Waiver Support & TCM Case Management

Job Title: ARChoices Waiver Support & TCM Case Management

Location: Conway
Reports To: RN Supervisor – Medicaid Client Care Advisor

Position Summary

The 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 Responsibilities

TCM Case Management Support

• Assist 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 Coordination

• Serve 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 Coordination

• Conduct 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 Support

• Assist 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 Support

• Maintain 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

Qualifications

Required

• Strong 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

Preferred

• Experience 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 Competencies

• Organization 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 Environment

• Primarily office-based with periodic field or client-related communication
• Frequent phone communication with clients and families
• Fast-paced environment requiring multitasking and adaptability