Waiver Case Manager

Job Description

Job Description

Green River Area Development District (GRADD) is seeking a dedicated  Case Manager to provide support and coordination for individuals with physical disabilities through Kentucky’s  Home and Community-Based (HCB) Waiver program. This role ensures clients receive the necessary resources to live as independently as possible within their communities.

The  HCB Waiver is part of Kentucky’s 1915(c) HCBS Medicaid waiver program , allowing participants to hire their own employees for non-medical, non-residential services under  Participant Directed Services (PDS) .

Key Responsibilities:

• Perform case management functions for the  Home and Community-Based Waiver (HCB)program.
• Review client eligibility and coordinate reassessments to maintain Medicaid Waiver compliance.
• Complete and submit all required Medicaid waiver forms using the  Medicaid Waiver Management Application (MWMA) .
• Conduct initial and annual reassessments, including  recertification and care plan development .
• Maintain  Participant Directed Services (PDS)employee and participant documentation per agency guidelines.
• Assist PDS employees and participants with necessary paperwork and guidance.
• Monitor  member budgets, health, safety, and welfare through timesheet submission and compliance checks.
• Advocate for clients and families by connecting them with appropriate  community resources .
• Conduct  monthly home visits to monitor services and track progress toward client goals.
• Collaborate with GRADD’s  PDS Manager , provider agencies,  Department for Community Based Services , and  Department for Medicaid Services to meet client needs.
• Maintain accurate  participant records, logs, and reports .
• Refer waiver applicants to the  Aging and Disability Resource Center staff in a timely manner.
• Attend  staff meetings and professional development trainings .

Other Responsibilities:

• Assist with special projects as needed.

Qualifications & Requirements:

• Education:
  • Bachelor’s degree in  Social Work, Gerontology, Psychology, Sociology, or a related field with  two (2) years of experience working with individuals with special needs.
  • Bachelor’s degree in  Nursing with a  current Kentucky nursing license and  two (2) years of experience working with special needs populations.
  • Associate degree with  two (2) years of experience working with special needs populations.
• Experience:
  • Reliable  transportation required.
  • Knowledge of  special needs populations, community organizations, and service resources .
• Skills:
  • Strong  verbal and written communication skills.
  • Excellent  organizational skills and the ability to multitask.
  • Proficiency in  computer applications and documentation software.

Why Join Us?

At GRADD, we offer a dynamic work environment where you can make a real impact on the community. If you have a passion for service and helping others, we encourage you to apply!