Income Maintenance Caseworker II - Adult Medicaid

Salary : $45,872.00 - $58,486.00 Annually
Location : Pittsboro, NC
Job Type: Full-Time
Job Number: 202600407
Department: Social Services
Opening Date: 06/01/2026
Closing Date: 6/15/2026 11:59 PM Eastern
FLSA: Non-Exempt


WELCOME TO CHATHAM COUNTY'S APPLICATION PROCESS.


To Apply: Become a part of the best local government in North Carolina click "Apply" in the top right corner.

All sections of the application, including work experience, MUST be completed. Please include the last ten (10) years of employment history. Incomplete applications may be rejected. Applications are stored on a secure site accessible only by authorized personnel. Your application can be saved and used to apply for more than one (1) job opening.

Chatham County is an equal opportunity employer and will consider reasonable accommodations as required by law. Chatham County participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

Chatham County does not offer sponsorship of job applicants for employment-based visas or any other work authorization for our positions at this time.

*Please Note: After submitting your application:

• Log into your account daily. You will receive emails and notices from hiring managers asking you to complete tasks. You do not want to miss these.
• The references you provided will be asked to complete a form. This does NOT mean you will be interviewed. It is an automated process in NeoGov.
• We recommend you sign up for text message alerts when you create your account.

If you have issues with submitting your application, please contact Neogov Applicant Support at View phone number on click.appcast.io.


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Job Description


Are you passionate about making a difference in the lives of adults navigating the complexities of Medicaid? Are you compassionate and detail-oriented? Do you want to collaborate with a diverse team of professionals dedicated to transforming lives and improving outcomes? If you said yes, this may be the job for you! Chatham County promotes work-life balance while providing the best benefits around. Don't miss this opportunity!

Employees in this position are responsible for performing duties related to determining and/or determining eligibility for Economic Services programs such as Medicaid, Food and Nutrition Services, Work First Family Assistance, Crisis Intervention, Low Income Energy Assistance, and Childcare Subsidy. Work at this level includes such tasks as interviewing clients to obtain required information, completing initial applications, verifying the information obtained, determining eligibility, or completing scheduled program reviews. Employees must explain program(s) requirements and options and advise or refer clients to other program services as appropriate. Employees are generally assigned a primary program, however, cross-training in other programs areas may be required. Employees will report to the Economic Services Supervisor.

Work involves direct contact with the client and direct or indirect contact with the clients' family or representative and collaterals to gather and verify any information necessary to determine clients' eligibility for the program(s). Employees' decisions are usually subject to a second. Employees are seen as representatives of the agency and eligibility decisions commit the agency to providing clients with economic services.

**NOTE** Two professional references with at least one supervisor (past or present) is preferred.

Essential Functions


The following essential functions serve as a general guide for this position. Position functions are subject to change based on departmental needs and external factors including, but not limited to, regulatory requirements

• Work involves performing all functions including intake, processing, and review in one of the following economic services programs; Medicaid, Food and Nutrition Services, Work First Family Assistance, Crisis Intervention, Low Income Energy Assistance, and Childcare Subsidy;
• For intake, employees are responsible for obtaining all pertinent data concerning the clients' family composition, financial, employment, and health status and entering all required information into NCFAST;
• For processing applications, employees must utilize the NCFAST and any other required software technology to verify all information obtained during intake;
• For redetermination or review of the client's case periodically, the employee must re-verify the client's eligibility for continued participation in the program, using NCFAST and any other required software technology;
• Responsible for reacting appropriately to changes that occur within a client's situation that may affect eligibility status;
• Work involves direct public contact either face-to-face or by phone;
• Maintain an ongoing caseload of the identified primary program as designated by the Supervisor with an understanding that caseload sizes vary within programs;
• Run and monitor daily caseload reports;
• Employees with lead worker responsibilities require greater familiarity with program policies and processing functions to correct any errors detected during second-party reviews;
• Refer to all applicable policies, procedures, and NC DHHS communications required to complete the eligibility determination process;
• Serves on a shelter team during hurricanes, storms, and other disasters as determined by Emergency Management;
• Performs other duties as assigned.

Minimum Qualifications


High school diploma or GED and one year of experience as an Income Maintenance Caseworker; or an Associates degree in accounting, business administration, human services, secretarial science, or a closely related field and at least two years of paraprofessional, clerical, or other public contact experience which includes negotiating, interviewing, obtaining, analyzing and/or evaluating data; or a high school diploma or GED and at least five years of paraprofessional, clerical or other public contact experience which includes negotiating, interviewing, obtaining, analyzing and/or evaluating data. Direct experience with NC Fast is preferred.

