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Medicaid Case Worker Jobs in Raleigh, NC (NOW HIRING)

Phenom People

Social Worker PRN

Henderson, NC

Participates in case reviews to evaluate case management and progress. Consults with healthcare ... Performs Medicaid screenings as indicated for NHP. Assists patients with Safety Net applications ...

Phenom People

Social Worker PRN

Henderson, NC · On-site

Participates in case reviews to evaluate case management and progress. Consults with healthcare ... Performs Medicaid screenings as indicated for NHP. Assists patients with Safety Net applications ...

Valeris, Inc.

Reimbursement Case Manager

Morrisville, NC · On-site

$55 - $75/hr

Working case management system, documenting status/background in case notes, communicating patient ... i.e., Medicare, Medicaid, VA and DOD) * Act as an assigned liaison to client contacts (e.g ...

A PLUS HOME CARE AGENCY

Office Manager

Raleigh, NC · On-site

$16 - $17/hr

Maintain client and employee documentation. * Assist with Medicaid and insurance-related ... Is proactive, professional, dependable, and comfortable working in a fast-paced home care ...

Duke Health

Case Manager (RN) Home Health

Durham, NC · On-site

By working as a home health nurse, you help keep patients out of the hospital and in their homes ... Knowledge of Medicare and Medicaid regulations, nursing scope of practice, and infection control ...

Duke Health

Case Manager (RN) Home Health

Durham, NC · On-site

By working as a home health nurse, you help keep patients out of the hospital and in their homes ... Knowledge of Medicare and Medicaid regulations, nursing scope of practice, and infection control ...

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Showing results 21-40

All JobsMedicaid Case Worker JobsMedicaid Case Worker Jobs in Raleigh, NC

Medicaid Case Worker information

See Raleigh, NC salary details

$28.7K

$46.1K

$68K

How much do medicaid case worker jobs pay per year?

As of Sep 6, 2026, the average yearly pay for medicaid case worker in Raleigh, NC is $46,104.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,400.00 and $53,000.00 per year, depending on experience, location, and employer.

What is a Medicaid case worker?

A Medicaid Case Worker helps individuals and families determine their eligibility for Medicaid benefits and assists them with the application process. They review financial and personal information, explain program requirements, and ensure compliance with state and federal guidelines. Additionally, they may provide referrals to other social services and offer ongoing support to help clients maintain their benefits. Their role is essential in connecting vulnerable populations to necessary healthcare services.

What skills and qualifications are needed to be a Medicaid case worker?

To thrive as a Medicaid Case Worker, you need a solid understanding of public health policies, case management, and eligibility determination, typically supported by a degree in social work or a related field. Proficiency with case management software, Medicaid systems, and client data tools is often required. Strong interpersonal skills, empathy, attention to detail, and effective communication are essential soft skills in this position. These abilities are crucial for accurately assessing client needs, managing caseloads efficiently, and ensuring eligible individuals receive appropriate services.

What challenges might a Medicaid case worker face on the job?

Medicaid Case Workers often manage a high volume of clients, each with unique and sometimes complex needs, which can make prioritization and organization challenging. Navigating frequent changes in Medicaid regulations and policies requires ongoing learning and adaptability. Additionally, workers may encounter emotionally difficult situations while supporting clients facing significant financial or health hardships. However, these challenges are balanced by the rewarding opportunity to make a tangible impact in people's lives.

How to become a Medicaid case worker?

To become a Medicaid case worker, candidates typically need a high school diploma or equivalent, with some positions requiring a bachelor's degree in social work, healthcare, or a related field. Relevant skills include case management, knowledge of Medicaid policies, and strong communication abilities; certification or training in Medicaid programs may also be beneficial. Employment often requires background checks and may involve working in government or healthcare settings with regular hours.

What does a Medicaid case worker do?

A Medicaid case worker evaluates applicants' eligibility for Medicaid benefits, assists clients in completing necessary paperwork, and ensures they receive appropriate healthcare coverage. They also coordinate with healthcare providers and maintain case records, often working within government or social service agencies to support clients' access to healthcare services.

What are popular job titles related to Medicaid Case Worker jobs in Raleigh, NC?

For Medicaid Case Worker jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Medicaid Case Worker jobs in Raleigh, NC look for?

The top searched job categories for Medicaid Case Worker jobs in Raleigh, NC are:

Medicaid Case Worker jobs near you
Infographic showing various Medicaid Case Worker job openings in Raleigh, NC as of August 2026, with employment types broken down into 2% As Needed, 79% Full Time, 16% Part Time, and 3% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $46,104 per year, or $22.2 per hour.

Social Worker PRN

Phenom People

Henderson, NC

Per diem

Posted 7 days ago

Job description

Emergency Psychiatric And Substance Abuse Assessment

Provides emergency psychiatric and substance abuse assessment, diagnosis, and crisis intervention to patients/families identified by the Emergency Department or Medical floor as having psychiatric and/or substance abuse consultation needs. This may include referral and placement at inpatient facilities or outpatient discharge planning with patients/families. Provides a comprehensive first evaluation for patients in the involuntary commitment process.

This position may include the use of telemedicine equipment in order to provide these services to other LifePoint facilities. Participates in a multidisciplinary team in conjunction with the Inpatient Behavioral Health Unit as needed. Responsibilities in this role may include: group therapy; completing Psychosocial Assessments; facilitating individual and/or family therapies; developing, implementing and reviewing treatment plan; case management discharge planning.

Reports to: Director of Quality and Risk Management

Interviews and assesses patients and/or patient's family, caregivers, and/or legal representatives.

Determines, prioritizes, provides and/or arranges for needed internal and external services/interventions.

Participates in case reviews to evaluate case management and progress. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment plan.

Assists with discharge planning and processes. Identifies appropriate resources, including transportation, housing, healthcare, and social/spiritual services, and provides referrals as part of the discharge plan.

Performs Medicaid screenings as indicated for NHP.

Assists patients with Safety Net applications when needed.

Coordinates/Develops appropriate safety plan/measures if patient's plan is to be discharged to the community

Provides brief, solution-focused interventions to patients with the goal of assisting in stabilizing crisis

Provides information to hospital staff related to community resources and behavioral health processes. Coordinates with outpatient Behavioral Health service providers to create continuity of care including securing outpatient appointments as necessary.

Completes behavioral health consultations with patients that present for medical services throughout the hospital system either in person or by use of telemedicine equipment

Monitors compliance with standards of care for patients with behavioral health needs in the Emergency Department. This includes making recommendations related to maintaining a safe environment of care and level of observation needs of the patient.

Minimum Education

Masters Degree in Social Work or affiliated background required.

Licensed: Licensed Clinical Social Worker, Licensed Clinical Social Worker Associate, or Licensed Clinical Addiction Specialist.

State Boards: 1st Evaluation credentialed or obtain within 6 months of accepting position.

Certification: Must complete BLS upon 90 days of hire and Handle with Care within 6 months of employment.

Minimum Work Experience

Minimum 3 years experience providing care in mental health and/or substance abuse field.

Preferred

  • Experience providing crisis services
  • Experience working in the Emergency Department
  • Experience working on an inpatient Behavioral Health Unit
  • Experience using Telemedicine equipment for assessment
  • Knowledge of Recovery and Wellness Philosophy

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

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