Social Worker- Adult Services
- This positions compensation is based on qualifications and level of experience.Social Worker Trainee $36,180Social Worker I $39,888Social Worker II $48,480Social Worker III $53,454
The CAP/DA Case Manager is responsible for administering and coordinating services under the Community Alternatives Program for Disabled Adults (CAP/DA). This program enables eligible adults (age 18 and older) who qualify for nursing facility level of care to remain safely in their private residences. The position focuses on person-centered case management, service coordination, and ongoing monitoring to ensure participants receive cost-effective, high-quality care that supports independence and well-being. Program Eligibility & Intake
Receive, review, and process referrals and service requests for individuals seeking participation in the CAP/DA Waiver program
Conduct comprehensive assessments to determine eligibility and level of care needs
Collaborate with medical providers to obtain required documentation supporting eligibility
Develop, implement, and maintain individualized Plans of Care (POC) in accordance with NC Medicaid guidelines
Ensure all waiver and non-waiver services are accurately documented at initial enrollment, annually, and during revisions
Coordinate services with providers, caregivers, and community resources
Support consumer-directed care options and educate participants on service delivery models
Conduct regular and routine monitoring of beneficiaries to ensure health, safety, and well-being
Perform annual reassessments to determine continued eligibility and service needs
Identify and address risks through appropriate interventions and risk mitigation strategies
Complete required quality assurance reporting and maintain accurate case records
Educate the elderly and disabled adult community, families, and caregivers about the CAP/DA Waiver program
Promote awareness of available services and supports
Assist individuals and families in navigating long-term care options
Develop and maintain case management procedures in compliance with NC Medicaid standards and local policies
Share procedures and updates with providers and community partners
Maintain an Advisory Committee to support program development, resource expansion, and service improvement
Ensure compliance with all federal, state, and local regulations governing CAP/DA services
Knowledge, Skills, and Abilities
Knowledge of Medicaid programs, particularly CAP/DA Waiver services
Strong case management and care coordination skills
Ability to assess client needs and develop appropriate service plans
Effective communication and interpersonal skills when working with clients, families, and providers
Ability to maintain accurate documentation and meet regulatory requirements
Strong organizational and time management skills
Ability to handle sensitive and confidential information
Minimum QualificationsBachelor’s degree in Social Work, Human Services, Nursing, or a related field (Master’s preferred)
Experience in case management, adult services, or healthcare coordination preferred
Knowledge of aging, disability services, and long-term care systems
Valid North Carolina driver’s license
Working ConditionsPrimarily office-based with frequent travel for home visits and community outreach
May require occasional after-hours response to address participant needs or emergencies
Special RequirementsMust maintain compliance with NC Medicaid CAP/DA program requirements
Must complete all required training and certifications
How to Apply
PRE-EMPLOYMENT DRUG SCREENING AND BACKGROUND CHECK IS REQUIRED
APPLICANTS WILL BE GIVEN CREDIT ONLY FOR INFORMATION PROVIDED IN RESPONSE TO THIS ANNOUNCEMENT. No additional information will be solicited by the McDowell County; therefore, persons who submit incomplete applications may not receive full credit for their education, training and experience.
McDowell County is an equal opportunity employer. It is the policy of the County to recruit, hire, train and promote individuals without regard to age, sex, race, color, religion, political affiliation or national origin. The County will interactively work with disabled applicants and employees to identify reasonable accommodations that will allow the individual to perform essential job functions.
McDowell County participates in E-Verify.
Applications are available:
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on our website:
www.mcdowellhrportal.org- under “Job Opportunities”
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McDowell County Administration Building:
25 W Fort Street Marion, NC 28752
Applications can be submitted:
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Online at
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in person at the County Administration building:
25 W Fort Street Marion, NC 28752
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or by Mail to:
McDowell County Human Resources
60 East Court Street Marion, NC 28752
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or by email to:
employment@mcdowellgov.com
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