Case Manager Supervisor

Golden Years; Edmonton (KY); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Flexible schedule

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

Golden Years is seeking a HCB Waiver Case Manager to provide comprehensive case management for clients enrolled in the Home and Community-Based Waiver program. Responsibilities include assessing eligibility, creating individualized care plans, and coordinating services with providers and community resources to ensure safety and well-being.

The role requires strong communication, organization, and advocacy skills, as well as the ability to manage documentation and maintain compliance with program

Qualifications

• Bachelor's degree in health and human services or equivalent.
• At least 1 year of health/human services experience; aging or disabilities focus preferred.
• Registered Nurse with a master's in health/human services (RN with MS preferred).

Responsibilities

• Assess and plan care to determine eligibility for the HCB Waiver program.
• Develop and maintain individualized care plans and monitor eligibility.
• Coordinate service delivery and assist clients in accessing community resources.

Skills

Excellent communication

Organizational skills

Multitasking ability

Education

Bachelor's degree in health & human services

Master's degree in health or human services (RN with MS preferred)

Job description

The HCB Waiver Case Manager is responsible for providing case management services to individuals enrolled in the Home and Community-Based (HCB) Waiver program. This role involves developing and monitoring clients' budgets and service plans, ensuring clients receive appropriate services, and maintaining compliance with program regulations.

Essential Job Functions

Assessment and Planning

• Conduct initial assessments to determine clients' eligibility for the HCB Waiver program.
• Develop and maintain individualized care plans based on clients' needs and preferences.
• Coordinate reassessments to maintain clients' eligibility and update care plans as needed.

Service Coordination

• Coordinate and monitor the delivery of services to ensure they align with clients' care plans.
• Assist clients in accessing community resources and services.
• Advocate for clients' needs and ensure their health, safety, and welfare.

Documentation And Compliance

• Maintain accurate and up-to-date case notes and documentation in the Medicaid Waiver Management Application (MWMA).
• Ensure compliance with federal and state regulations, including completing required paperwork and reports.
• Review and approve timesheets, service documentation, and prior authorization letters.

Client Support

• Conduct monthly home visits to monitor service delivery and progress toward clients' goals.
• Provide support and guidance to clients and their families.
• Assist clients in hiring and managing Participant Directed Services (PDS) employees.

Collaboration

• Work closely with traditional provider agencies, local departments, and community organizations.
• Attend staff meetings and job development trainings.
• Assist in coverage of caseloads when other staff are unavailable.

Education

• Bachelor's degree in health and human services field from an accredited college or university; and
• At least 1 year of experience in a health or human services field; or the educational or experiential equivalent in the field of aging or disabilities or

Be a Registered Nurse Who Has

• a masters degree in a health or human services filed from an accredited college or university.

Skills

• Strong communication and organizational skills.
• Proficiency in computer applications and the ability to multi-task.
• Ability to build relationships and advocate for clients' needs.

Benefits

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule

• 10 hour shift
• 8 hour shift
• Day shift
• Evening shift
• Morning shift

Job Type: Full-time

Pay: Will be based and discussed during interview processes.

Work Location: In person