Case Manager: Care Coordination & Medicaid Support

Jobtailor; Roanoke (VA); On-site; USD 42,000 - 56,000; Full time

Job summary

Jobtailor is seeking an organized administrator to support the Agency Directed Services program in the Roanoke area. You will complete and review case records, interact with referral sources, and assist families while coordinating with nursing staff and CareSmartz 360 for document management.

The role requires an Associate’s degree with related experience, strong knowledge of Medicaid waivers, and proficiency with Microsoft Office and CareSmartz 360.

Qualifications

• Associate’s degree with experience in human service programs or organizations serving individuals with disabilities or aging populations.
• Knowledge of records administration techniques and procedures.
• Knowledge of English language structure, spelling, composition, and grammar.
• Proficiency with Microsoft Word, Excel, PowerPoint, Outlook, SharePoint, Zoom, virtual meeting applications, and program-specific software.
• Knowledge of Medicaid waivers and agency directed services.
• Knowledge of policies and guidelines from VDH, DMAS, DBHDS, HCBS, and DSS.
• Ability to use standard office equipment and computer systems.
• Ability to collect and analyze data.
• Time management and ability to manage multiple priorities and complete accurate assignments on time.
• Ability to prepare concise and accurate documents, reports, and correspondence.
• Ability to communicate effectively orally and in writing.
• Ability to follow verbal and written instructions and operating procedures.
• Ability to develop objectives, evaluate effectiveness, and assess needs.
• Critical-thinking and problem-solving ability in ambiguous or difficult situations.
• Professionalism when handling sensitive and confidential information.
• Valid driver’s license and at least five years of driving experience.
• Driving record complying with insurer guidelines.
• Satisfactory drug and alcohol screening and criminal background check after a conditional offer.
• No barrier-crime convictions.
• Legally authorized to work in the US.
• Willing and able to commute to the Roanoke or Christiansburg offices.

Responsibilities

• Complete and review required case record documentation.
• Work with referral sources and market Agency Directed Services.
• Provide support to families in the Agency Directed Services program.
• Support nurses with case record documentation in identified office locations.
• Create and maintain caregiver profiles and upload client packets in CareSmartz 360.
• Prepare paperwork for intake and other visits.
• Scan and upload approvals, denials, and appeal information into CareSmartz 360.
• Work with finance to obtain appropriate service authorizations.
• Speak with referral sources, potential referrals, and social services workers about services and Medicaid eligibility.
• Participate in program growth, expansion, resource-identification, marketing, program, and team meetings.
• Represent ADS at marketing events.
• Identify and implement improvements in CareSmartz 360.
• Assist personal care attendants with paperwork and visit scheduling.
• Follow up with clients and families and document interactions in CareSmartz 360.
• Participate in personal care attendant interviews, check references, prepare hiring documents, and conduct drug screens as needed.
• Meet regularly with the program director regarding referrals, service provision, program needs, and service-delivery concerns.
• Complete other duties within the scope of the program as assigned.

Skills

Case record documentation

Medicaid waivers knowledge

CareSmartz 360 proficiency

Effective communication

Time management

Data collection and analysis

Problem solving

Professionalism

Education

Associate’s degree

Tools

CareSmartz 360

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Microsoft Outlook

SharePoint

Zoom

Job description

Jobtailor is seeking an organized administrator to support the Agency Directed Services program in the Roanoke area. You will complete and review case records, interact with referral sources, and assist families while coordinating with nursing staff and CareSmartz 360 for document management.

The role requires an Associate’s degree with related experience, strong knowledge of Medicaid waivers, and proficiency with Microsoft Office and CareSmartz 360.