Waiver Service Coordinator-2026

Function(s):

Provides delegated Waiver Service Coordination for MyCare Ohio HCBS Waiver members at Nursing Facility level of care, ensuring person-centered, high-quality support in alignment with agency values and state requirements.

JOB RESPONSIBILITIES:

Provides waiver service coordination for managed care enrollees in the MyCare Ohio program (Waiver Service Coordination delegation)

1. Conduct initial and ongoing Waiver Service Needs Assessments using ODM approved tools to determine ongoing program eligibility, care needs, and service options.
2. Complete home visits and phone contacts according to assigned tier to ensure health, safety, service satisfaction and provide education to members.

Complete initial and annual Waiver Service Plan (WSP) within 4 days of assessment, using standardized tools for personal care authorizations.

1. Collaborate with the Department of Job and Family Service to establish and/or maintain Medicaid eligibility.
2. Provide education and support to consumers and their caregivers.
3. Complete all required documentation, within 3 business days of the activity.
4. Develop, implement and maintain the Waiver Service Plan within 4 calendar days following receipt of the request for Waiver Services for all members. The Waiver Service Plan must include disaster preparedness/back up plans and scope of service to address a member’s unstable conditions.
5. Advocate on behalf of consumer and/or caregiver/family and assist individuals in securing appropriate services and care settings.
6. Collaborate closely with the Care Coordinator to ensure coordination of care.
7. Provide crisis intervention, collaborate with the health plans to complete actions related to critical/reportable incidents, and in developing health and safety action plans (HSAPs).
8. Disenroll all ineligible consumers from the program.
9. Respond to questions, problems, or complaints from members, providers, and advocates. Apply judgments and perform clinical practice based upon education, experience and professional practice standards.