Adult Medicaid Long Term Care - Eligibility Caseworker III - Tiered Sign-on Bonus Up To $5,000

We are seeking an Eligibility Caseworker III specializing in Adult Medicaid Long Term Care and Special Assistance programs. In this role, you'll manage ongoing eligibility determinations, process applications, and ensure accurate case documentation while supporting individuals transitioning to long-term care settings such as skilled nursing , assisted living , or memory care facilities . As part of the Adult Medicaid (AMA) team, you’ll work onsite at WakeMed’s Main Campus in Raleigh, NC, serving as a liaison between Wake County and WakeMed facilities. You will evaluate Medicaid eligibility for in-county and out-of-county patients, including those with outstanding balances, and collaborate closely with social workers, nurses, and discharge planners. This role requires navigating both NCF and EPIC systems, tracking data manually across multiple tools, and providing regular reports to WakeMed leadership. Key Responsibilities: Determine eligibility for Medicaid LTC and Special Assistance programs Accurately enter data and authorize benefits in agency systems Evaluate referrals and coordinate with WakeMed for discharges into care facilities Maintain thorough knowledge of policy changes and training requirements Manage documentation using document management systems Track and report data across non-integrated systems (NCF and EPIC) Provide support to other case managers as needed Attend all mandatory trainings required by both Wake County and WakeMed