Case Manager - Medicaid/HCB Waiver Services

Golden Years

Lexington (KY)

Hybrid

USD 40,000 - 58,000

Full time

7 days ago

Be an early applicant

Application generator

An application made for this job — a tailored resume and cover letter that speak straight to the posting.

Get past ATS filters

Job summary

Golden Years in Edmonton, KY is seeking a Case Manager specializing in Medicaid and HCB Waiver Services to empower vulnerable adults to live independently at home. The role blends office coordination with meaningful field visits, offering a sacred, community-focused mission.

You will manage ISPs, assess needs, and coordinate services across programs, ensuring regulatory compliance and person-centered outcomes.

Qualifications

Bachelor's degree in social work, nursing, human services, or related field (preferred).
Experience in case management, care coordination, or waiver services is required.
Knowledge of person-centered planning and conflict-free case management.

Responsibilities

Coordinate personalized care plans empowering participants to remain safely at home.
Complete assessments and develop ISPs per Kentucky Medicaid requirements (907 KAR 7:010).
Conduct regular home and community visits to monitor health and progress.
Advocate for participant preferences and rights to support informed choices.
Coordinate services within Golden Years programs and with external providers.

Skills

Case management

Care coordination

Waiver services

Person-centered planning

Conflict-free CM

Assessment

Planning

Communication

Time management

Driver's license

Education

Bachelor's degree in social work, nursing, human services, or related field

Tools

Electronic health record (EHR)

Job description

Our Mission

Our mission is to treat every day, and every person, as a sacred opportunity to serve. Guided by the Golden Rule, we offer respectful, kind, and empathetic care that uplifts seniors, supports families, and strengthens our community.

Our Mission

Our Vision

Our vision is to be the heartbeat of the communities we serve through compassionate care, so every person feels seen, valued, and at home.

The Opportunity

Join our dynamic healthcare team as a Case Manager specializing in Medicaid and HCB Waiver Services. This is not just case management, it's life-changing advocacy that empowers vulnerable adults to live independently and thrive in their communities.

What makes this role unique:

Hybrid flexibility Balance office coordination with meaningful home visits
Sacred impact Turn care plans into real independence for Kentucky seniors.
Local connection Serve your own southcentral Kentucky community.
Expert development Structured training with waiverspecific guidance
Missiondriven culture Work with a team that genuinely lives the Golden Rule

What You'll Do

Leading Person-Centered Care

Coordinate personalized care plans that empower participants to remain safely at home.
Complete comprehensive assessments and develop Individualized Service Plans (ISPs) per Kentucky Medicaid requirements (907 KAR 7:010)
Conduct regular home and community visits to monitor health, safety, satisfaction, and goal progress.
Advocate for participant preferences and rights, facilitating informed choices.
Coordinate services across Golden Years programs and external providers (attendant care, transportation, therapies) within authorized scopes.

Ensure Regulatory Excellence

Maintain compliance with Kentucky Medicaid/HCB Waiver regulations, including conflictfree case management requirements.
Complete all assessments, ISPs, reviews, and progress notes within mandated timeframes.
Document contacts, visits, coordination, and critical incidents for audit readiness.
Review service utilization, identifying and correcting under or overutilization.
Participate in quality improvement initiatives and corrective actions.

The Work Environment

Hybrid Model: Combination of office-based work (documentation, virtual meetings at Edmonton location) and field work (home/community visits throughout service area)

Schedule: Full-time, standard weekdays with flexibility for participant visits

Travel: Local travel within service area required; reliable transportation essential. Travel areas to include Mercer, Garrard, Madison, Clark, Bourbon, Scott, Woodford, Jessamine, Fayette, and surrounding Counties.

Location Preference

We strongly prefer candidates residing in counties listed above.

Local knowledge and proximity strengthen relationships with participants and enable responsive, community-connected care.

What You Bring

Required Qualifications

Bachelor's degree in social work, nursing, human services, or related field (preferred)
Experience in case management, care coordination, or waiver services (required)
Knowledge of personcentered planning and conflictfree case management
Strong assessment, planning, and problemsolving skills balancing participant choice, safety, and regulations.
Excellent written/verbal communication for documentation and stakeholder interactions
Organized time management for caseloads, deadlines, and accurate records
Valid driver's license and reliable transportation (Travel is required)
Current auto insurance

Highly Valued