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 Vision

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

The Opportunity

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.

What makes this role unique:

• 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
• Missiondriven culture Work with a team that genuinely lives the Golden Rule
  
  

What You'll Do

Leading Person-Centered Care

• 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.
  
  

Ensure Regulatory Excellence

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

The Work Environment

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

Location Preference

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.

What You Bring

Required Qualifications

• 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 personcentered planning and conflictfree case management
• Strong assessment, planning, and problemsolving 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
  
  

Highly Valued

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

Pre-Employment RequirementsAll candidates must successfully complete:

• 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.

Cultural ExpectationsWe expect every team member to:

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

How to Apply

Submit

• Resume highlighting case management/waiver experience and relevant education.
• Brief cover letter describing:
• Your case management or waiver coordination experience o How you embody the Golden Rule in professional practice
• Why Golden Years ADHC's mission resonates with you?
• Your connection to Lexington and Louisville or surrounding area (if applicable)
  
  

Contact:

Call 270-432-2044 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.