Case Manager Community Based Waiver; HCBW

Case Manager – Home & Community Based Waiver (HCBW)

Job Title:

Case Manager – Home & Community Based Waiver (HCBW)

Organization:
Golden Years ADHC

Location:

903 W Stockton Street, Edmonton, KY 42129

Phone:

Golden Years ADHC is an adult day health and community-based provider serving participants under Kentucky Medicaid and the Home and Community Based Waiver (HCBW). The team stands firmly on the Golden Rule—treating others as we wish to be treated—and lives this out through respect, kindness, empathy, and enriching the communities served with care. Case Managers play a central role in ensuring each participant’s services are person-centered, clinically appropriate, and compliant with Kentucky regulations and Medicaid/HCBW requirements.

The Case Manager is responsible for coordinating, monitoring, and advocating for services that allow waiver participants to remain safely in their homes and communities rather than institutional settings. This role leads the person-centered planning process, ensures services match the participant’s assessed needs and authorized hours, and works closely with participants, families, providers, and the Golden Years team. The Case Manager must maintain strong working knowledge of Kentucky Medicaid and HCBW guidelines, documentation standards, and timelines while practicing the Golden Rule and protecting participant rights, dignity, and choice.

This position is a blend of desk and field work. You will spend time completing assessments and documentation, but you will also be in homes and the community, getting to know participants and their support systems. You’ll carry a defined caseload, with clear expectations around responsiveness, communication, and documentation quality. You are never left on an island: you’ll have “hip-to-hip” support while you learn the Golden Years way of case management, regular check-ins, and a performance framework that focuses on realistic, agreed-upon KPIs.

If you value doing things the right way—by the participant, by the regulations, and by your teammates—this is a place where that effort is recognized and developed.

• Lead and maintain person-centered service planning for each assigned participant in alignment with Kentucky Medicaid and HCBW requirements.
• Complete initial and ongoing assessments, gather relevant history, and collaborate with participants and their natural supports to identify strengths, risks, and needs.
• Develop, update, and monitor individualized service plans (ISPs) that reflect assessed needs, goals, authorized services, and risk/safety considerations.
• Coordinate services across Golden Years programs and external providers (e.g., attendant care, transportation, therapies, clinical services, community resources).
• Ensure services are delivered within authorized hours, scope, and limits outlined by Kentucky Medicaid and the specific waiver program.
• Conduct regular home and community visits to monitor health, safety, satisfaction, and progress toward goals, documenting findings timely and accurately.
• Advocate for participant preferences and rights, helping them understand their options and participate fully in decisions about care.
• Respond promptly to changes in condition, crises, or new needs, facilitating plan-of-care updates and additional supports as appropriate.

• Maintain up-to-date knowledge of applicable Kentucky Medicaid/HCBW policies, service definitions, and documentation expectations.
• Complete all required assessments, plans, reviews, and progress notes within mandated time frames and internal Golden Years deadlines.
• Accurately document contacts, visits, coordination activities, and critical incidents in the designated electronic or paper systems.
• Review utilization of authorized services for each participant, identify under or over utilization trends, and coordinate with leadership and providers to correct issues.
• Initiate, document, and track incident reports, ensuring follow-up, communication, and reporting occurs according to policy…