Case Manager II - Medicare & Waivers
About the role
Agate is a nonprofit organization whose mission is to end homelessness and relieve hunger through action and advocacy. We provide emergency services, shelter, and housing programs for individuals and families. We encourage applicants with lived experience to apply (anyone who has not received services from Agate within the last two years is welcome to apply). We believe that housing is a basic human right.
Our Values: Integrity: Always doing what's right, even when it's not easy or popular. Equity: Challenging unfair systems and making changes that better support those most affected by homelessness and hunger. Humanity: Recognizing how these issues affect everyone, building trust, and forming strong relationships by understanding people's needs. Creativity: Finding new and original ways to meet the community's needs.
Responsibilities
- Provide individualized case management and benefits navigation to MPHA residents and families across the lifespan, with a focus on Medicare, Medical Assistance (Medicaid), waiver services, disability-related supports, and long-term services and supports.
- Assist residents and families with health coverage and benefit applications, renewals, verifications, eligibility notices, required documentation, and follow-up steps, including Medical Assistance and Medicare-related benefits as applicable.
- Complete and coordinate MnCHOICES referrals; help residents and families prepare for assessment and reassessment processes; and support follow-up with county staff regarding service eligibility and next steps.
- Support residents in navigating applicable waiver and community-based service pathways, including CADI, CAC, DD and BI waivers, Alternative Care, and Community First Services and Supports (CFSS), while helping residents understand service options and provider choices.
- Support families with dependent children in identifying and navigating disability-related benefit and service pathways, including TEFRA Medical Assistance, CFSS, applicable home and community-based waiver programs, and other family support resources such as the Family Support Grant when appropriate.
- Coordinate with county staff, health plans, care coordinators, assessors, service providers, schools or family-serving partners when appropriate, and community organizations to support timely access to benefits and services.
- Support residents and families in gathering records, completing required forms, responding to verification requests, and completing follow-up steps needed to maintain coverage and avoid preventable gaps in benefits or services.
- Identify barriers affecting health, disability-related support needs, independence, caregiving, or housing stability and connect residents and families to appropriate community resources and supports.
- Provide follow-up with residents and families to monitor progress and address changes in eligibility, coverage, service needs, household circumstances, or care arrangements.
- Maintain regular onsite presence at assigned MPHA properties; build collaborative relationships with MPHA staff, resident leaders, Agate staff, families, and community partners; and provide services in locations that are accessible and convenient for residents.
- Complete accurate and timely case notes, data entry, benefit tracking, referrals, application status updates, releases of information, and other required documentation while maintaining confidentiality and professional boundaries.
- Maintain working knowledge of Medicare, Medical Assistance, MnCHOICES, Minnesota waiver and long-term services programs, CFSS, TEFRA, and related eligibility processes; participate in training as systems and policies change; and advocate with and on behalf of residents while supporting resident choice, self-determination, and independence.
- Performs all other duties, as assigned.
Requirements
- Bachelor's degree or minimum