Income Maintenance Caseworker III- Lead Worker- Adult Medicaid

Summary

Rockingham County is an equal opportunity employer and will comply with federal and state statutes regarding discrimination in employment.

• Paid Medical, Dental, Vision & Life Insurance
• Onsite wellness/medical clinic
• Onsite fitness center
• Retirement
• Flexible Spending
• Paid Vacation, Sick & Holidays
• Bereavement
• Community Service Leave
• Weekends Off (varies by position)
• Flexible Work Schedules & Telework Options (varies by position)
• Tuition Reimbursement
• 401-K & 457 Plans with county match up to 1% of base salary

Employee in this position is responsible for leading a team that determines eligibility for Adult Medicaid benefits, which includes processing applications, managing caseloads, and ensuring compliance with program policies. This lead role involves a higher level of responsibility, including training new employees and providing remedial and/or refresher training to existing employees along with reviewing the work of caseworkers. Work is performed under the limited supervision of the Income Maintenance Supervisor II.

Examples of Duties

Example of Duties:

• Perform second-party reviews of caseworker files to ensure accuracy, compliance with federal and state regulations, proper documentation, and timely action
• Spot recurring errors or trends during case reviews and assist supervisor in developing and delivering remedial training
• Assist supervisor by monitoring staff performance, managing workloads, and helping staff meet case management goals
• Provide ongoing training for new and existing employees on policy changes, procedural updates, and computer systems such as NC Fast
• Carry a partial or full caseload in addition to lead worker responsibilities. This may also include covering vacant caseloads during staff absences
• Analyze household data, verify documentation, and apply complex regulations to determine initial and ongoing eligibility for Adult Medicaid program benefits
• Manage a complex caseload related to Adult Medicaid, including Long-Term Care, Special Assistance, and other related programs. Assist with more difficult cases that may be escalated from other caseworkers.
• Produce and review reports, logs, and quality assurance documentation to ensure compliance and timeliness goals are being met
• Assist with internal and external audits, quality control checks, and compliance reviews
• Performs other duties as assigned or requested

Knowledge, Skills and Abilities:

• Thorough and in-depth knowledge of Adult Medicaid policies and procedures, along with a general knowledge of other income maintenance programs, and of other agency and community services
• Ability to analyze and interpret complex rules, regulations, and procedures
• High level of proficiency with the relevant state computer systems for eligibility, such as NC Fast
• Strong ability to work independently, prioritize a heavy workload, handle multiple tasks, and work within strict, time-sensitive deadlines
• Ability to instruct, train, mentor, and evaluate the work of assigned staff on policies, procedures, and program functions
• Excellent written and verbal communication skills to interact with clients, staff, and other agencies, sometimes under stressful or difficult circumstances
• Excellent mathematical reasoning and computational skills

Physical Activities, Visual Acuity, and Working Conditions for this Position.

• Stooping - Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles
• Kneeling - Bending legs at knee to come to a rest on knee or knees
• Crouching - Bending the body downward and forward by bending legs and spine
• Crawling - Moving about on hands and knees or hands and feet
• Reaching - Extending hand(s) and arm(s) in any direction
• Standing - Remaining upright on the feet, particularly for sustained periods of time
• Walking - Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another
• Pushing - Using upper extremities to press against something with steady force to thrust forward, downward, or outward
• Pulling - Using upper extremities to exert force to draw, drag, haul or tug objects in a sustained motion
• Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles
• Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with whole hand or arm as in handling
• Grasping - Applying pressure to an object with the fingers and palm
• Feeling - Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips
• Talking - Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly
• Hearing - Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communications, and making fine discriminations in sound
• Repetitive Motions- Making substantial movements (motions) of the wrists, hands and/or fingers
• Sedentary Work- Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met
• Employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts and/or operation of machines (including inspection); using measurement devices and/or assembly or fabrication of parts at distances close to the eyes
• None: Employee is not substantially exposed to adverse environmental conditions (typical office or administrative work)

Minimum Qualifications

Minimum Education and Experience:

High School diploma or GED and considerable experience working with NC Fast and Medicaid programs in a health and human services agency; or significant experience in an income maintenance position involving public contact, financials, customer service and eligibility determination, or equivalent combination of education and experience.

Preferred Qualifications:

Preference will be given to applicants with Adult Medicaid Income Maintenance experience

Supplemental Information

Note: In accordance with State mandates and the Rockingham County Emergency Operations Plan, Rockingham County Health and Human Services staff from the Divisions of Social Services, Public Health and Integrated Health are required to staff emergency shelters during times of disaster. Please be advised that every staff person is eligible to be assigned to an emergency shelter or Emergency Operations Center.

The Public Service Loan Forgiveness Program is intended to encourage individuals to enter and continue to work full-time in public service jobs. If you have student loans and you are selected for full-time employment with Rockingham County, you may qualify for forgiveness of the remaining balance due on your William D. Ford Federal Direct Loan after you have made 120 qualifying payments on those loans while employed full-time by certain public service employers. Click on the link below to see whether you might qualify.

Medical, Dental, and Vision Insurance

For Full Time employees in a regular position, insurance is available and effective the first day of the following month after having worked for an entire month. The County currently pays 100% of the cost for regular employees working at least 30 hours per week. Dependent coverage is also available.

Paid Time Off

This benefit is available to regular employees working at least 20 hours per week. Time off includes:

Vacation/Annual Leave

Sick Leave

Paid Holidays.

Bereavement

Local Government Retirement System

All employees in regular full or part time position are required to contribute to the retirement system. Contributions are taken on a pre-tax basis. The current contribution amount is 6%.

Supplemental Retirement Plans

NC 401(k)- Employees have the option of making contributions on a pre or post tax basis to a 401(k) and on a pre tax basis to a a 457(b) plan. Contributions will be matched by the county, up to 1% or their annual base salary.

Other Insurance

Insurance such as life, short term disability, and cancer care are available to regular employees and can be paid through payroll deduction.

Direct Deposit

All employees are required to have direct deposit.

Other Benefits

Annual longevity payment beginning with the 6th full year of full or part time regular employment