Adult Medicaid Long Term Care - Eligibility Caseworker III - Sign-On Bonus Up To $5,000
- Workplace
- On-site
- Employment
- Full-time
- Compensation
- $26 – $32
About this role
What You'll Be Doing
The Wake County Social Services' Economic Self-Sufficiency division has over 225 Eligibility Caseworkers who provide critical resources for the citizens of Wake County. Eligibility Caseworkers 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. The Eligibility Caseworkers spend the majority of time within NCFAST and OnBase to determine clients’ eligibility.
We are currently seeking Adult Medicaid Long Term Care - Eligibility Caseworkers III to join our Economic Self-Sufficiency team.
Essential Functions:
- Providing case management service by determining on-going eligibility for Long Term Care and Special Assistance
- Entering all required data into computer systems in order to authorize benefits
- Refer household to outside community resources if needed
- Maintaining thorough knowledge of all policy and procedures by attending training and keeping abreast of all policy changes
- Providing back up to other Caseworkers
- Providing accurate and timely documentation, utilize document management system for caseload management
- Determining eligibility for a State or County Department of Social Services program (Medicaid, Adult Medicaid, Long Term Care, Special Assistance)
- Determining eligibility for a Financial or Insurance Provider for financial assistance or insurance claims
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.
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)
- Associate's degree in Human Services or a related field
- Two years of job-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)
- Two years of experience determining eligibility in Adult Medicaid, Long Term Care, Special Assistance
- NCFast knowledge
How Will We Know You're 'The One'?
- Ability to determine eligibility for Medicaid, Adult Medicaid, Long Term Care, Special Assistance
- Ability to identify issues, obtain relevant information, relate and compare data from different sources, and identify alternative solutions
- Knowledge and strong understanding of Adult Medicaid policy
- Ability to interpret new and changed policies
- Ability to develop and maintain strong relationships with clients by listening to the clients and understanding and responding to identified needs
- Ability to explain Medicaid policy, in layman's terms for beneficiaries, family members, and facility representatives can understand
- Excellent organizational skills and ability to maximize the use of time so that the many diverse tasks associated with the position can be completed in a timely manner
- Ability to accomplish tasks and processes accurately and completely
About This Position
Location: HSC Swinburne Raleigh, NC 27610
Employment Type: Regular
Work Schedule: Mon. - Fri. 8:30 am - 5:15 pm
Hiring Range: 26.82 - 32.79
Market Range: 26.82 - 38.76
Please include ALL prior work experience on your application and resume.
Posting Closing Date: 7:00 pm on 12/22/2026
What Makes Wake Great
Equal Opportunity Statement
Background Check Statement
Emergency Service Worker Statement
What Makes Wake Great
Consistently ranked high among the best places to live and work in America, Wake County is the proud home to NC State University, Research Triangle Park, and the two-time Stanley Cup Champion Carolina Hurricanes, winners in 2006 and 2026. In addition to being Wake County’s seat of government, Raleigh is also the center of state government, with the Capitol Building, legislature and many state government offices located in Raleigh. With an estimated population of just over 1.2 million residents, Wake County is North Carolina’s most populous county. Entertainment, recreation, and art and culture abound with the North Carolina Museum of Art, JC Raulston Arboretum, and the Neuse River Trail all in the heart of Wake County. Wake County uses the Council/Manager form of government. Currently, the seven members of the Board of Commissioners are elected by district on a partisan basis and serve four-year terms. Starting in fall 2026, the Wake County Board will have seven commissioners elected by voters in their districts and two at-large commissioners elected by the whole County. The County is regarded as a fiscally responsible and well-managed government, enjoying a AAA bond rating. The County’s FY2027 General Fund budget is approximately $2.28 billion, and the County has more than 5,000 full time employees. Wake County Government came in at #2 on the Healthiest Employers list for 2024. This year, US News & World Report ranked Raleigh #5 on its list of Best Places to Live, and the Milken Institute ranked Raleigh #1 on its 2025 list of Best-Performing Cities.
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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