Case Manager - Medicaid​/HCB Waiver Services

Our Mission

Our mission is to treat every day, and every person, as a sacred opportunity to serve. Guided by the Golden Rule, we offer respectful, kind, and empathetic care that uplifts seniors, supports families, and strengthens our community.

Our mission is to treat every day, and every person, as a sacred opportunity to serve. Guided by the Golden Rule, we offer respectful, kind, and empathetic care that uplifts seniors, supports families, and strengthens our community.

Our vision is to be the heartbeat of the communities we serve through compassionate care, so every person feels seen, valued, and at home.

Join our dynamic healthcare team as a Case Manager specializing in Medicaid and HCB Waiver Services. This is not just case management, it's life-changing advocacy that empowers vulnerable adults to live independently and thrive in their communities.

• Hybrid flexibility Balance office coordination with meaningful home visits
• Sacred impact Turn care plans into real independence for Kentucky seniors.
• Local connection Serve your own southcentral Kentucky community.
• Expert development Structured training with waiverspecific guidance
• Mission driven culture Work with a team that genuinely lives the Golden Rule

• Coordinate personalized care plans that empower participants to remain safely at home.
• Complete comprehensive assessments and develop Individualized Service Plans (ISPs) per Kentucky Medicaid requirements (907 KAR 7:010)
• Conduct regular home and community visits to monitor health, safety, satisfaction, and goal progress.
• Advocate for participant preferences and rights, facilitating informed choices.
• Coordinate services across Golden Years programs and external providers (attendant care, transportation, therapies) within authorized scopes.

• Maintain compliance with Kentucky Medicaid/HCB Waiver regulations, including conflict free case management requirements.
• Complete all assessments, ISPs, reviews, and progress notes within mandated time frames.
• Document contacts, visits, coordination, and critical incidents for audit readiness.
• Review service utilization, identifying and correcting under or over utilization.
• Participate in quality improvement initiatives and corrective actions.

Hybrid Model:
Combination of office-based work (documentation, virtual meetings at Edmonton location) and field work (home/community visits throughout service area)

Schedule:

Full-time, standard weekdays with flexibility for participant visits

Travel:
Local travel within service area required; reliable transportation essential

We strongly prefer candidates residing in Metcalfe County or the six bordering counties:

• Metcalfe County (Edmonton base)
• Fayette County (Lexington)
• Jefferson County (Louisville)
• Counties surrounding Lexington and Louisville

Local knowledge and proximity strengthen relationships with participants and enable responsive, community-connected care.

• Bachelor's degree in social work, nursing, human services, or related field (preferred)
• Experience in case management, care coordination, or waiver services (required)
• Knowledge of person centered planning and conflict free case management
• Strong assessment, planning, and problem solving skills balancing participant choice, safety, and regulations.
• Excellent written/verbal communication for documentation and stakeholder interactions
• Organized time management for caseloads, deadlines, and accurate records
• Valid driver's license and reliable transportation (Travel is required)
• Current auto insurance

• Kentucky Medicaid/HCB Waiver experience
• Familiarity with 907 KAR 7:010 requirements
• Cultural competence working with diverse populations.
• Electronic health record system experience

• Criminal background check
• Drug screen
• TB test
• Driver's license and auto insurance verification

Timeline:
Formal offers require acceptance and onboarding completion within 48 hours.

• Live out the Golden Rule with participants, families, and teammates daily
• Demonstrate respect, kindness, and empathy consistently.
• Support safe, choice driven services that honor dignity and independence.
• Embody servant leadership, putting participants' goals at the center.

Call  to speak with Team Care leadership (McKenzie or Sarah)

Golden Years Adult Day Healthcare (ADHC) 903 W Stockton Street, Edmonton, KY 42129

Job Type: Full-time

Work Location:

Hybrid (Office + Field) Service Area:
Metcalfe County and surrounding North Central and Eastern Kentucky.