Golden Years
Case Manager – Home & Community Based Waiver (HCBW)
Golden Years, Edmonton, Kentucky, United States, 42129
Case Manager – Home & Community Based Waiver (HCBW)
Job Title: Case Manager – Home & Community Based Waiver (HCBW) Organization: Golden Years ADHC Location: 903 W Stockton Street, Edmonton, KY 42129 Phone: 270-432-2044 About Golden Years ADHC
Golden Years ADHC is an adult day health and community-based provider serving participants under Kentucky Medicaid and the Home and Community Based Waiver (HCBW). The team stands firmly on the Golden Rule—treating others as we wish to be treated—and lives this out through respect, kindness, empathy, and enriching the communities served with care. Case Managers play a central role in ensuring each participant’s services are person-centered, clinically appropriate, and compliant with Kentucky regulations and Medicaid/HCBW requirements. Position Summary
The Case Manager is responsible for coordinating, monitoring, and advocating for services that allow waiver participants to remain safely in their homes and communities rather than institutional settings. This role leads the person-centered planning process, ensures services match the participant’s assessed needs and authorized hours, and works closely with participants, families, providers, and the Golden Years team. The Case Manager must maintain strong working knowledge of Kentucky Medicaid and HCBW guidelines, documentation standards, and timelines while practicing the Golden Rule and protecting participant rights, dignity, and choice. About This Specific Position
This position is a blend of desk and field work. You will spend time completing assessments and documentation, but you will also be in homes and the community, getting to know participants and their support systems. You’ll carry a defined caseload, with clear expectations around responsiveness, communication, and documentation quality. You are never left on an island: you’ll have “hip-to-hip” support while you learn the Golden Years way of case management, regular check-ins, and a performance framework that focuses on realistic, agreed-upon KPIs. If you value doing things the right way—by the participant, by the regulations, and by your teammates—this is a place where that effort is recognized and developed. Key Responsibilities – Participant Support & Service Coordination
Lead and maintain person-centered service planning for each assigned participant in alignment with Kentucky Medicaid and HCBW requirements. Complete initial and ongoing assessments, gather relevant history, and collaborate with participants and their natural supports to identify strengths, risks, and needs. Develop, update, and monitor individualized service plans (ISPs) that reflect assessed needs, goals, authorized services, and risk/safety considerations. Coordinate services across Golden Years programs and external providers (e.g., attendant care, transportation, therapies, clinical services, community resources). Ensure services are delivered within authorized hours, scope, and limits outlined by Kentucky Medicaid and the specific waiver program. Conduct regular home and community visits to monitor health, safety, satisfaction, and progress toward goals, documenting findings timely and accurately. Advocate for participant preferences and rights, helping them understand their options and participate fully in decisions about care. Respond promptly to changes in condition, crises, or new needs, facilitating plan-of-care updates and additional supports as appropriate. Key Responsibilities – Compliance, Documentation & Communication
Maintain up-to-date knowledge of applicable Kentucky Medicaid/HCBW policies, service definitions, and documentation expectations. Complete all required assessments, plans, reviews, and progress notes within mandated timeframes and internal Golden Years deadlines. Accurately document contacts, visits, coordination activities, and critical incidents in the designated electronic or paper systems. Review utilization of authorized services for each participant, identify under or overutilization trends, and coordinate with leadership and providers to correct issues. Initiate, document, and track incident reports, ensuring follow-up, communication, and reporting occurs according to policy and regulatory requirements. Participate in internal audits, quality improvement projects, and corrective action processes related to case management and waiver compliance. Maintain professional, timely communication with participants, families, providers, and internal team members, including response to phone calls and messages. Participate in case conferences, team meetings, and trainings as scheduled. Schedule & Work Environment
Full-time position; standard weekday schedule with some flexibility based on participant needs and visit requirements. Combination of office-based work (documentation, calls, virtual meetings) and field work (home visits, community meetings). Travel within the service area to participant homes and community settings is required; mileage/travel scope is discussed during the hiring process. Compensation, Training & Performance Structure
Hourly pay or salary band is set by Golden Years based on experience, credentials, and caseload expectations (shared during the hiring process). New case managers receive structured “hip-to-hip” training, including shadowing experienced staff, guided documentation practice, and step-by-step exposure to waiver requirements and systems. Weekly feedback during ramp-up to support retention of knowledge, skill application, and confidence in independent case management. Formal 6‑month performance review followed by an annual review on your anniversary date. Reviews are based on five clearly defined KPIs that are explained during orientation and reinforced during handoff, so expectations are transparent and fair. A 90‑day probationary period to confirm reliability, alignment with Golden Years’ culture and values, quality of documentation, and adherence to Medicaid/HCBW standards. Ongoing development through monthly 1:1 check-ins, targeted coaching, and continued education on person-centered practices, waiver changes, safety, and quality care. Qualifications & Skills
