Waiver Case Manager

Case Manager

Green River Area Development District (GRADD)

Position Summary

Green River Area Development District (GRADD) is seeking a compassionate, organized, and dedicated Case Manager to support individuals with physical disabilities through Kentucky's Home and Community-Based (HCB) Waiver program. This position plays an important role in helping participants access necessary services, maintain their health and safety, and live as independently as possible within their communities.

The HCB Waiver is part of Kentucky's 1915(c) Home and Community-Based Services (HCBS) Medicaid waiver program. Through Participant Directed Services (PDS), eligible participants may hire their own employees to provide approved non-medical, non-residential services.

Key Responsibilities

• Perform case management functions for the Home and Community-Based Waiver (HCB) program in accordance with applicable program requirements and agency policies.
• Review participant eligibility and coordinate reassessments to maintain compliance with Medicaid waiver requirements.
• Complete and submit required Medicaid waiver forms and documentation through the Medicaid Waiver Management Application (MWMA).
• Conduct initial and annual reassessments, including recertification and individualized care plan development.
• Maintain Participant Directed Services (PDS) employee and participant documentation in accordance with agency guidelines.
• Assist PDS employees and participants with required paperwork, program procedures, and documentation.
• Monitor participant budgets, health, safety, and welfare through timesheet reviews, compliance checks, and ongoing communication.
• Advocate for participants and their families by identifying needs and connecting them with appropriate community resources.
• Conduct monthly home visits to monitor services, assess participant needs, and evaluate progress toward established goals.
• Collaborate with GRADD's PDS Manager, provider agencies, the Department for Community Based Services, and the Department for Medicaid Services to coordinate services and address participant needs.
• Maintain accurate and timely participant records, case notes, logs, and reports.
• Refer waiver applicants to Aging and Disability Resource Center staff in a timely manner.
• Attend staff meetings, required trainings, and professional development activities.

Work Environment and Schedule

• Community-based role: Responsibilities include regular travel to participants' homes and other community locations to conduct visits, assessments, and service-related activities.
• Hybrid work arrangement: Work remotely four days per week and report to the GRADD office one day per week, as scheduled.
• Independent work: Manage daily responsibilities, documentation, scheduling, and participant follow-up while maintaining communication with supervisors and colleagues.
• Travel requirements: Reliable transportation is required to fulfill community-based responsibilities throughout the assigned service area.
• Office and team collaboration: Participate in scheduled office days, staff meetings, trainings, and other required in-person activities.

Other Responsibilities

• Assist with special projects and other duties as assigned.

Qualifications and Requirements

Education and Experience

Candidates must meet one of the following qualifications:

• 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, a current Kentucky nursing license, and two (2) years of experience working with individuals with special needs.
• Associate degree with two (2) years of experience working with individuals with special needs.

Additional Requirements

• Reliable transportation for required community travel.
• Knowledge of special needs populations, community organizations, and available service resources.
• Ability to work independently in a remote and community-based environment while maintaining accountability and communication with the GRADD team.
• Ability to manage a caseload, prioritize competing responsibilities, and meet required deadlines.
• Willingness and ability to conduct regular in-person home visits and participant assessments.

Skills and Competencies

• Strong verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Ability to multitask, prioritize responsibilities, and maintain accurate documentation.
• Proficiency with computer applications, electronic records, and documentation systems.
• Strong interpersonal, problem-solving, and advocacy skills.
• Commitment to participant dignity, independence, confidentiality, and quality service delivery.

Why Join GRADD?

At GRADD, your work has a meaningful impact on individuals, families, and communities throughout our region. This position offers the opportunity to build relationships with participants, connect people with essential resources, and support greater independence while enjoying a flexible hybrid work arrangement.

If you are passionate about helping others, thrive in an independent work environment, and want to make a difference in your community, we encourage you to apply!