What You'll Be Doing

Are you passionate about making a difference in people’s lives?

Join our Adult Medicaid Team as an Eligibility Caseworker II and help individuals and families access the critical healthcare resources, they need to live healthier, more stable lives.

Eligibility Caseworker's determine eligibility based on factors such as income, family size, medical information, medical evaluations/ health conditions, resources, deductible expenses, and needs. Applications are processed in NCFAST (the electronic case management system) and OnBase (the document management system) to issue benefits and perform case management functions. We are currently seeking several Eligibility Caseworker II's to join our team.

Responsibilities Include:

• Provide case management service by completing an assessment and determining initial as well as on-going eligibility for Medicaid and NC Health Choice
• Evaluate individuals/families for other Economic Service Programs
• Enter all required data into computer systems in order to authorize benefits
• Refer household to outside community resources if needed
• Maintain thorough knowledge of all policy and procedures by attending training and keeping abreast of all policy changes
• Providing back up to other Eligibility Caseworker's
• Provide accurate and timely documentation, utilize document management system for caseload management

About Our Team

The Wake County Human Service’s Economic Self-Sufficiency division has over 225 Eligibility Case Managers who provide critical resources for the citizens of Wake County. Case Managers determine eligibility based on factors such as income, family size, medical information, medical evaluations/ health conditions, resources, deductible expenses, and needs. Applications are processed in NCFAST (the electronic case management system) and OnBase (the document management system) to issue benefits and perform case management functions. Case Managers spend the majority of time within NCFAST and OnBase to determine the clients’ eligibility. We are currently seeking Adult Medicaid Case Managers to join our Adult Medicaid Program.

The Basics (Required Education and Experience)

• High school degree or GED
• Three years of job-related experience
• Valid Driver's License and "safe" driving record
• Equivalent education and experience are accepted

• Please include ALL prior work experience on your application and resume.

Beyond the Basics (Preferred Education and Experience)

• Experience determining eligibility for State or County Department of Social Services programs, including (Medicaid, Adult Medicaid, Long Term Care, Special Assistance)
• Current Adult Medicaid experience or 1+ year of case management experience with Adult Medicaid programs at a county or state Department of Human or Social Services.

How Will We Know You're 'The One'?

• You'll be able to identify issues, gather and compare data from multiple sources, and recommend solutions.
• Interpret and apply Adult Medicaid policies, including updates.
• Build and maintain strong client relationships; respond to individual needs.
• Present information clearly in writing and verbally to ensure understanding.
• Complete tasks with accuracy and attention to detail.
• Manage time effectively to handle multiple responsibilities efficiently.
• Apply complex policy rules to determine client budgets accurately.
• Demonstrate excellent customer service and respect for client diversity.
• Use required office technology and systems, including Microsoft Office, NC FAST, and Hyland OnBase.

About This Position

Location: HSC Swinburne Raleigh, NC 27610

Employment Type: Regular

Work Schedule: Monday - Friday - 8:30am - 5:15pm

Hiring Range: 23.20 - 28.42

Market Range: 23.20 - 33.63

Please include ALL prior work experience on your application and resume.

Posting Closing Date: 7:00 pm on 5/29/2025

What Makes Wake Great

Home to the State Capital, Wake County is one of the fastest growing areas in the nation and the most populous county in the state, with more than 1.1 million residents. The County has received national and international rankings and accolades from publications such as Money, Fortune, and Time magazines as being one of the best places to live, work and play. The central location of the County allows for a short drive to the spectacular mountains or coast. Wake County Government is governed by a seven-member Board of Commissioners, who are elected at-large to serve two-year terms. Wake County Government has a general operating budget of $1.874 billion, employs over 4400 employees, experiences minimal turnover, and is an award-winning leader in wellness and technology initiatives; such as offering employees and covered spouses free access to the Employee Health Center. Wake County Government offers a wide range of training and development opportunities, a stable career in public service with a balance of work and family life, flexible work schedules and a competitive salary and benefits package.

Equal Opportunity Statement

Wake County provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

Background Check Statement

Position may require a background check that may include: criminal, credit, motor vehicle, education, and sexual offender registry or others based on job requirements. Unless required by state law, a record of conviction will not automatically exclude you from consideration for employment. Wake County Government is an Equal Opportunity Employer.

Emergency Service Worker Statement

In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected. Employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, during and after the emergency. Employee may also be required to participate in relevant exercises and regular preparedness training.

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• Wake County Government

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