Summary
Overview
Work History
Education
Skills
Timeline
Generic

Mikaela Carlton

Durham

Summary

Results-driven case management professional with experience handling high-volume caseloads, eligibility determination, and client relations within public service environments. Proven ability to improve processing efficiency, maintain compliance with federal and state regulations, and deliver exceptional service in fast-paced settings. Skilled in data management, problem-solving, and building strong client relationships while maintaining strict confidentiality under HIPAA guidelines.

Overview

8
8
years of professional experience
6
6
years of post-secondary education

Work History

Case Manager

Durham County Department of Social Services
Durham
01.2024 - Current

• Process and determine eligibility for Medicaid applications in compliance with federal and state regulations

• Conduct detailed client interviews to gather and verify financial and personal information

• Manage a high-volume caseload while meeting strict deadlines and performance metrics

• Maintain accurate and up-to-date case records using NCFAST and other eligibility systems

• Ensure confidentiality and compliance with HIPAA and agency standards Ensured compliance with federal, state, and agency policies while managing Medicaid eligibility cases

• Ensured compliance with federal, state, and agency policies while managing Medicaid eligibility cases

Processing Assistant

Durham County Department of Social Services
Durham
04.2022 - 12.2023

• Managed incoming calls and emails, providing timely support to clients and providers

• Maintained and tracked child care subsidy records using detailed spreadsheets

• Scheduled appointments for social workers using DCO Scheduler

• Processed and distributed critical documents, ensuring timely follow-up on approvals

• Collaborated on redesigning child care forms to improve clarity, usability, and efficiency

Customer Service Representative

Conduent
Raleigh
01.2019 - 04.2021
  • Handled high-volume inbound calls related to billing, subscriptions, and technical support
  • Resolved customer issues efficiently while maintaining high satisfaction ratings
  • Consistently met and exceeded performance and productivity goals
  • Provided empathetic and solution-focused service to a diverse customer base

Habilitation Technician

Lindley Habilitation
Cary
01.2018 - 01.2019
  • Assisted clients with daily living activities, including hygiene, meals, and transportation
  • Documented daily progress and supported individualized care plans
  • Participated in therapeutic and recreational activities to support client development

Education

BBA -

North Carolina Central University
Durham, NC
04.2024 - 04.2026

High School Diploma -

Southern School of Energy and Sustainability
Durham
08.2013 - 05.2017

Skills

  • Case Management & Eligibility Determination
  • Medicaid Processing & NCFAST System
  • Data Entry & Records Management
  • Client Relations & Conflict Resolution
  • HIPAA Compliance & Confidentiality
  • Microsoft Office (Excel, Word, Outlook)
  • Time Management & Multitasking
  • Administrative Support & Scheduling

Timeline

BBA -

North Carolina Central University
04.2024 - 04.2026

Case Manager

Durham County Department of Social Services
01.2024 - Current

Processing Assistant

Durham County Department of Social Services
04.2022 - 12.2023

Customer Service Representative

Conduent
01.2019 - 04.2021

Habilitation Technician

Lindley Habilitation
01.2018 - 01.2019

High School Diploma -

Southern School of Energy and Sustainability
08.2013 - 05.2017
Mikaela Carlton