Waiver Support & TCM Case Management

Job Title: ARChoices Waiver Support & TCM Case Management Location: ConwayReports To: RN Supervisor - Medicaid Client Care AdvisorPosition SummaryThe Key Player - TCM Case Management & ARChoices Waiver Support provides essential administrative and coordination support to the RN Medicaid Client Care Advisor, with a primary focus on Targeted Case Management (TCM) and ARChoices Waiver clients. This role ensures timely follow-up, accurate documentation, and consistent communication with clients, families, and care teams.The Key Player is responsible for managing day-to-day case management tasks, tracking client status, and ensuring all TCM and ARChoices requirements are met in compliance with Medicaid guidelines. This position plays a critical role in maintaining continuity of care and supporting client satisfaction.Essential Duties And ResponsibilitiesTCM Case Management SupportAssist with daily Targeted Case Management (TCM) activities for Medicaid clients Track and maintain TCM schedules, including monthly and quarterly follow-ups Complete routine client follow-up calls to assess needs, satisfaction, and service effectiveness Document all TCM contacts and activities accurately and timely Ensure TCM documentation meets compliance and billing requirements Prepare TCM documentation for RN review and approval Assist with TCM invoice tracking and submission processes ARChoices Waiver CoordinationServe as a primary support contact for ARChoices Waiver clients and families Track ARChoices applications, renewals, and eligibility status Conduct consistent follow-ups on pending ARChoices applications and services Assist with gathering and submitting required ARChoices documentation Maintain organized records of all waiver-related communication and status updates Coordinate with the RN Supervisor to ensure timely completion of required assessments Client Follow-Up & Care CoordinationConduct scheduled follow-up calls with ARChoices and Medicaid clients Identify changes in client condition, needs, or satisfaction and escalate to RN as needed Support coordination of services between clients, caregivers, and internal staff Ensure clients remain engaged and supported throughout the duration of services Assist with scheduling nursing assessments, reassessments, and supervisory visits Medicaid Program SupportAssist with tracking Medicaid eligibility processes and documentation Support follow-up on submitted forms (including Form 618) and pending approvals Maintain accurate and up-to-date client records in WellSky or applicable systems Assist with intake documentation and onboarding for new Medicaid clients Administrative & Operational SupportMaintain detailed tracking systems for TCM tasks, ARChoices status, and follow-ups Ensure all client files are complete, organized, and audit-ready Communicate regularly with the RN Supervisor regarding client updates and priorities Assist with reports related to TCM activity, ARChoices status, and client outcomes Support compliance with all Medicaid, ARChoices, and company policies QualificationsRequiredStrong organizational and time management skills Excellent documentation and attention to detail Ability to manage multiple clients, tasks, and deadlines simultaneously Strong communication and interpersonal skills Proficiency in basic computer systems and documentation platforms PreferredExperience with Medicaid home care services Knowledge of ARChoices Waiver program Experience with Targeted Case Management (TCM) Familiarity with WellSky or similar healthcare software Experience in healthcare coordination, case management, or home care Key CompetenciesOrganization and follow-through Communication and client engagement Compliance and documentation accuracy Problem-solving and critical thinking Ability to prioritize and multitask Client advocacy and service excellence Work EnvironmentPrimarily office-based with periodic field or client-related communication Frequent phone communication with clients and families Fast-paced environment requiring multitasking and adaptability