EPD Waiver Case Manager (1099 Contractor)

Job Description

Job DescriptionWho We Are

Prestige Healthcare Resources, Inc. (PHRI) is a mission-driven behavioral and community healthcare organization committed to supporting individuals across the lifespan through high-quality, person-centered services. We partner with individuals, families, and community stakeholders to promote independence, dignity, and access to essential healthcare and supportive services. Our work is grounded in compliance, compassion, and collaboration, with a strong focus on serving elderly individuals and persons with physical disabilities in the most integrated community-based settings possible.

What You’ll Do

As an EPD Waiver Case Manager, you will play a critical role in ensuring beneficiaries enrolled in the District of Columbia’s Elderly and Persons with Physical Disabilities (EPD) Medicaid Waiver Program receive comprehensive, coordinated, and person-centered services. Under the leadership of the Administrator of the EPD Case Management Department and supervision of the Case Manager Coordinator, you will:

• Maintain and update beneficiary electronic records using the DHCF electronic case management system, ensuring strict adherence to HIPAA and privacy laws.

• Conduct comprehensive intake, annual recertification, and ongoing assessments of beneficiaries’ medical, social, and functional needs using a person-centered planning approach.

• Facilitate care coordination meetings and develop comprehensive Person-Centered Service Plans (PCSPs) that reflect beneficiaries’ strengths, preferences, goals, resources, and assessed needs.

• Provide ongoing case management and monthly monitoring, including required face-to-face home visits, supplemented by phone or email contact as needed.

• Complete quarterly PCSP reviews, including risk assessments, service utilization monitoring, provider coordination, and goal progress evaluation.

• Advocate for and connect beneficiaries to public benefits and community resources, including Medicaid, Medicare, SSI, housing, transportation, legal, and energy assistance.

• Ensure beneficiaries remain connected to all eligible public benefits and supports.

• Manage a caseload of up to 45 beneficiaries, based on acuity and level of support required.

• Respond to crisis situations and participate in on-call coverage during evenings and weekends as required.

• Perform all duties in alignment with PHRI’s mission, values, and regulatory requirements.

What You’ll Bring

• A Bachelor’s degree (Master’s degree preferred).

• One of the following licensure and experience combinations:

  • Master’s degree with current licensure in nursing, social work, psychology, counseling, occupational, physical, or speech therapy, plus at least one (1) year of experience working with elderly individuals or persons with physical disabilities; or

  • Bachelor’s degree with current licensure in one of the above disciplines, plus at least two (2) years of relevant experience; or

  • Registered Nurse (RN) license with an Associate degree in nursing and at least three (3) years of experience working with elderly individuals and persons with physical disabilities.

• Strong knowledge of case management principles, procedures, and best practices.

• Familiarity with the District of Columbia’s Home and Community-Based Services (HCBS) Medicaid Waiver for EPD populations (preferred).

• Excellent written, verbal, time management, and organizational skills.

• Proficiency in web-based electronic documentation systems and Microsoft Office 365 (Outlook, Teams, Word, Excel), with the ability to learn new technologies.

• Commitment to completing required DHCF core training and ongoing professional development.

Core Competencies

• Person-Centered Planning: Ability to assess needs holistically and develop individualized service plans that promote independence and quality of life.

• Care Coordination & Advocacy: Strong skills in collaborating with providers, navigating public benefits, and advocating for beneficiary needs.

• Analytical & Problem-Solving Skills: Ability to simplify complex issues, prioritize needs, and make sound independent judgments.

• Communication & Documentation: Clear, timely, and compliant documentation and professional communication with beneficiaries, providers, and stakeholders.

• Technology Proficiency: Effective use of electronic case management systems and digital tools to support service delivery.

• Accountability & Compliance: Consistent adherence to regulatory standards, confidentiality requirements, and agency policies.

Why Prestige Healthcare Resources

At Prestige Healthcare Resources, you are more than an employee—you are a valued partner in our mission. We offer the opportunity to make a meaningful impact in the lives of vulnerable populations while working in a supportive, professional, and compliance-focused environment. Our organization values growth, collaboration, and integrity, and we are committed to providing the training, resources, and leadership support needed for you to succeed and advance in your career.

Prestige Healthcare Resources, Inc. is proud to be an Equal Opportunity Employer and is committed to fostering a diverse, inclusive, and respectful workplace.

CompensationPay $150/billable hour

Equal Employment Opportunity Statement

Prestige Healthcare Resources, Inc. is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to age, race, color, religion, creed, sex, sexual orientation, gender identity or expression, national origin, ancestry, citizenship status, physical or mental disability, genetic information, marital status, veteran status, status with regard to public assistance, or any other characteristic protected by applicable federal, state, or local law.

Prestige Healthcare Resources, Inc. also provides reasonable accommodations to qualified individuals with disabilities in accordance with applicable laws.