INCOME MAINTENANCE CASEWORKER LEAD - 40009829

Durham County; Durham (NC); On-site; USD 54,000 - 73,000; Full time

Job summary

Durham County Government is seeking an Income Maintenance Caseworker Lead in the Social Services (DSS) department in Durham, NC. The role leads a unit focused on intake, processing and redetermination for Medicaid, CAP, PACE and long-term care programs.

The successful candidate will perform complex eligibility determinations, oversee staff, and ensure accuracy under deadlines. NC FAST certification within 90 days of hire is required. Closing date: November 26, 2026.

Qualifications

• Knowledge of NC FAST and Social Service programs.
• Ability to read, analyze, and interpret rules, regulations and procedures.
• Ability to research, analyze and interpret automated system problems.
• Ability to communicate with clients/applicants, the public, and public officials to obtain data and explain rules.

Responsibilities

• Lead worker over a unit handling intake, processing, review and redetermination.
• Perform eligibility determinations similar to income maintenance caseworker III.
• Analyze and resolve issues in the redetermination process and staff training needs.
• Handle complex Medicaid and long-term care program cases with independence.

Skills

NC FAST knowledge

Analytical ability

Communication with clients

Time management

Multitasking under pressure

Education

AA/AS degree or equivalent

High school diploma

NC FAST certification within 90 days

Tools

NC FAST system

Job description

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INCOME MAINTENANCE CASEWORKER LEAD - 40009829

Join Durham County Government

Durham County Government is home to over 2,000 dedicated professionals working together to deliver essential services that strengthen and support our vibrant, diverse community. As the heart of a fast-growing region, we offer meaningful careers across a wide range of fields—giving you the opportunity to make a real impact where you live, work, grow, and play. Learn more at www.dconc.gov .

DEPARTMENT:

SOCIAL SERVICES (DSS)

DATE POSTED:

NOVEMBER 12, 2026

CLOSING DATE:

NOVEMBER 26, 2026

HIRING RANGE:

$54,312.00 - $73,289.00

POSITION NUMBER:

40009829

JOB TYPE:

***THIS IS A REPOST, PREVIOUS CANDIDATES ARE STILL BEING CONSIDERED AND NEED NOT REAPPLY***

DUTIES AND RESPONSIBILITIES:

The functions listed below are those that represent the majority of the time spent working in this position. Management may assign additional functions related to the type of work of the position as necessary.

Incumbents are responsible for the total process of determining applicant/client eligibility and redetermination of Medicaid, Community Alternatives Program (CAP), Program of All-Inclusive Care for the Elderly (PACE), Special Assistance and/or Long-Term Care programs in a County Department of Social Services. Duties include but are not limited to:

• Serrving as lead worker over a unit of a single program area which performs all functions i.e., intake, processing, review and redetermination. Employees are required to spend at least 25% of their time in a lead worker capacity.
• Performing the same eligibility determination functions as the income maintenance caseworker III.
• Performing a wide range of tasks in the eligibility determination/redetermination process which require an in-depth knowledge of all income maintenance program and functional processes. Work also includes the resolving of client appeals of actions taken by income maintenance caseworkers, the analysis of program-wide problem areas which include recommendations for corrective action and specific re-training of existing staff or targeted training of existing staff.
• Functioning with a great deal of independence with the responsibility for performing a variety of complex task and functions in the Medicaid programs which include performing two or more functions in the long-term care programs. Employees assume responsibility for the resolution of complex problems where the consequence of their action can have a considerable effect on the client, and/or the agency. Position reports to a higher-level supervisor and review of work at this level is minimal.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Considerable knowledge of NC FAST and Social Service programs
• Ability to read, analyze, and interpret rules, regulations and procedures.
• Ability to research, analyze and interpret automated system problems
• 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 perform caseworker functions within structured time frames.
• Ability to work under pressure and handle multiple tasks are essential

MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS:

Requires two year of experience as an Income Maintenance Caseworker, or a degree from an accredited college or university; or an associate's degree in accounting, business administration, human services, secretarial science or closely related field and at least two years of paraprofessional, clerical or other public contact experience which includes negotiating, interviewing, obtaining, analyzing and/or evaluating data; or a high school diploma and at least five years of paraprofessional, clerical or other public contact experience which includes negotiating, interviewing, obtaining, analyzing and/or evaluating data.

POSITIONS REQUIRES NC FAST CERTIFICATION WITHIN 90 DAYS OF HIRE

AMERICANS WITH DISABILITIES ACT COMPLIANCE:

Durham County is an Equal Opportunity Employer. ADA requires Durham County to provide reasonable accommodations to qualified persons with disabilities. Prospective and current employees are encouraged to discuss ADA accommodations with management.

BACKGROUND CHECK STATEMENT:

This position may be subject to a background check, which could include, but is not limited to, criminal history (employment-related and/or SBI fingerprint-based), credit history, motor vehicle records, educational verification, and checks of the sexual offender registry, depending on the specific requirements of the role. A conviction record does not automatically disqualify an applicant from employment consideration, unless otherwise required by applicable state law.

Durham County is an Equal Opportunity Employer