Waiver Services Specialist - Omaha

State of Nebraska•Omaha, NE

2d•Onsite

About The Position

If you’re committed to helping others live independently with dignity and bring experience in human services, education, health care, or disability case management, this is your opportunity to make a meaningful impact. Whether you have a bachelor’s degree or qualifying year-for-year experience, as long as you hold a valid driver’s license, you can apply to join us as a Waiver Services Specialist, delivering hope and essential support to those who depend on it every day.

Requirements

Bachelor’s degree in: human services, education or health/medical; long-term care, gerontology, rehabilitation, health/disability case management, or children with special health care needs OR any equivalent combination of education and experience will be considered on a year for year basis.
Valid driver’s license and access to reliable transportation.
Strong knowledge of Medicaid Waiver programs, Level of Care (LOC) criteria, and services for individuals with disabilities, older adults, and those with special health care needs.
Understanding of medical terminology, healthcare systems, and state/federal regulations related to eligibility and assessments.
Skilled in reviewing documentation, conducting assessments, and making accurate, timely eligibility decisions.
Effective communication skills to explain complex information clearly and work with individuals, families, and service providers.
Proficient in using systems like Excel, Word, and Outlook for documentation and data management.
Ability to manage multiple cases in a fast-paced environment while maintaining attention to detail and meeting deadlines.
Demonstrated empathy, professionalism, and discretion when working with vulnerable populations and handling sensitive information.
Strong critical thinking and problem-solving skills to navigate complex cases and apply policy accurately.
Team-oriented with the ability to work independently and adapt to changing policies and procedures.

Nice To Haves

Experience in healthcare, long-term care, disability services, or completing assessment.
Familiarity with medical terminology and Medicaid waiver services.

Responsibilities

Assess funding needs for developmental disability services and determine eligibility for Medicaid Home and Community-Based Services (HCBS) Waivers.
Conduct assessments, review documentation and records, and make informed decisions for individuals who are aged, meet Social Security disability criteria, or have intellectual or developmental disabilities.
Participate in informal dispute resolution meetings or appeal hearings related to eligibility decisions.
Review applications and medical documentation to determine eligibility for waiver services.
Perform initial and renewal Level of Care (LOC) assessments with accuracy and attention to detail.
Guide applicants, families, and providers through requirements and next steps with clarity and support.
Participate in appeals or dispute hearings, advocating with professionalism and empathy.
Ensure accurate and timely documentation while efficiently managing multiple cases.
Other duties as assigned.