Wake County

Adult Medicaid Long Term Care - Eligibility Caseworker III - Tiered Sign-on Bonus Up To $5,000

Wake County  •  Raleigh, NC (Onsite)  •  3 hours ago
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Job Description

What You'll Be Doing

We are seeking an Eligibility Caseworker III specializing in Adult Medicaid Long Term Care and Special Assistance programs. In this role, you'll manage ongoing eligibility determinations, process applications, and ensure accurate case documentation while supporting individuals transitioning to long-term care settings such as skilled nursing, assisted living, or memory care facilities
As part of the Adult Medicaid (AMA) team, you’ll work onsite at WakeMed’s Main Campus in Raleigh, NC, serving as a liaison between Wake County and WakeMed facilities. You will evaluate Medicaid eligibility for in-county and out-of-county patients, including those with outstanding balances, and collaborate closely with social workers, nurses, and discharge planners. This role requires navigating both NCF and EPIC systems, tracking data manually across multiple tools, and providing regular reports to WakeMed leadership.

Key Responsibilities:

  • Determine eligibility for Medicaid LTC and Special Assistance programs
  • Accurately enter data and authorize benefits in agency systems
  • Evaluate referrals and coordinate with WakeMed for discharges into care facilities
  • Maintain thorough knowledge of policy changes and training requirements
  • Manage documentation using document management systems
  • Track and report data across non-integrated systems (NCF and EPIC)
  • Provide support to other case managers as needed
  • Attend all mandatory trainings required by both Wake County and WakeMed


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: Wake Medical Center7 Raleigh, NC 27610

Employment Type: Regular

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

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 8/18/2026


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 home to NC State University, Research Triangle Park, and 2006 Stanley Cup Champions, the Carolina Hurricanes. 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. In Fall 2026, two at-large seats will be added for nine total commissioners. The County is regarded as a fiscally responsible and well-managed government, enjoying a AAA bond rating. The County’s FY2026 General Fund budget is approximately $2.1 billion, and the County has over 5,100 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.

Wake County

About Wake County

Wake County Government provides services including tax collection, library services, local parks administration, planning and permitting, health and human services, law enforcement and more. Wake County is governed by a seven-member Board of Commissioners.

Consistently rated as one of the best places to live and work in America, Wake County, North Carolina is home to NC State University, Shaw University, Research Triangle Park, and 2006 Stanley Cup Champions, the Carolina Hurricanes. Wake County is also the center of state government, with our Capitol Building, legislature and many government offices located in Raleigh.

Wake County is the most populous County in North Carolina. The County consists of 12 municipalities and includes Raleigh, the county seat and state capital. A unique mix of urban and rural small towns distinguishes Wake County from other counties and provides something for every lifestyle.

Industry
Government & Public Safety
Company Size
1,001-5,000 employees
Headquarters
Raleigh, NC
Year Founded
1771
Website
wake.gov
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