Experience in case management, care coordination, social services, or human services preferred; waiver or Medicaid experience in Kentucky is a strong plus. Education in social work, human services, psychology, nursing, or a related field preferred; applicable licensure/certification is valued where relevant. Working knowledge or willingness to learn Kentucky Medicaid and HCBW program rules, including service definitions, limits, and documentation standards. Strong assessment, planning, and problem-solving skills with the ability to balance participant choice, safety, and regulatory requirements. Excellent communication skills—both written (documentation) and verbal (participant and provider interactions). Strong organization and time management skills to handle a caseload, juggle deadlines, and maintain accurate records. Comfort with technology and electronic systems for documentation, scheduling, and communication. Valid driver’s license and reliable transportation to conduct home and community visits; ability to maintain any required auto insurance. Disqualifiers & Pre‑Employment Requirements
Must successfully complete all required pre-employment screenings, which may include: criminal background check, drug screen, TB test. Must hold a valid driver’s license and maintain current proof of auto insurance if driving is required for visits. Candidates who cannot meet these requirements are not eligible for hire. Once a formal offer is extended, candidates will have 48 hours to accept the offer and complete required onboarding tasks; failure to do so may result in the offer being withdrawn. Cultural Expectations
Live out the Golden Rule with every participant, family member, provider, and team member. Demonstrate respect, kindness, and empathy consistently—even under pressure or when delivering difficult news. Help enrich the communities served by supporting safe access to services, informed decision-making, and meaningful engagement for participants. Approach documentation and compliance not as “check-the-box” tasks, but as part of honoring participant safety, rights, and trust. How to Apply
Interested candidates should submit a resume and a brief cover letter describing: Experience in case management, care coordination, or working with Medicaid/HCBW populations. Comfort with balancing paperwork, regulations, and real-life participant needs. How they practice the Golden Rule and reflect respect, kindness, empathy, and community enrichment in their work. Applicants may also call 270‑432‑2044 and ask to speak with Sarah Spears (Case Manager Supervisor) to learn more about the Case Manager role and current openings at Golden Years ADHC. Seniority level
Entry level Employment type
Full-time Job function
Other Industries
Home Health Care Services
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Job Title: Case Manager – Home & Community Based Waiver (HCBW) Organization: Golden Years ADHC Location: 903 W Stockton Street, Edmonton, KY 42129 Phone: 270-432-2044 About Golden Years ADHC
Golden Years ADHC is an adult day health and community-based provider serving participants under Kentucky Medicaid and the Home and Community Based Waiver (HCBW). The team stands firmly on the Golden Rule—treating others as we wish to be treated—and lives this out through respect, kindness, empathy, and enriching the communities served with care. Case Managers play a central role in ensuring each participant’s services are person-centered, clinically appropriate, and compliant with Kentucky regulations and Medicaid/HCBW requirements. Position Summary
The Case Manager is responsible for coordinating, monitoring, and advocating for services that allow waiver participants to remain safely in their homes and communities rather than institutional settings. This role leads the person-centered planning process, ensures services match the participant’s assessed needs and authorized hours, and works closely with participants, families, providers, and the Golden Years team. The Case Manager must maintain strong working knowledge of Kentucky Medicaid and HCBW guidelines, documentation standards, and timelines while practicing the Golden Rule and protecting participant rights, dignity, and choice. About This Specific Position
This position is a blend of desk and field work. You will spend time completing assessments and documentation, but you will also be in homes and the community, getting to know participants and their support systems. You’ll carry a defined caseload, with clear expectations around responsiveness, communication, and documentation quality. You are never left on an island: you’ll have “hip-to-hip” support while you learn the Golden Years way of case management, regular check-ins, and a performance framework that focuses on realistic, agreed-upon KPIs. If you value doing things the right way—by the participant, by the regulations, and by your teammates—this is a place where that effort is recognized and developed. Key Responsibilities – Participant Support & Service Coordination
Lead and maintain person-centered service planning for each assigned participant in alignment with Kentucky Medicaid and HCBW requirements. Complete initial and ongoing assessments, gather relevant history, and collaborate with participants and their natural supports to identify strengths, risks, and needs. Develop, update, and monitor individualized service plans (ISPs) that reflect assessed needs, goals, authorized services, and risk/safety considerations. Coordinate services across Golden Years programs and external providers (e.g., attendant care, transportation, therapies, clinical services, community resources). Ensure services are delivered within authorized hours, scope, and limits outlined by Kentucky Medicaid and the specific waiver program. Conduct regular home and community visits to monitor health, safety, satisfaction, and progress toward goals, documenting findings timely and accurately. Advocate for participant preferences and rights, helping them understand their options and participate fully in decisions about care. Respond promptly to changes in condition, crises, or new needs, facilitating plan-of-care updates and additional supports as appropriate. Key Responsibilities – Compliance, Documentation & Communication
