Income Maintenance Caseworker III - Long Term Care Salary $50,463.44 - $85,787.86 Annually Location Johnston County DSS, NC Job Type Full-Time Job Number 02577 Department Social Services Opening Date 03/25/2026 FLSA Non-Exempt Description Benefits Questions Johnston County is an Equal Opportunity Employer. Description The Johnston County DSS mission is to serve, aid and protect needy and vulnerable children and adults in ways that strengthen and preserve families. We provide human services programs that are intended to promote the health, well-being, self-sufficiency and protection of families, children and adults within our community. Johnston County Department of Social Services has immediate openings for an Income Maintenance Caseworker III - Long Term Care. This position is in the Adult Medicaid Unit which is one of seven units in the Income Maintenance Section. Please Note: Johnston County DSS will accept Work Against candidates if fully qualified applicants are not located, salary for work against candidates will be determined and discussedwith Human Resources at time of offer. Duties and Responsibilities Interview applicants and determine initial and ongoing Medicaid eligibility for individuals residing in adult care homes or requiring nursing home level of care according to state and federal regulations. Interpret State and Federal guidelines and determining how they apply to each individual situation Educate customers to assure they are fully aware of the change reporting requirements Manage an ongoing caseload by re-determining eligibility and reacting to numerous changes under strict deadlines Referral of applicants/recipients to other social services programs and community services Interview and determine, re-determine applicants and recipients eligibility for Medicaid in Long Term Care (LTC). Accepts and processes applications for LTC and SA and backup PLA Medicaid. Complete program changes as they are received all while utilizing the NC FAST system to manage the applications and caseload. Perform all functions of an IMC II when covering vacant caseloads Responds to information from other sources and reports generated by automated matches and other sources to determine the effect on the case. Assumes responsibility for the resolution of complex problems where the consequence of their action can have a considerable effect on the customer and/or the agency Knowledge, Skills and Abilities Thorough knowledge of income maintenance program assigned. Considerable knowledge of all agency and community programs and services which could affect the client/applicant. General knowledge of all income maintenance programs. Good mathematical reasoning and computational skills. Ability to read, analyze, and interpret a variety of regulations, policies and procedure of varying complexity. Ability to work independently and prioritize work. Ability to instruct arid evaluate the work of lower level employees. Ability to train employees in new and existing rules, regulations, policies and procedures. Ability to understand the needs and problems of clients/applicants. Ability to perform caseworker function under and within structured time frames. Desired Education and Experience Two years of experience as an Income Maintenance Caseworker; or an equivalent combination of training and experience. Excellent people skills, patience and willingness to work with a diverse population Desired Experience Three (3) years of experience determining adult Medicaid eligibility Strong organizational and multi-tasking skills Excellent people skills, patience, and willingness to work with diverse populations Proficient in NCFAST & strong computer skills Capacity to learn and work quickly, and a strong will to learn and succeed Analytical skills to read, interpret, and apply complex rules and regulations NOTE: This job description is not intended to be an exhaustive list of all duties, responsibilities or qualifications associated with the job. Other duties may be assigned. Important Pre-Employment Information: If the position requires a degree, official transcripts must be submitted within 30 days of hire. A pre-employment reference check will be conducted. A background check may be required and may include criminal history, motor vehicle records, sex offender registry checks, pre-employment drug screening, SBI fingerprinting, and, if applicable, a National Practitioner Data Bank (NPDB) check. A conviction record does not automatically disqualify you from employment, unless otherwise required by state law. Each situation is reviewed on a case-by-case basis. Johnston County provides a comprehensive, affordable insurance and benefits program. Employees are offered a diverse selection of benefits including medical (no-cost for the employee plan), dental, life, and supplemental benefit coverages. Employees can also take advantage of our on-site wellness clinic and virtual telehealth program, both at no-cost! Additional benefits include participation in the NC Retirement System, a 401(k) match option, generous paid leave and holiday schedule, tuition reimbursement, and more! To learn more, visit www.myjcbenefits.com This description applies to benefits eligible positions. 01 Answers to supplemental questions are not a substitute for providing all relevant information within the body of your application. In order to receive credit for the supplemental questions in which you answered yes, unless otherwise noted, you must provide supporting information within the body of the application, to support your answer. Your application should also reflect all education and all professional work experience acquired including high school and all degrees. It is critical to our screening and salary determination process that applications contain comprehensive candidate information. Have you provided such information within the body of the application? (Information should be provided in the appropriate areas, to include the following: Education - including highschool, Work Experience - each position should be listed separately, Certificates & Licenses, Skills). Yes No 02 Please select your highest level of education completed. High School diploma (GED) Associates degree Bachelors degree Masters degree PhD or other professional degree 03 How many years of experience do you have as a Medicaid Income Maintenance Caseworker II? None 1 - 3 years 4 - 6 years 7+ years 04 How many years of experience do you have as a Long Term Care Medicaid Income Maintenance Caseworker III? None 1 - 3 years 4 - 6 years 7+ years 05 Please describe in detail your experience as a Medicaid Income Maintenance Caseworker. 06 Do you have experience working in NC FAST? Yes No 07 Do you have a valid North Carolina Drivers License or the ability to obtain prior to your hire date? Yes No Required Question Employer Johnston County Department Social Services Address 714 North Street Smithfield, 27577 Phone 919-934-4700 Website https://www.johnstonnc.gov/dss/