Case Manager - Medicaid/HCB Waiver Services at Golden Years Adult Day Care – Edmonton, Kentucky

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 south-central Kentucky community.
Expert development – Structured training with waiver-specific guidance
Mission-driven 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 conflict-free 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 over-utilization.
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)
Hart County (northwest)
Green County (northeast)
Adair County (east)
Cumberland County (southeast)
Monroe County (south)
Barren County (west)

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
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
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 Requirements
All 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 Expectations

We expect every team member to:
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.
How to Apply

Submit:
1. Resume highlighting case management/waiver experience and relevant education.
2. Brief cover letter describing:
o Your case management or waiver coordination experience
o How you embody the Golden Rule in professional practice
o Why Golden Years ADHC's mission resonates with you?
o Your connection to Metcalfe County 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 south-central Kentucky.