Income Maintenance Caseworker III (PACE)

Alamance County Government

Burlington (NC)

On-site

USD 38,000 - 54,000

Full time

13 hours ago

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Benefits offered by this job

Health Insurance

Retirement Benefits

Paid Time Off

Job summary

Alamance County Government seeks a Medicaid Eligibility Specialist to determine LTC program eligibility under Adult Medicaid, including PACE, using the NC FAST system. The role involves interviewing applicants, verifying information, and maintaining case files within regulatory guidelines.

Ideal candidates have a high school diploma or GED and at least two years of income maintenance experience, with strong analytical, math, and customer-service skills.

Qualifications

High school diploma or GED required.
Two years of experience as an Income Maintenance Caseworker or equivalent.
Knowledge of NC FAST and income maintenance programs preferred.
Ability to read, interpret complex regulations and policies.
Ability to work independently and prioritize assigned tasks.

Responsibilities

Receives and processes LTC program applications per NC FAST rules.
Interview applicants to determine eligibility and verify information.
Maintain up-to-date knowledge of policies and procedures and manage case files.
Perform casework for Private Living Arrangement and Long-Term Care Medicaid.
Coordinate with interagency staff and community partners to provide services.

Skills

Accountability

Accuracy

Advocacy

Analytical thinking

Oral communication

Written communication

Time management

Customer focus

Judgment

Problem solving

Education

High school diploma or GED

Job description

Job Purpose

The primary purpose of this position is to determine eligibility for Adult Medicaid in Long Term Care (LTC) programs, specifically PACE and may serve as a back-up for PLA Medicaid, all while utilizing the NC FAST system to manage the applications and caseload. Thorough knowledge of income maintenance programs as 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 procedures of varying complexity. Ability to work independently and prioritize work. Ability to understand customer needs and perform caseworker functions within structured time frames. Preferred knowledge and interpretation of the Adult Medicaid manual; ability to apply NC FAST job-aids and postcards; knowledge of policies and procedures; ability to understand and apply accounting practices to maintain financial records.

Responsibilities

Receives and processes applications for LTC programs in accordance with established rules, regulations, policy and procedures in NC FAST from clients and/or their authorized representatives.
Interview applicants for assistance to determine their eligibility; researches and verifies information provided by applicants.
Responsible for maintaining knowledge and understanding of current and new policy and procedures, preparing and maintaining case files, utilizing reports, and related work as apparent or assigned.
Performs casework functions both in Private Living Arrangement and Long-Term Care Medicaid programs, including intake, application processing, ongoing case management, completing change in circumstances as appropriate, according to policy.
Coordinates with other inter agency staff and community partners to provide services needed.

Qualifications

High school diploma or GED required. Two years of experience as an Income Maintenance Caseworker or an equivalent combination of training and experience.

Skills & Abilities

COMPETENCY STATEMENTS:

Accountability - Ability to accept responsibility and account for his/her actions.
Accuracy - Ability to perform work accurately and thoroughly.
Advocacy - Taking action to represent and advance interests of others by presenting facts and details.
Analytical Thinking - Ability to give thought and consideration to data for a logical judgment to be made.
Communication, Oral - Ability to communicate effectively with others using the spoken word.
Communication, Written - Ability to communicate in writing clearly and concisely.
Concentration- Ability to concentrate on tasks through many distractions.
Conflict Management - Ability to be objective and empathic while maintaining self-composure and control of the conversation ensuring proper handling of all comments.
Customer Oriented - Ability to take care of the customers' needs while following company procedures.
Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards.
Honesty / Integrity - Ability to be truthful, maintain high level of confidentiality and be seen as credible in the workplace.
Investigative - Ability to inquire intensively into and seeking to expose a malpractice or controversial issue.
Judgment – Ability to use good judgment and discretion as it relates to interpreting policies and procedures.
Leadership – Ability to mobilize people, create vision and strategy and uphold integrity in assigned work.
Multi-tasker – Ability to multi-task in a fast-paced environment.
Problem Solving - Ability to find a solution for or to deal proactively with work-related problems.
Relationship Building - Ability to effectively build relationships with customers and co-workers.
Safety-Minded – Creating a safe work environment; managing risks; reducing exposure liabilities.
Time Management - Ability to utilize the available time to organize and complete work within given deadlines.

Physical Demands

N (Not Applicable) Activity is not applicable to this position. O (Occasionally) Position requires this activity up to 33% of the time (0 - 2.5+ hrs./day). F (Frequently) Position requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs./day). C (Constantly) Position requires this activity more than 66% of the time (5.5+ hrs./day).

