Income Maintenance Caseworker II-Adult Medicaid

Salary: $44,604.00 Annually
Location : Lillington, NC
Job Type: Full-Time Regular
Job Number: DSS 2353
Department: DSS
Division: Adult Medicaid
Opening Date: 03/12/2026
Closing Date: Continuous


POSITION SUMMARY

Job Description Summary:

Employees in this position are responsible for determining applicants' initial eligibility for the Adult Medicaid program in Harnett County Department of Social Services. Employees serve during natural emergencies in County Emergency Management Shelter as needed and assigned.
Hiring Range: $44,604.00

**We will consider applicants in a Work Against status who may need up to one (1) year of Income Maintenance experience to be fully qualified. An employee in a work against status will have a starting salary of $40,457 Grade 17 and move to $44,604 Grade 19 upon completion.**

DUTIES AND RESPONSIBILITIES

Responsibilities and Duties:

1. Intake & Applications (60% of the time)

Work involves functions such as intake, review and process of the Adult Medicaid applications to determine eligibility. In the intake process, employees are responsible for obtaining all pertinent data concerning the clients' family composition, financial and employment. Employees are involved in processing clients' information through the verification of all documents obtained during intake. The employees' responsibility for determining the clients' continued eligibility for Adult Medicaid will depend upon the function performed. Work other duties as assigned Adult Medicaid IM Supervisor.

1. Organizing (20% of the time)

Employees balance workloads within Adult Medicaid unit and coordinate overall workflow. Work requires employees to develop procedures and to make minor organizational changes and recommend other changes to improve efficiency.

1. Guidelines (20% of the time)

Employees refer to the Adult Medicaid manuals in performing all functions required to complete the eligibility determination process. Guidelines are subject to periodic and frequent changes. Employees also utilize agency procedural guides in accomplishing the work. Correspondence and memoranda from State regulatory agencies are also used in interpreting policy directives.

MINIMUM QUALIFICATIONS

Knowledge, Skills, and Abilities:

Good mathematical reasoning and computational skills. Ability to communicate with clients, applicants, and the public to obtain data, and to explain and interpret rules, policies, and procedures. Ability to understand the needs and problems of clients/applicants. Ability to learn the program area of assignment and all agency programs and services which could affect the client/applicant.

Education/Certification:

Graduation from an accredited associate degree program in Human Services Technology, Social Services Associate, Paralegal Technology, Business Administration, Secretarial Science, or a closely related curriculum; or graduation from high school and two years of paraprofessional, clerical, or other public contact experience which included negotiating, interviewing, explaining information, gathering and compiling of data, analysis of data and/or performance of mathematical or legal tasks with at least one year of such experience being in an income maintenance program; or graduation from high school and three years of paraprofessional, clerical or other public contact experience which included negotiating, interviewing, explaining information, the gathering and compiling of data, the analysis of data and/or the performance of mathematical or legal tasks; or an equivalent combination of training and experience.

SUPPLEMENTAL INFORMATION

Work Environment/Location/Physical Demands:

Employees are periodically subject to working with agitated clients, and are frequently subject to heavy workloads, and compressed time frames. Clients may at times be verbally abusive due to their extreme situations or their emotions, but generally physical harm is unlikely on an ongoing basis.
Harnett County takes pride in offering an excellent benefit package including health, dental, vision and life insurance, membership in the North Carolina Local Government retirement, free health clinic for employees and anyone in their household and other benefits. To see more information about the benefits offered by Harnett County, click
01


Please indicate how you heard about this job opportunity: If referred by a Current County Employee please list their name below.
02


Please verify that your application includes the following information: *Complete Education History (including High School) * Employment history including salary, correct dates of employment, employer address and phone number, supervisor's name, and reason for leaving each employer. Applications without the above information will be considered incomplete and not be processed. Please take a moment to review your application before submission to ensure all categories are completed. I have read and understand the above statement.

• Yes
• No

03


What is your highest level of education?

• Masters Degree
• Bachelors Degree
• Associate Degree
• High School Diploma
• General Education Diploma
• Not Applicable

04


If you selected "Other Related Field" in the previous question, please list below the major coursework for your degree. (If this question does not apply please type N/A in the space provided below.)
05


From the list below, please indicate the major coursework of your highest degree.

• Human Services Technology
• Social Services
• Paralegal Technology
• Business Administration
• Secretarial Science
• Other Related Field
• Not Applicable

06


How many years of experience do you have determining eligibility for Public Assistance in a Social Services Program?

• 6 + years
• 4 - 5 years
• 2 - 3 years
• One year or less
• None

07


From the list below please select the programs for which you have experience determining eligibility:

• Family and Children's Medicaid
• Temporary Assistance Program (TANF)
• Food & Nutrition (FNS)
• Adult Medicaid
• None of the Above

08


Are you fluent in Spanish?

• Yes
• No

09


Do you have a valid North Carolina driver's license?

• Yes
• No

10


This position will require assisting in emergency and/or disaster situations. Are you willing to meet this working requirement?

• Yes
• No

11


Please indicate how you heard about this job opportunity: If referred by a Current County Employee please list their first name and last name below.
Required Question