Waiver Client Care Advisor

Key Responsibilities

• Medicaid & SSI Program Support:
  • Respond to and manage SSI inquiries for potential and current clients.
  • Cook Medicaid Client Care Advisor consults with prospective clients and families.
  • Coordinate Start of Care for approved SSI clients, ensuring services begin smoothly and documentation is completed.
• ARChoices Program Coordination:
  • Manage ARChoices inquiries from prospective clients and referral sources.
  • Submit ARChoices applications and required documentation.
  • Follow up with the state and referral sources regarding application status as needed.
  • Coordinate RN nurse assessment at Start of Care.
  • Conduct quarterly client phone calls to monitor satisfaction and service needs.
  • Coordinate and track six-month reassessments to ensure continued eligibility and quality of care.
• Veterans (VA) Program Support:
  • Serve as the initial contact for VA program inquiries.
  • Identify appropriate programs and refer veterans to the correct resource, including: VA Community Care, VA Aid and Attendance.
  • Coordinate Start of Care nurse assessment for approved VA clients.
  • Track and coordinate RN six-month evaluations for ongoing care.
  • Oversee Targeted Case Management (TCM) coordination for eligible clients.
  • Ensure services are documented and compliant with program guidelines.
  • Prepare and submit TCM invoices accurately and in a timely manner.
• Compliance & Quality Assurance:
  • Maintain full compliance with Arkansas Medicaid state regulations and program requirements.
  • Ensure documentation is complete, accurate, and submitted on time.
  • Monitor client files to ensure required assessments, calls, and evaluations are completed.
  • Support quality assurance initiatives and assist with audits as needed.
• Client Care & Communication:
  • Serve as a primary contact for clients and families regarding services and program questions.
  • Maintain regular communication with nurses, caregivers, and internal staff.
  • Ensure clients receive safe, reliable, and high-quality home care services.
  • Address concerns and escalate issues to leadership when necessary.

Qualifications

• Experience in home care, Medicaid programs, healthcare coordination, or social services preferred.
• Knowledge of Arkansas Medicaid programs such as ARChoices and SSI preferred.
• Strong organizational and documentation skills.
• Excellent communication and client service skills.
• Ability to manage multiple clients and program requirements simultaneously.

Key Skills

• Client advocacy
• Medicaid program coordination
• Veteran care
• Coordination
• Documentation and compliance
• Case management support
• Communication and relationship building
• Problem-solving and follow-through