Family & Children Medicaid - Eligibility Caseworker I

Job Description:

Family & Children Medicaid - Eligibility Caseworker I

Description

What You'll Be Doing

Are you passionate about making a difference in people’s lives? Come join our Family and Children Medicaid team as an Eligibility Caseworker I. This position is located at our Swinburne office and will work directly with Rex Hospital to determine eligibility for Medicaid programs. This position will interact closely with hospital patients and staff taking applications, processing applications; keying automatic newborn cases; checking applications statuses; working closely with hospital financial counselors; and performing other duties as assigned. The work is fast-paced with tight deadlines. The ideal candidate must work well independently.

Essential Functions:

• Entering required data and documentation into NCFAST and other electronic systems to authorize benefits
• Assessing information provided to determine initial and/or ongoing eligibility for assigned program(s)
• Responding to client and hospital staff inquiries, phone calls, emails, and requests for information; and providing required notification of information needed and case outcome
• Conducting interviews as required by program rules
• Managing queues and workflows in OnBase, NCFast, and other systems as needed
• Completing daysheets, timesheets, and case action forms

About Our Team

The Wake County Department of Social Services team is grounded in a deep commitment to connection, compassion, and community. We bring together experienced professionals who collaborate to support individuals and families through complex challenges, connect them with critical resources, and promote long-term stability. We value insight, innovation, and a solutions-focused approach, and we welcome those who are ready to contribute their expertise to meaningful, community-centered work. Join us in making a lasting difference!

The Basics (Required Education and Experience)

• High school degree or GED
• Two years of related experience
• 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 a State or County Department of Social Services program (Medicaid, Food and Nutrition Services, Work First, Child Care Subsidy, Child Support, WIC, or Energy Assistance Program)
• Experience in a Human Services Technician role supporting any Human Services program in a county or state Department of Human Services or Social Services agency
• Direct clerical or customer service experience providing support to a Department of Social Services program (Medicaid, Food and Nutrition Services, Work First, Child Care Subsidy, Child Support, WIC, or Energy Assistance Program)

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 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: UNC Rex Hospital Raleigh, NC 27607

Employment Type: Regular

Work Schedule: Monday - Friday 8:00 - 4:30

Hiring Range: 25.43 - 29.08

Market Range: 25.43 - 32.74

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

Posting Closing Date: 7:00 pm on 8/19/2025

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.

Salary:

25.43 - 29.08