
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:
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!
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
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.
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.
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.
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 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.