Waiver Services Specialist- Lincoln

State of Nebraska•Lincoln, NE

About The Position

The Waiver Services Specialist works under limited supervision to assess funding needs for developmental disability services and determine eligibility for Medicaid Home and Community-Based Services (HCBS) Waivers. The role serves people who are aged, meet Social Security disability criteria, or have intellectual or developmental disabilities. It includes conducting assessments, reviewing documentation and records, making eligibility decisions, and participating in informal dispute resolution meetings or appeal hearings. The specialist helps individuals receive services that support dignity and independent living.

Requirements

Bachelor’s degree in human services, education, health/medical, long-term care, gerontology, rehabilitation, health/disability case management, or children with special health care needs; an equivalent combination of education and experience may 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 criteria, and services for individuals with disabilities, older adults, and people with special health care needs.
Understanding of medical terminology, healthcare systems, and state and federal regulations related to eligibility and assessments.
Skill in reviewing documentation, conducting assessments, and making accurate, timely eligibility decisions.
Effective communication skills for explaining complex information and working with individuals, families, and service providers.
Proficiency with Excel, Word, and Outlook for documentation and data management.
Ability to manage multiple cases in a fast-paced environment, maintain attention to detail, and meet deadlines.
Empathy, professionalism, and discretion when working with vulnerable populations and handling sensitive information.
Strong critical-thinking and problem-solving skills.
Ability to work independently and as part of a team, and to adapt to changing policies and procedures.

Nice To Haves

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

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 and next steps.
Participate in appeals or dispute hearings.
Maintain accurate and timely documentation while managing multiple cases.
Perform other duties as assigned.