Income Maintenance Caseworker Lead (Adult Medicaid)- 40010753

Durham County; Durham (NC); On-site; USD 52,000 - 90,000; Full time

Job summary

Durham County Government seeks an Income Maintenance Caseworker Lead for adult Medicaid programs. This role involves leading a unit focused on client eligibility for services while managing complex cases and compliance within social services guidelines. Successful candidates will leverage their knowledge of NC FAST and strong analytical skills to enhance community services.

Qualifications

• Two years of experience as Income Maintenance Caseworker required.
• Must obtain NC FAST certification within 90 days of hire.
• Experience in public contact roles involving data analysis.

Responsibilities

• Determine eligibility for Medicaid programs and manage client appeals.
• Serve as lead worker overseeing processing and redetermination.
• Function independently resolving complex issues within Medicaid.

Skills

Knowledge of NC FAST

Ability to read and analyze regulations

Research and analytical skills

Communication skills

Ability to perform caseworker functions

Ability to handle multiple tasks

Education

Degree from an accredited college or university

Associate's degree in human services

High school diploma with 5 years experience

Job description

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Income Maintenance Caseworker Lead (Adult Medicaid)- 40010753

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:

CLOSING DATE:

SALARY MIN:

$52,730

SALARY MAX:

$89,577 (HIRING RANGE: $52,730 - $71,154)

POSITION NUMBER:

40010753

JOB TYPE:

Full-Time (Non-Exempt)

THIS IS AN ADULT MEDICAID LEAD WORKER POSITON

RESPONSIBILITIES

Incumbents are responsible for the total process of determining applicant/client eligibility and redetermination of Medicaid programs in a County Department of Social Services. Duties include but are not limited to (1) serving 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. (2) performing the same eligibility determination functions as the income maintenance caseworker III. (3) 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. (4) Functioning with a great deal of independence with the responsibility for performing a variety of complex task and functions in the Medicaid 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 & 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 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.

Durham County is an Equal Opportunity Employer