Medicaid Waiver Care Coordinator

Catholic Charities USA; Sidney, Northern (OH, KY); Hybrid; USD 52,000 - 70,000; Full time

Job summary

Catholic Charities USA seeks a qualified professional to provide Waiver Service Coordination for MyCare Ohio HCBS Waiver members at Nursing Facility level of care. The role focuses on person-centered, high-quality support aligned with state requirements and agency values.

Responsibilities include assessments, visits, care coordination with ICTs, and ensuring Medicaid eligibility and safety. Strong crisis intervention skills and collaboration with Plan Care Coordinators are essential.

Qualifications

• Active Ohio LSW or RN license.
• Minimum of 1 year in home care, disability services, or case management.
• Experience conducting health and social interviews.
• Knowledge of Medicaid rules and geriatrics is beneficial.

Responsibilities

• Conduct initial and ongoing Waiver Service Needs Assessments using ODM approved tools to determine ongoing program eligibility, care needs, and service options.
• Complete home visits and phone contacts to ensure health, safety, service satisfaction and provide education to members.
• Conduct annual reassessments of Medicaid Waiver eligibility or more frequently if required due to status changes.
• Complete all required documentation within the required timeframe of the activity.
• Identify and address health and safety risk factors, ensuring appropriate services and interventions.
• Participate in Interdisciplinary Care Team (ICT) meetings when invited to participate.
• Collaborate closely with the Plan Care Coordinator to ensure coordination of care.
• Monitor financial eligibility for Medicaid waiver-funded programs and ensure compliance with general Medicaid eligibility criteria.
• Provide crisis intervention, collaborate with the health plans to complete actions related to critical/reportable incidents, and in developing health and safety action plans (HSAPs).
• Disenroll all ineligible members from the program.
• Respond to questions, problems, or complaints from members, providers, and advocates.
• Maintain positive working relationships with providers, informal support, providers, community agencies, and medical professionals.
• Contribute to realization of agency mission and objectives, including meeting professional standards of practice.

Skills

Case management

Crisis intervention

Health interview techniques

Interdisciplinary collaboration

Education

Licensed Social Worker (LSW)

Registered Nurse (RN) with Ohio license

Job description

Catholic Charities USA seeks a qualified professional to provide Waiver Service Coordination for MyCare Ohio HCBS Waiver members at Nursing Facility level of care. The role focuses on person-centered, high-quality support aligned with state requirements and agency values.

Responsibilities include assessments, visits, care coordination with ICTs, and ensuring Medicaid eligibility and safety. Strong crisis intervention skills and collaboration with Plan Care Coordinators are essential.