Physical Demands

Stand F Walk O Sit F Manually Manipulate F Reach Outward O Reach Above Shoulder O Climb O Crawl N Squat or Kneel O Bend O Talk/Hear C

Lift/Carry

10 lbs. or less O 11-20 lbs. O 21-50 lbs. O 51-100 lbs. N Over 100 lbs. N

Push/Pull

12 lbs. or less O 13-25 lbs. O 26-40 lbs. O 41-100 lbs. O See C Taste/Smell N

Other Physical Requirements

Vision (Near, Distance, Peripheral)

Work Environment

Standard office setting. Employees are frequently subject to working with agitated clients, heavy workloads and compressed time frames.

Health Insurance

Full-time employees are eligible for medical/health (Cigna Insurance) benefits upon the 1st of the month following 30 days of employment.

Alamance County Government currently offers three plans of medical/pharmacy benefit options including 2 Standard PPO plans and a High-Deductible Health Plan with HSA.

Dental Benefit

Alamance County offers one dental insurance (Delta Dental) plan for FT employees at no cost. The plan, if elected, would be effective the first of the month following 30 days of FT employment.

Vision Insurance

A voluntary vision program (Superior Vision) is available to FT employees. The current PPO style plan allows employees to seek treatment and hardware from any vision care provider of their choice. The plan, if elected, would be effective the first of the month following 30 days of FT employment. Coverage must be elected within your first 30 days of FT employment or upon a qualifying event.

Voluntary Benefits

Alamance County Government provides a variety of voluntary health related benefits (Voya) to allow employees to purchase protection from what life may bring. A sampling of voluntary benefits includes Flexible Spending Accounts with dependent care opportunities, Health Saving Account with an employer contribution, Short Term Disability, Long Term Disability, Cancer Protection Plan, Group Critical Care Insurance and more.

Life Insurance

Basic term life insurance is the amount of one times the annual salary (no greater than $70,000) is provided for all FT employees. Additional coverage is available for purchase through payroll deductions for employee and eligible dependents.

Retirement Benefits

Membership in the NC Local Government Employees Retirement System (NCLGERS) is a requirement for all full-time and regular part-time employees (working more than 1,000 hours annually). Employees contribute six percent (6%) of their annual compensation before it is taxed.

Time Off Accruals

Vacation Time – Annual Leave is accrued based on years of service. Employees can accrue from 10-25 days per year.

Sick Time – All County full time employees earn 12 days of sick leave per year.

County Observed Holidays – Alamance County will observe the State of North Carolina Holiday Schedule.

Wellness Benefits & Programming

Employee Assistance Program: There are times when everyone needs a little help or advice. The confidential Employee Assistance Program (EAP) through a local provider can help you with things like stress, anxiety, depression, chemical dependency, relationship issues, legal issues, parenting questions, financial counseling and dependent care resources. Best of all it's free for County employees and available for your household to utilize. Utilization of the EAP is completely confidential and participation isn't recorded. Help is available 24/7/365 by telephone.

Alamance County Employee Health Center

Available to employees and spouses who are covered under the Alamance County Insurance Plan and their covered dependents, 18 years of age and older. Retired employees under age 65 are also eligible to use the health center. Depending on insurance coverage elected, care at the clinic ranges from free to a fair market value cost.

Services Available

Treatment of injuries or illnesses such as flu, sinus Infection, pink eye, sprains, strains or fever.

Monitor chronic conditions (Diabetes, Hypertension, Hyperlipidemia, Health Disease, Asthma, etc...)

Assistance with finding a Primary Care Provider

Health Education and Counseling

Triage and referrals to specialists when appropriate.

Alamance County provides a variety of additional benefits including bereavement pay, Paid Parental Leave, Wellness Leave to focus on work-life balance initiatives, Volunteer Time Off (paid time) opportunities to be a part of the Alamance Community, to opportunities for professional certification pay.

Employee Fitness Center

Alamance County encourages all employees to maintain a healthy lifestyle both at home and at work. In support of this philosophy an Employee Fitness Center is available for all County employees to use at their convenience during non-work hours and is open 6:00 AM to 9:00 PM Monday-Sunday. This center includes weight training equipment, cardio equipment, a small aerobics room along with restrooms, changing room and lockers.

01 How many years of experience do you have processing Medicaid eligibility?