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Income Maintenance Caseworker III - Long Term Care

Johnston County
Johnston, NC Full Time
POSTED ON 3/27/2026
AVAILABLE BEFORE 5/26/2026
The Johnston County DSS mission is to serve, aid and protect needy and vulnerable children and adults in ways that strengthen and preserve families. We provide human services programs that are intended to promote the health, well-being, self-sufficiency and protection of families, children and adults within our community.

Johnston County Department of Social Services has immediate openings for an Income Maintenance Caseworker III - Long Term Care. This position is in the Adult Medicaid Unit which is one of seven units in the Income Maintenance Section.

Please Note: Johnston County DSS will accept Work Against candidates if fully qualified applicants are not located, salary for work against candidates will be determined and discussedwith Human Resources at time of offer.
  • Interview applicants and determine initial and ongoing Medicaid eligibility for individuals residing in adult care homes or requiring nursing home level of care according to state and federal regulations.
  • Interpret State and Federal guidelines and determining how they apply to each individual situation
  • Educate customers 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
  • Interview and determine, re-determine applicant's and recipient's eligibility for Medicaid in Long Term Care (LTC).
  • Accepts and processes applications for LTC and SA and backup PLA Medicaid.
  • Complete program changes as they are received all while utilizing the NC FAST system to manage the applications and caseload.
  • Perform all functions of an IMC II when covering vacant caseloads
  • Responds to information from other sources and reports generated by automated matches and other sources to determine the effect on the case.
  • Assumes responsibility for the resolution of complex problems where the consequence of their action can have a considerable effect on the customer and/or the agency
  • Thorough knowledge of income maintenance program assigned. 
  • Considerable knowledge of all agency and community programs and services which could affect the client/applicant. General knowledge of all income maintenance programs. 
  • Good mathematical reasoning and computational skills. Ability to read, analyze, and interpret a variety of regulations, policies and procedure of varying complexity. 
  • Ability to work independently and prioritize work. 
  • Ability to instruct arid evaluate the work of lower level employees. 
  • Ability to train employees in new and existing rules, regulations, policies and procedures. 
  • Ability to understand the needs and problems of clients/applicants. 
  • Ability to perform caseworker function under and within structured time frames.
Two years of experience as an Income Maintenance Caseworker; or an equivalent combination of training and experience. Excellent people skills, patience and willingness to work with a diverse population

Desired Experience
  • Three (3) years of experience determining adult Medicaid eligibility
  • Strong organizational and multi-tasking skills 
  • Excellent people skills, patience, and willingness to work with diverse populations 
  • Proficient in NCFAST & 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

Salary : $50,463 - $85,788

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