necessary services.

Work includes performing other related duties as assigned.

Two years of experience as an Income Maintenance Caseworker; or an equivalent combination of training and experience.