Maintain up-to-date knowledge of applicable Kentucky Medicaid/HCBW policies, service definitions, and documentation expectations. Complete all required assessments, plans, reviews, and progress notes within mandated timeframes and internal Golden Years deadlines. Accurately document contacts, visits, coordination activities, and critical incidents in the designated electronic or paper systems. Review utilization of authorized services for each participant, identify under or overutilization trends, and coordinate with leadership and providers to correct issues. Initiate, document, and track incident reports, ensuring follow-up, communication, and reporting occurs according to policy and regulatory requirements. Participate in internal audits, quality improvement projects, and corrective action processes related to case management and waiver compliance. Maintain professional, timely communication with participants, families, providers, and internal team members, including response to phone calls and messages. Participate in case conferences, team meetings, and trainings as scheduled. Schedule & Work Environment
Full-time position; standard weekday schedule with some flexibility based on participant needs and visit requirements. Combination of office-based work (documentation, calls, virtual meetings) and field work (home visits, community meetings). Travel within the service area to participant homes and community settings is required; mileage/travel scope is discussed during the hiring process. Compensation, Training & Performance Structure
Hourly pay or salary band is set by Golden Years based on experience, credentials, and caseload expectations (shared during the hiring process). New case managers receive structured “hip-to-hip” training, including shadowing experienced staff, guided documentation practice, and step-by-step exposure to waiver requirements and systems. Weekly feedback during ramp-up to support retention of knowledge, skill application, and confidence in independent case management. Formal 6‑month performance review followed by an annual review on your anniversary date. Reviews are based on five clearly defined KPIs that are explained during orientation and reinforced during handoff, so expectations are transparent and fair. A 90‑day probationary period to confirm reliability, alignment with Golden Years’ culture and values, quality of documentation, and adherence to Medicaid/HCBW standards. Ongoing development through monthly 1:1 check-ins, targeted coaching, and continued education on person-centered practices, waiver changes, safety, and quality care. Qualifications & Skills
Experience in case management, care coordination, social services, or human services preferred; waiver or Medicaid experience in Kentucky is a strong plus. Education in social work, human services, psychology, nursing, or a related field preferred; applicable licensure/certification is valued where relevant. Working knowledge or willingness to learn Kentucky Medicaid and HCBW program rules, including service definitions, limits, and documentation standards. Strong assessment, planning, and problem-solving skills with the ability to balance participant choice, safety, and regulatory requirements. Excellent communication skills—both written (documentation) and verbal (participant and provider interactions). Strong organization and time management skills to handle a caseload, juggle deadlines, and maintain accurate records. Comfort with technology and electronic systems for documentation, scheduling, and communication. Valid driver’s license and reliable transportation to conduct home and community visits; ability to maintain any required auto insurance. Disqualifiers & Pre‑Employment Requirements
Must successfully complete all required pre-employment screenings, which may include: criminal background check, drug screen, TB test. Must hold a valid driver’s license and maintain current proof of auto insurance if driving is required for visits. Candidates who cannot meet these requirements are not eligible for hire. Once a formal offer is extended, candidates will have 48 hours to accept the offer and complete required onboarding tasks; failure to do so may result in the offer being withdrawn. Cultural Expectations
Live out the Golden Rule with every participant, family member, provider, and team member. Demonstrate respect, kindness, and empathy consistently—even under pressure or when delivering difficult news. Help enrich the communities served by supporting safe access to services, informed decision-making, and meaningful engagement for participants. Approach documentation and compliance not as “check-the-box” tasks, but as part of honoring participant safety, rights, and trust. How to Apply
Interested candidates should submit a resume and a brief cover letter describing: Experience in case management, care coordination, or working with Medicaid/HCBW populations. Comfort with balancing paperwork, regulations, and real-life participant needs. How they practice the Golden Rule and reflect respect, kindness, empathy, and community enrichment in their work. Applicants may also call 270‑432‑2044 and ask to speak with Sarah Spears (Case Manager Supervisor) to learn more about the Case Manager role and current openings at Golden Years ADHC. Seniority level
Entry level Employment type
Full-time Job function
Other Industries
Home Health Care Services
#J-18808-Ljbffr