Adult Medicaid Long Term Care - Eligibility Team Lead

WAKE COUNTY, NC
Raleigh, North Carolina United States  View Map
Posted: Oct 25, 2024
  • Salary: 23.94 - 32.32 USD
  • Salary Top:32
  • Administration and Management
  • Clerical and Administrative Support
  • Human and Social Services
  • Job Description

    What You'll Be Doing

    The Human Services Senior Case Manager - Adult Medicaid Long Term Care - Eligibility Team Lead will be responsible for training and leading a mighty team of 7. In this role the Eligibility Team Lead will demonstrate their knowledge of Family and Adult Medicaid to support both Wake County and Wake Med clients in determining eligibility for Adult Medicaid Programs.

    The Eligibility Team Lead is responsible for reviewing casework quality, training, instructing, scheduling, and providing Supervisory coverage and support as needed.

    Additional responsibilities include:

    • Aiding with QA audits for the case managers on your team monthly
    • Monitoring logs and spreadsheets in multiple program categories on a daily, weekly, and monthly basis
    • Monitoring and providing assistance with work queues and rotating duty coverage
    • Responding to emails related to hospital referrals as well as assisting with referrals in multiple program categories
    • Checking case actions for accuracy and providing feedback for case managers
    • Manage vacant caseloads
    • Facilitate training for the team and one-on-one with new staff- managing specialized caseloads.

    **Note: This is a hybrid position located at Wake Medical Center-Raleigh campus on New Bern Ave.

    About Our Team

    Wake County Health and Human Services (WCHHS) is the consolidation of programs and services that include social services, public health, job search assistance, child support, and transportation. Our mission, in partnership with the community, is to facilitate full access to high quality and effective health and human services for Wake County residents. In addition to our numerous standard programs, Wake County Health and Human Services (WCHHS) is engaged in a number of special initiatives that are impacting services and programs throughout our entire agency. Whether legislated down from the changing regulations on the Federal or State level or bubbling up from the entrepreneurial spirit of our staff, you can always look forward to Wake County Health and Human Services implementing new and exciting enhancements to our services and programs.

    The Basics (Required Education and Experience)

    • Associate's degree in Human Services or a related field
    • Three years of job-related experience
    • Equivalent education and experience are accepted
    • Please include ALL prior work experience on your application and resume.


    Beyond the Basics (Preferred Education and Experience)

    • 2 years or more experience working with NCFAST
    • Knowledge of both Family and Adult Medicaid
    • Current Medicaid eligibility knowledge
    • 2 years or more experience as a case manager
    • Experience working with Epic
    • Human Services experience as a Supervisor, Team Lead, Trainer or Mentor


    How Will We Know You're 'The One'?

    • Ability to be relied upon to ensure that projects within areas of responsibility are completed in a timely manner within a deadline driven environment with short timeframes.
    • Ability to adjust effectively to work within new work structures, processes, requirements, or cultures.
    • Ability to apply complex policy to determine eligibility for Medicaid.
    • Ability to firmly adhere to codes of conduct and ethical principles.
    • Ability to interpret policy and translate complex concepts to co-workers.
    • Ability to build and maintain ongoing, collaborative, working relationships with coworkers to achieve the goals of the work unit.
    • Ability to utilize office equipment and other relevant technology (software and systems) to meet business needs. (e.g. Microsoft Office, NCFAST, OnBase).


    About This Position

    Location: Wake Medical Center Raleigh, NC 27610

    Employment Type: Regular

    Work Schedule: Mon - Fri 8:00am - 4:30pm

    Hiring Range: 23.94 - 32.32

    Market Range: 23.94 - 40.70

    Please include ALL prior work experience on your application and resume.

    Posting Closing Date: 7:00 pm on 11/1/2024

    What Makes Wake Great

    Home to the State Capital, Wake County is one of the fastest growing areas in the nation and the most populous county in the state, with more than 1.1 million residents. The County has received national and international rankings and accolades from publications such as Money, Fortune, and Time magazines as being one of the best places to live, work and play. The central location of the County allows for a short drive to the spectacular mountains or coast. Wake County Government is governed by a seven-member Board of Commissioners, who are elected at-large to serve two-year terms. Wake County Government has a general operating budget of $1.874 billion, employs over 4400 employees, experiences minimal turnover, and is an award-winning leader in wellness and technology initiatives; such as offering employees and covered spouses free access to the Employee Health Center. Wake County Government offers a wide range of training and development opportunities, a stable career in public service with a balance of work and family life, flexible work schedules and a competitive salary and benefits package.

    Equal Opportunity Statement

    Wake County provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

    Background Check Statement

    Position may require a background check that may include: criminal, credit, motor vehicle, education, and sexual offender registry or others based on job requirements. Unless required by state law, a record of conviction will not automatically exclude you from consideration for employment. Wake County Government is an Equal Opportunity Employer.

    Emergency Service Worker Statement

    In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected. Employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, during and after the emergency. Employee may also be required to participate in relevant exercises and regular preparedness training.
  • ABOUT THE COMPANY

    • Wake County Government
    • Wake County Government

    Wake County Government provides services including tax collection, library services, local parks administration, planning and permitting, health and human services, law enforcement and more. Wake County is governed by a seven-member Board of Commissioners.

    Consistently rated as one of the best places to live and work in America, Wake County, North Carolina is home to NC State University, Shaw University, Research Triangle Park, and 2006 Stanley Cup Champions, the Carolina Hurricanes. Wake County is also the center of state government, with our Capitol Building, legislature and many government offices located in Raleigh.

    Wake County is the most populous County in North Carolina. The County consists of 12 municipalities and includes Raleigh, the county seat and state capital. A unique mix of urban and rural small towns distinguishes Wake County from other counties and provides something for every lifestyle.

    Employee Benefits

    Employees enjoy competitive salaries, comprehensive benefits, generous paid leave, investment in professional development, and a balance of work and family life. We offer a diverse selection of benefits to choose from, allowing employees to customize their benefits package to meet their family’s unique needs.

    Our comprehensive benefits and wellness programs are the rewards that go beyond the paycheck, including a 5% employer contribution to NC 401(k); on-site Employee Health Centers; employee assistance programs; and medical, dental, vision and life insurance options. The County also offers a generous paid leave program that includes sick, annual, community service, parental, military and bereavement leave. These benefits, along with our award-winning wellness programs, set us apart as an employer of choice and affirm our commitment to supporting employees and their families, both inside and outside of work.

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Please mention you found this employment opportunity on the CareersInGovernment.com Job Board.