Income Maintenance Caseworker III Lead (Adult Medicaid)

Job Class Description

• Serves as lead worker and mentor for Income Maintenance Caseworkers providing guidance oversight training and quality assurance.
• Oversees eligibility determination and case processing for Adult Medicaid and other income maintenance programs.
• Reviews cases for accuracy policy compliance proper documentation and timely processing.
• Resolves complex eligibility issues client appeals and escalated cases.
• Identifies program-wide issues recommends corrective actions and provides specialized training for new and transitional employees.
• Applies extensive knowledge of income maintenance programs policies procedures and NC FAST.
• May carry a caseload and perform full Income Maintenance Caseworker III duties as needed.
• Spends a significant portion of time (more than 25%) providing supervision mentorship reviewing work and monitoring staff performance.
• Performs other duties as assigned.

Essential Duties

Lead / Oversight / Quality Assurance

• Serve as lead worker and mentor for lower-level caseworkers providing guidance coaching and technical support.
• Conduct second-party case reviews to ensure accuracy compliance proper documentation and timely processing.
• Identify recurring errors and recommend training or process improvements.
• Assist supervisors with monitoring staff performance workload distribution and training needs.
• Participate in hiring onboarding and performance evaluations as requested.
• Provide ongoing training on policy changes NC FAST and procedural updates.

Case Processing / Eligibility Work

• Interview applicants and recipients verify documentation review household information and determine eligibility.
• Process applications changes redeterminations and benefit authorizations for programs including Medicaid Food and Nutrition Services Work First Child Care Subsidy Energy Assistance and Long-Term Care.
• Maintain accurate and timely case information in NC FAST.
• Monitor deadlines and ensure case actions meet required timeframes.
• Handle complex or escalated cases and provide caseload coverage when needed.
• Prepare documentation for hearings and appeals and assist with audits and quality control reviews.

Policy / Compliance / Reporting

• Maintain current knowledge of federal state and local policies and regulations affecting income maintenance programs.
• Interpret and apply policies while providing guidance to staff.
• Maintain and review reports logs and quality assurance documentation.
• Assist with audits compliance reviews monitoring visits and data integrity efforts.
• Recommend procedural improvements to increase accuracy and efficiency.

Additional Responsibilities

• Participate in staff meetings training and professional development.
• Provide emergency coverage or after-hours support as required.
• Serve as a liaison with DSS divisions community agencies and other stakeholders.
• Perform other duties as assigned.

Knowledge and Skills

• Thorough knowledge of assigned income maintenance programs.
• Considerable knowledge of agency and community programs and services available to clients.
• General knowledge of all income maintenance programs.
• Good mathematical reasoning and computational skills.
• Ability to read interpret and apply complex regulations policies and procedures.
• Ability to work independently and prioritize assignments.
• Ability to instruct mentor and evaluate lower-level employees.
• Ability to train employees on rules regulations policies and procedures.
• Ability to understand and respond to client needs and concerns.
• Ability to complete caseworker functions within established timeframes.

Minimum Qualifications

• Two (2) years of experience as an Income Maintenance Caseworker or an equivalent combination of training and experience.
• High school diploma.
• Valid North Carolina drivers license.

Preferred Experience

• Three (3) years of experience determining eligibility for State or County Department of Social Services programs such as Medicaid Food and Nutrition Services Work First Child Care Subsidy Child Support or Energy Assistance.
• Two (2) years of program-specific experience.

To Apply: Email your resume to

For additional information regarding this position please visit Job Descriptions

Granville County is an Equal Opportunity Employer

Required Experience:

IC