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Income Maintenance Caseworker II - Adult Medicaid

Alexander County, NC
Taylorsville, NC Full Time
POSTED ON 3/27/2025
AVAILABLE BEFORE 5/27/2025
The primary responsibility of this employee is to correctly determine an applicant's eligibility for Food and Nutrition Services, Crisis Intervention Program, Low Income Energy Assistance Program, Emergency Assistance, Temporary Assistance to Needy Families, Childcare, Work First, Adult Medicaid,  and/or Family and  Children's Medicaid.  

An employee in this class is responsible for the total process of determining or re-determining applicant eligibility in income maintenance programs which includes the intake, processing, and review functions.  Work involves intake, processing application, and ongoing maintenance.  The employee should have good judgment, scheduling, and decision-making skills. Work involves in-person client contact and/or telephone contact. This position reports directly to an Income Maintenance Supervisor II.
  • Interviews client and/or family members to obtain necessary information for application, redetermination and changes in the client's situation.
  • Contacts persons and various organizations as required to verify information obtained on the application and/or re-certification form.
  • Conducts verifications according to policy and complete only when necessary.
  • Obtains all necessary information.
  • Evaluate in accordance with program policy and procedures to determine eligibility.  
  • Enters information into computer and notifies client as to the status of their eligibility.
  • Engages in enrollment and eligibility of Medicaid activities including intake, acceptance, eligibility determination, output, case maintenance, customer service and routine update/inquiries into NC FAST.
Additional Job Duties:
  • Works with generated reports, as indicated by Supervisor.  
  • Attend all required / suggested trainings.
  • All other duties as assigned. 
  • In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations is expected.  Employee is 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 is also required to participate in relevant exercises and regular preparedness training.
  • Ability to read and comprehend rules and regulations (state and federal policies), including frequently changing policies and guidelines pertaining to public assistance program.
  • Ability to interpret agency's policies and procedures.
  • Ability to communicate to people of varied backgrounds in order to obtain data for documentation and verification of information needed in determining eligibility.
  • Ability to detect need for other agency services and make appropriate referrals to the service staff.
  • Ability to work with facts and figures.
  • Ability to perform tasks involving a high degree of accuracy.
  • Ability to learn the intricacies of numerous forms and procedures of the eligibility programs. 
  • Ability to present information orally or in report form.  
  • Must acquire interest in and understanding of disadvantaged persons, possess qualities of patience and tolerance, and an awareness of various cultures.  
  • Ability to efficiently and effectively interact with co-workers to accomplish common tasks.
  • Ability to have efficient and courteous interaction with all customers.
  • Ability to function professionally in occasional highly stressful circumstances.  
  • Must have the ability to conduct business in an ethical manner at all times.


  • One year of experience as an Income Maintenance Caseworker I; or
  • Graduation from an accredited associate degree program in Human Services Technology, Social Services Associate, Paralegal Technology, Business Administration, Secretarial Science, or a closely related curriculum; or 
  • Graduation from high school and two years of paraprofessional, clerical, or other public contact experience which included negotiating, interviewing, explaining information, gathering and compiling of data, analysis of data and/or performance of mathematical or legal tasks , one of which must be in income maintenance; or  
  • Graduation from high school and three years of paraprofessional, clerical or other public contact experience which included negotiating, interviewing, explaining information, the gathering and compiling of data, the analysis of data and/or the performance of mathematical or legal tasks; or 
  • An equivalent combination of training and experience.

Salary : $36,570 - $51,673

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