Care Manager - WSC

Position Overview

Care Manager (also known as a Waiver Service Coordinator) is responsible for conducting in-home assessments, identifying support systems, and coordinating long-term services through the MyCare Ohio Waiver Program. This role ensures members receive appropriate care in home- and community-based settings while maintaining compliance with Medicaid and program regulations.

What You’ll Do

• Conduct comprehensive in-home assessments to evaluate biopsychosocial needs, functional impairments, and support systems
• Identify and address health and safety risks
• Develop and implement Person-Centered Service Plans in collaboration with members and caregivers
• Monitor and adjust service plans based on changing needs
• Coordinate waiver services in alignment with payer sequencing requirements
• Communicate with providers to resolve service delivery issues
• Maintain ongoing contact with caregivers and support systems
• Advocate for members and caregivers
• Monitor Medicaid financial eligibility and waiver compliance
• Conduct annual reassessments (or more frequently as needed)
• Support audits and compliance reviews
• Assist with disenrollment processes and appeal education
• Maintain accurate, timely documentation
• Ensure HIPAA and confidentiality compliance
• Promote strong customer service and positive employee relations

Qualifications

• Licensed Social Worker (LSW) or Registered Nurse (RN) with an active, unencumbered Ohio license
• Minimum 1 year of experience in home care, disability services, or case management
• Experience conducting health/social interviews
• Knowledge of human behavior, family systems, and community resources

Requirements

• Valid driver’s license, reliable transportation, and auto insurance
• Ability to pass annual Motor Vehicle Record (MVR) check
• Ability to work using dual-monitor systems and multiple databases
• Maintain LSW or RN licensure (required for continued employment)
• Obtain and maintain Ohio Department of Aging certification
• Adhere to HIPAA and AOoA confidentiality standards

Work Environment

This position is primarily office-based in a climate-controlled environment with regular in-home visits. Requires extended computer use and occasional lifting to 25 lbs.

Benefits

• Medical, Dental, and Vision Insurance
• Company-Sponsored Life Insurance
• 403(b) Retirement Plan with Match
• Paid Time Off & Personal Time
• Continuing Education & Certification Support
• Short- and Long-Term Disability
• Employee Referral Bonus

Additional Information

• Hiring is contingent upon successful completion of a drug screen, background check, and reference check.
• AOoA is a drug-free workplace.
• Employment is contingent upon funding availability.
• AOoA is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to legally protected characteristics.