Veteran Case Manager / Medicaid Specialist

About the role

Brain Injury Services (BIS) seeks a full‑time Veterans Brain Injury Case Manager to serve veteran clients in the Northern Virginia region (Fairfax, Arlington, City of Alexandria, Loudoun, and Prince William). Under the supervision of the Department Manager, Adult Case Management Services, the role provides community‑based case management to adults with acquired brain injury and their families, handling Medicaid Targeted Case Management (TCM) services, coordinating with Managed Care Organizations, and supporting both veteran and non‑veteran caseloads.

Responsibilities

• Serve and protect the agency by adhering to professional standards, federal, and local requirements; and MCO’s regulations.
• Act as point of contact for all Veterans' referrals, consultations, and resources.
• Obtain information and make referrals for appropriate services, including Veterans‑related services, TCM‑related referrals, and general community referrals.
• Conduct a comprehensive intake evaluation, completing all required documentation per the Policy and Procedure Manual and securing necessary external records to ensure thorough evaluation and service eligibility.
• Complete all required paperwork related to Medicaid TCM services, including service authorizations, assessments, evaluations, reviews, billing, and reporting.
• Perform a thorough client assessment covering strengths and weaknesses, family and community support systems, a needs assessment per the Adult Brain Injury Case Management Policy and Procedure Manual, and evaluation of existing resources and service gaps within 45 days of case opening.
• Obtain appropriate releases, understand confidentiality laws, and uphold them.
• Complete all paperwork per the Policy and Procedure Manual and maintain charts in an orderly fashion.
• Establish a solid therapeutic relationship with clients, families, and community providers.
• Support clients in developing their own goals and plans based on the needs assessment, using various planning tools.
• Complete an Individualized Service Plan (ISP) and provide a written copy to the client.
• Review the ISP every 90 days, adhering to MCO rules and regulations; obtain client signatures to confirm consent and participation.
• Identify, coordinate, and monitor goal‑directed community services to meet client needs and desired