ADvantage Case Manager

Choice Rehab LLC•Oklahoma City, OK

12d

About The Position

The Advantage Case Manager is responsible for managing the care, coordination, and oversight of clients enrolled in Oklahoma’s ADvantage Medicaid Waiver Program. The Case Manager ensures that participants receive timely, appropriate, and high-quality services designed to maintain independence and prevent unnecessary institutionalization. This position collaborates with clinical, operational, and community partners to ensure regulatory compliance and fiscal responsibility.

Requirements

Licensed Practical Nurse (LPN) with an active Oklahoma license as verified on the Oklahoma Board of Nursing website.
One (1) year of paid professional or technical experience providing direct care services.
Paid technical experience may include, but is not limited to: Certified Nursing Assistant (CNA), Certified Medical Assistant (CMA), Certified Home Health Aide (CHHA), or Personal Care Assistant (PCA) experience.
Minimum of one (1) year of direct care experience as defined above.
Excellent communication, organizational, and problem solving skills
Ability to work independently and manage a caseload effectively
Strong computer skills and ability to navigate case management software
Reliable transportation and valid and current auto liability insurance.

Nice To Haves

At least 3–5 years of experience in case management, home and community-based services, or long-term care coordination preferred.
Experience with Medicaid waiver programs, home health, or long-term care services strongly preferred.
In-depth knowledge of Oklahoma ADvantage Program and its guidelines

Responsibilities

Conduct comprehensive assessments and ongoing reassessments of participants’ care needs and eligibility.
Develop, implement, and manage individualized service plans consistent with ADvantage waiver requirements.
Monitor and coordinate delivery of waiver services (e.g., therapy, home health, PT/OT/SLP, personal care, environmental modifications, respite, medical supplies).
Perform clinical oversight and review, or adjusting services to maintain quality and prevent overutilization.
Manage interdisciplinary collaboration with formal and informal support system.
Ensure compliance with ADvantage waiver rules, documentation requirements, service authorization, and regulatory reporting.
Monitor metrics such as participant outcomes, service utilization, hospital / nursing home transitions, and participant satisfaction.
Provide participant and family education regarding program services, rights, and responsibilities.
Serve as liaison with Oklahoma Department of Human Services / Aging Division, OHCA, and relevant regulatory entities.
Participate in internal audits, quality improvement initiatives, and corrective action plans as needed.