Waiver Services Specialist- Lincoln
Core
Assess funding needs and determine eligibility for Medicaid Home and Community-Based Services (HCBS) Waivers for individuals with developmental disabilities, aging, or special health care needs.
Role type
Waiver Services Specialist (Human Services)
Builds
Eligibility determinations and Level of Care (LOC) assessments for state disability services
Domain
Public sector / Healthcare administration / Disability services
Required skills
Medicaid Waiver program knowledge, Level of Care (LOC) criteria assessment, medical documentation review, eligibility decision making, dispute resolution, case management, policy interpretation
Preferred skills
Healthcare or long-term care experience, disability services background, medical terminology familiarity
Technologies
Excel, Word, Outlook
Responsibilities
Review applications and medical documentation to determine eligibility for waiver services; Perform initial and renewal Level of Care (LOC) assessments; Guide applicants, families, and providers through requirements; Participate in appeals or dispute hearings; Ensure accurate and timely documentation while managing multiple cases
Seniority
Individual Contributor, mid-level