Lead Income Maintenance Caseworker

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

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.