Waiver Services Specialist- Lexington

The work we do matters!

Hiring Agency:

Health & Human Services - Agency 25

Location:

Lexington, NE

Hiring Rate:

$22.935

Job Posting:

JR2026-00028669 Waiver Services Specialist- Lexington (Open)

Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):

08-25-2026

Job Description:

If you’re committed to helping others live independently with dignity and bring experience in human services, education, health care, or disability case management, this is your opportunity to make a meaningful impact. Whether you have a bachelor’s degree or qualifying year-for-year experience, as long as you hold a valid driver’s license, you can apply to join us as a Waiver Services Specialist, delivering hope and essential support to those who depend on it every day.

What We Offer:
• 156% State-Matched Retirement Plan
• 13 Paid Holidays + Generous Leave
• Tuition Reimbursement
• 79% Employer-Paid Health Insurance
• Dental, Vision & Life Insurance
• Public Service Loan Forgiveness (PSLF) Eligibility
• Ongoing Career Growth Opportunities

As a Waiver Services Specialist, you’ll play a key role in connecting individuals with the support they need to thrive. Working under limited supervision, you’ll assess funding needs for developmental disability services and determine eligibility for Medicaid Home and Community-Based Services (HCBS) Waivers. Your work will include conducting assessments, reviewing documentation and records, and making informed decisions for individuals who are aged, meet Social Security disability criteria, or have intellectual or developmental disabilities. You’ll also participate in informal dispute resolution meetings or appeal hearings related to eligibility decisions. Every day, your expertise will help ensure people receive the services that empower them to live with dignity and independence.

Job Duties:

• Review applications and medical documentation to determine eligibility for waiver services.
• Perform initial and renewal Level of Care (LOC) assessments with accuracy and attention to detail.
• Guide applicants, families, and providers through requirements and next steps with clarity and support.
• Participate in appeals or dispute hearings, advocating with professionalism and empathy.
• Ensure accurate and timely documentation while efficiently managing multiple cases.
• Other duties as assigned.

Requirements / Qualifications:

Minimum Qualifications: Bachelor’s degree in: human services, education or health/medical; long-term care, gerontology, rehabilitation, health/disability case management, or children with special health care needs OR any equivalent combination of education and experience will be considered on a year for year basis.

Preferred Qualifications: Experience in healthcare, long-term care, disability services, or completing assessment. Familiarity with medical terminology and Medicaid waiver services.

Other: Valid driver’s license and access to reliable transportation.

Knowledge, Skills, and Abilities (KSA)

• Strong knowledge of Medicaid Waiver programs, Level of Care (LOC) criteria, and services for individuals with disabilities, older adults, and those with special health care needs.
• Understanding of medical terminology, healthcare systems, and state/federal regulations related to eligibility and assessments.
• Skilled in reviewing documentation, conducting assessments, and making accurate, timely eligibility decisions.
• Effective communication skills to explain complex information clearly and work with individuals, families, and service providers.
• Proficient in using systems like Excel, Word, and Outlook for documentation and data management.
• Ability to manage multiple cases in a fast-paced environment while maintaining attention to detail and meeting deadlines.
• Demonstrated empathy, professionalism, and discretion when working with vulnerable populations and handling sensitive information.
• Strong critical thinking and problem-solving skills to navigate complex cases and apply policy accurately.
• Team-oriented with the ability to work independently and adapt to changing policies and procedures.

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Benefits

We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.

Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit:

Equal Opportunity Statement

The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.