Eligibility Specialist III (IMC III) - Adult Medicaid LTC

New as of 01/01/2026:

Your well-being matters from the start — benefited new hires are eligible for up to 40 hours of advanced annual leave and 40 hours of advanced sick leave.

Position Description

Catawba County Social Services is seeking a highly motivated Eligibility Specialist to join our Adult Medicaid Long Term Care (LTC) team. In this advanced role, you'll determine eligibility for programs such as Medicaid for the Aged, Blind, and Disabled (ABD), Long Term Care, Special Assistance, CAP, and PACE. You'll also serve as a critical resource for applicants and families navigating care transitions and aging support needs.

If you're passionate about public service, detail-oriented, and eager to grow your expertise in Medicaid policy, this could be the right opportunity for you.

• Salary is negotiable for applicants who are fully qualified. (2 years or more of Income Maintenance experience, particularly Adult Medicaid or Long Term Care)
• Applicants must possess 2 years of experience in income maintenance eligibility (IMC) in a Department of Social Services in order to be fully qualified. However, trainees with 1 year of Medicaid IMC experience may be accepted. Trainee pay is $45,221.19 per year.

Responsibilities

• Determine eligibility for the Medicaid for the Aged, Blind, and Disabled and Special Assistance programs by interviewing, researching, verifying information, and gathering data from citizens applying for assistance.
• Primary responsibility for determining eligibility for Long Term Care, CAP, PACE, and Special Assistance
• Interpret State and Federal guidelines and determining how they apply to each individual situation
• Manage Data in complex computer systems
• Explanation and enrollment in Carolina Access and proper use of electronic benefit card (EBT card)
• Educate clients to assure they are fully aware of the change reporting requirements
• Manage an ongoing caseload by re-determining eligibility and reacting to numerous changes under strict deadlines
• Referral of applicants/recipients to other social services programs and community services

Qualifications

• Associate’s degree in Human Services, Business, or a closely related field and 2 years of experience as an Income Maintenance Caseworker; OR
• High school diploma or GED equivalent and 3 years of demonstrated experience with mathematical work and/or public contact involving interviewing, gathering, and compiling information, and 2 years of experience as an Income Maintenance Caseworker.

Additional Requirements

• Ability to self-initiate, with strong organizational and multi-tasking skills
• Excellent people skills, patience, and willingness to work with a variety of personalities
• Strong computer skills
• Capacity to learn and work quickly, and a strong will to learn and succeed
• Analytical skills to read, interpret, and apply complex rules and regulations

• Working with a dynamic team dedicated to providing excellent customer services
• Interaction with a variety of people on a daily basis
• A challenging environment where you can use your high-level technical skills
• A professional office environment
• Job stability in a committed organization, with a nice benefit package
• A rewarding career, impacting the lives of others

As of 7/1/2025:
You will find that Catawba County has one of the best benefits packages around. Our Human Resources staff are dedicated to keeping in touch with trends in benefits on both a local and national level, listening to employees' suggestions regarding benefits, and continually reviewing to ensure our benefits package is of good quality and meets the needs of both our employees and our organization.
Available benefits include:

Health Care

• Health: For a small bi-weekly premium, employees may choose between a traditional (co-pay) health plan and a high deductible health plan coupled with a Health Savings Account (HSA). Coverage may also be purchased for spouse, child(ren), or family.
• Dental Insurance: At no cost to full-time employees, the County covers preventive, routine, and non-routine care. Coverage for the same benefits may also be purchased for spouse, child(ren), and family. In addition, a $2,000 benefit toward orthodontia coverage is provided for children up to age 19.
• Vision Care: Coverage is available, at group rates, for employee and dependents,with 2 plan options to choose from.
• Supplemental critical care and accident insurance plans: These optional coverage plans are available at a nominal cost.
• Flexible Spending Accounts: Pre-tax accounts that can be used to pay for qualified out-of-pocket medical, dental, and vision expenses.

• Employee Health Clinic (EHC): An employee medical clinic, available to all County employees, which operates 40 hours a week. Services provided include acute care, first aid, evaluation and care for workers' compensation injuries, pre-employment screenings, health education, and behavioral health referrals. Services are offered both in person and through telehealth. Acute care is available to employee’s children ages 3-17, regardless of health insurance coverage, and for employee’s adult children (ages 18-26) or employee’s spouse if covered on the county’s health insurance.
• Wellness: The County recognizes the importance of our health and well-being. We maintain a very proactive and effective Wellness Program, including reimbursement and discounts for gym membership, incentives for physical activity, on-site nutrition counseling, free exercise opportunities, wellness education, and more.
• Employee Assistance Program: Counseling services are available to all County employees and immediate family members in the home. Services are provided in a private and confidential setting (in-person or virtually). The County provides coverage for the first six visits.

• Annual Leave:Full-time employees earn from 10-24 days annually based on years of service. Service credit from other NC and Local Governments in the retirement system may be transferred to the County.
  • To help new employees settle in, up to 40 hours of annual leave is advanced upon hire, with first-year accruals adjusted to align with established annual limits.
• Sick Leave:Full-time employees earn one day (8 hours) of sick leave per month. Sick leave from other NC and Local Governments in the retirement system may be transferred to the County.
  • New hires are advanced up to 40 hours of sick leave, with first-year accruals adjusted to align with established annual limits.
• Holiday Leave: Throughout the year, 11 days of paid leave are provided in recognition of holidays.
• Flexible work schedules.
• Time off for activities that support our local schools.
• Continuing educational assistance.
• Discount tickets to recreational venues.
• Employee appreciation days/activities.
• Tax-free flexible spending account to pay for dependent care.

• Local Governmental Employees Retirement System: For employees assigned to work 20 hours per week or more in a benefitted position, participation in this program is automatic. Employees contribute 6% of their salary, which is tax-deferred. After (5) years of creditable service, you become fully vested in the retirement system. Employees may also take advantage of individual and group retirement counseling through the Human Resources department.
• 401K: The County provides a 2% contribution plus an additional 1% match (up to 3% total contribution by the County). Our sworn law enforcement officers receive a flat 5% contribution to their 401k.
• Other Tax Deferred Programs: Other tax-sheltering programs are available through IRS Code 125 (Cafeteria Plan), and a 457 supplemental retirement plan (Deferred Compensation).
• Longevity Pay: After 5 years of creditable service, employees receive an annual longevity payment that is paid every year thereafter. This lump sum payment rewards employees for their length of service to Catawba County. The amount is based on years of service.
• Life Insurance: Death benefit equal to one times the employee’s annual salary, with a minimum coverage amount of $25,000. Optional supplemental life insurance coverage is also available for both employee and dependents through payroll deduction at group rates.
• Short Term Disability: Available at no cost to employees, benefits are available after a 55-day waiting period.
• Long Term Disability: Available through payroll deduction at group rates.
• Eligibility for membership and financial services at State Employees Credit Union (SECU)/Local Government Federal Credit Union (LGFCU).