One year of experience as an Income Maintenance Caseworker is necessary to fully qualify as an Income Maintenance Caseworker II. If a fully qualified Income Maintenance Caseworker II is not available, we will consider hiring an Income Maintenance Caseworker I with a work-against for one year.

Knowledge, Skills, and Abilities

• Considerable knowledge of the economic program assigned (e.g., Medicaid, Food and Nutrition Services);
• General knowledge of all agency and community programs and services that could affect the client/applicant;
• Ability to understand the needs and problems of the clients/applicants;
• Good mathematical reasoning and computational skills;
• Ability to read, analyze, and interpret rules, regulations, and procedures;
• Ability to communicate orally and in writing;
• Ability to demonstrate excellent listening skills;
• Ability to obtain information through interviewing and observation;
• Ability to adapt to policy and practice changes;
• Ability to instruct and evaluate the work of lower-level employees;
• Ability to perform caseworker functions within structured time frames and manage assigned workloads;
• Ability to perform work using multiple local and state technology systems, including NCFAST, Northwoods, iiReception, Microsoft Office, web browsers, virtual meeting platforms such as Microsoft Teams and Zoom, and other commonly used electronic programs;
• Skill in operating standard office equipment such as a computer, phone, fax machine, and calculator;
• Skill in maintaining a calm disposition in a variety of situations and maintaining confidentiality;
• Ability to demonstrate excellent customer service with the ability to work with a diverse group of individuals and provide equitable treatment to all;
• Ability to keep records;
• Ability to perform and organize work independently;
• Ability to establish and maintain effective working relationships with county officials, department heads, peers, associates, and the general public.

Physical Requirements
This work requires the frequent exertion of up to 10 pounds of force and occasional exertion of up to 25 pounds of force; work regularly requires sitting, speaking, hearing, using hands to finger, handling, feeling, reaching with hand and arms and repetitive motions, frequently requires walking and occasionally requires standing, stooping, kneeling, crouching, crawling, pushing, pulling and lifting; work has standard vision requirements; work requires vocal communication to express or exchange ideas by means of spoken word; work requires hearing to perceive information at normal spoken levels; work requires preparing and analyzing written or computer data, using measuring devices, operating motor vehicles or equipment and observing general surroundings and activities; work occasionally requires exposure to outdoor weather conditions; work is generally in a moderately quiet location (e.g. business office).


Special Requirements

Must possess a valid North Carolina driver's license.

Must complete all applicable required training including Confidentiality, Civil Rights, FEMA and Red Cross Shelter Training, Bloodborne Pathogens, NCFAST Core Functions, Level 1, and other state trainings, new employee orientation, and Chatham County Department of Social Services Policy and Procedures.

Some travel to local or state meetings may be required.


Chatham County is fully committed to equal employment opportunity (EEO) principles and issues this anti-discrimination/EEO compliance clause to support and maintain employee's rights and responsibilities relating to equal employment. The core of equal employment opportunity is the right to work and advance on the basis of merit, ability, and potential, free from prejudice or discrimination. In accordance with the applicable anti-discrimination statutes, executive orders, and other authorities, Chatham County protects employees against discrimination, to the fullest extent of law, on the basis of race, color, religion, sex (including pregnancy), national origin, sexual orientation, gender identity, age, disability, genetic information, marital status, political affiliation, whistleblower activity, parental status, and military service (past, present, or future), and against retaliation for participation in EEO activity or opposition to discrimination.
Chatham County has over 600 employees who play an important role in planning, designing, and maintaining government programs while delivering good customer service and maintaining fiscal responsibility. Our employees are our greatest asset, and we place a high value on training, so employees are well-educated and well-trained. Sure, while various career opportunities exist, none are as rewarding as working for Chatham County.

We offer a competitive benefits package to full-time employees (working 30+ hours per week) including health care, dental, vision, retirement, 401(k), flexible spending accounts, life insurance, long-term disability, holidays, and paid leave.

To learn more details, visit the on our website.
01


How many years of experience do you possess as an Income Maintenance Caseworker in an Economic Services program within a Department of Social Services or Human Services?

• None
• Less than 2 years
• 2 - 4 years
• 4+ years

02


Which best describes your years of work experience gathering information and explaining information through effective interviewing?

• None
• Less than 2 years
• 2 - 4 years
• 4+ years

03


This position requires interactions with the public, in person, by phone, and by email. How comfortable are you with these types of communications?

• Very comfortable - I have extensive experience.
• Comfortable - I have some experience.
• Somewhat comfortable - I have limited experience.
• Not comfortable - I have little to no experience.

04


How comfortable are you with interviewing clients to determine eligibility for Economic Services benefits (Medicaid, FNS, Child Care)?

• Very Comfortable
• Somewhat comfortable
• Neutral
• Somewhat uncomfortable
• Uncomfortable

Required Question