Income Maintenance Caseworker II (Adult Medicaid)

Salary: $33,836.51 - $37,304.75 Annually
Location : 15 Griffin Street -- Sylva, NC
Job Type: Permanent, Full-Time
Job Number: 20260098
Department: Social Services
Opening Date: 06/12/2026
Closing Date: 7/3/2026 5:00 PM Eastern
FLSA: Non-Exempt


Position Overview


The primary purpose of this position is to determine eligibility for Medicaid programs which includes intake, processing, and maintenance of cases in the Adult Medicaid unit.

Work Location : Cherokee, NC
Duties and Responsibilities
Work Schedule

8:00 AM to 5:00 PM, 40 hours a week Monday through Friday. Some after-hours work is required on occasion.

• Conduct interviews during intake to assess needs and obtain information.
• Inform Medicaid applicant of their rights, appeal decisions, ability to withdraw application, right to re-apply if found ineligible, responsibilities of the agency.
• Complete recertifications and changes in accordance with provided guidance, regulations, and policies.
• Utilize the NCFAST computer system
• Adhere to established deadlines.
• Complete paperwork as mandated by the agency or county administration.
• Attend various training workshops/webinars.
• Perform other duties as assigned by the supervisor.

Education and Experience


Graduation from high school and one year of experience as an Income Maintenance Caseworker; or an equivalent combination of training and experience. Will accept "work-against" applications.

Knowledge, Skills and Abilities

• Ability to read and comprehend rules and regulations, often changing policies and guidelines pertaining to Medicaid assistance programs.
• Ability to interpret agency's policies and procedures to people of varied backgrounds.
• Ability to accurately key codes and data into NCFAST.
• Obtain data for documentation and verification of information needed in determining eligibility.
• Detect need for other agency services and make appropriate referrals to the service staff.
• Work with facts and figures and perform tasks involving a high degree of accuracy.
• Learn the intricacies of numerous forms and procedures of the eligibility programs.
• Present information orally or in report form.
• Acquire interest in and understanding of disadvantaged persons.
• Possess qualities of patience and tolerance, and an awareness of various cultures.
• Must have ability to effectively communicate face- to- face and on the telephone.

Jackson County provides a robust offering of employee benefits including: employer paid medical and dental benefits, participation in the Local Governmental Employees' Retirement System, paid leave (vacation, sick, and holiday), Employee Clinic, Wellness program, and supplemental benefit offerings. A full overview of benefits is available at