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Medicaid Waiver Provider information

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How much do medicaid waiver provider jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for medicaid waiver provider in the United States is $27.85, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $32.69 per hour, depending on experience, location, and employer.

What is a Medicaid Waiver Provider?

A Medicaid Waiver Provider is an individual or organization authorized to deliver specialized services to people who qualify for Medicaid waivers. These waivers allow states to offer home and community-based services to individuals who might otherwise require institutional care. Providers can offer a range of supports, such as personal care, respite, transportation, and therapies, depending on the specific waiver program. Becoming a waiver provider typically requires meeting state licensure, training, and background check requirements. Medicaid Waiver Providers play a critical role in helping participants live independently in their communities.

What are some common challenges Medicaid Waiver Providers face when coordinating care across multiple service agencies?

Medicaid Waiver Providers often work with clients who require services from various agencies, such as healthcare, housing, and social services. Coordinating care can be challenging due to differing communication styles, documentation requirements, and timelines among agencies. Providers must be proactive in maintaining clear communication, ensuring all parties are informed of changes, and advocating for their clients' needs. Building strong, collaborative relationships with agency contacts and staying organized are essential for overcoming these challenges and delivering effective support.

What are the key skills and qualifications needed to thrive as a Medicaid Waiver Provider, and why are they important?

To thrive as a Medicaid Waiver Provider, you need a thorough understanding of Medicaid regulations, care planning, and appropriate state or agency certifications or licenses. Familiarity with electronic case management systems, documentation software, and compliance reporting tools is typically required. Compassion, patience, and strong organizational skills help providers build trust with clients and manage multiple care plans effectively. These skills and qualities are essential to ensure clients receive appropriate services, maintain regulatory compliance, and support positive health and independence outcomes.

What is the difference between Medicaid Waiver Provider vs Home Health Aide?

AspectMedicaid Waiver ProviderHome Health Aide
CredentialsVaries by state, often requires certification or licensingHigh school diploma or equivalent, certification often required
Work EnvironmentCommunity-based, assisting clients in their homes or facilitiesPrimarily in clients' homes, providing personal care
Employer & IndustryState Medicaid programs, home care agenciesHome health agencies, private care companies

Medicaid Waiver Providers and Home Health Aides both serve in home-based care settings, but Medicaid Waiver Providers often have broader responsibilities and may require specific certifications depending on state regulations. Home Health Aides focus mainly on personal care tasks. Understanding these differences helps in choosing the right career path or service provider.

More about Medicaid Waiver Provider jobs

What cities are hiring for Medicaid Waiver Provider jobs?

Cities with the most Medicaid Waiver Provider job openings:

What are the most commonly searched types of Medicaid Waiver Provider jobs?

The most popular types of Medicaid Waiver Provider jobs are:

What states have the most Medicaid Waiver Provider jobs?

States with the most job openings for Medicaid Waiver Provider jobs include:

What job categories do people searching Medicaid Waiver Provider jobs look for?

The top searched job categories for Medicaid Waiver Provider jobs are:

Medicaid Waiver Provider jobs near you
Infographic showing various Medicaid Waiver Provider job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 76% Full Time, 15% Part Time, and 6% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $57,922 per year, or $27.8 per hour.

Medicaid Waiver Nurse

Golden Gate Regional Center

San Francisco, CA • On-site

$63K - $75K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Job description

Medicaid Waiver Nurse

Starting Salary Range: $63,011 - $75,613

This position determines eligibility for the Medicaid Waiver program in compliance with Federal and State regulations. This position also provides trainings to and consultation to case managers on eligibility requirements.

Responsibilities:

    • Determine Medicaid Waiver eligibility for individuals supported by GGRC as required by the Department of Developmental Services (DDS) regulations. Review case records to assure assessed needs  are supported by current case documentation and collaborate with Case Manager as needed  to assure Client Development Evaluation Report (CDER) is updated and accurate and that the Consumer Choice form is received and filed to e-records.
    • Determine Medicaid Waiver eligibility for Institutional Deeming Referrals to Medi-Cal. Receive, process, and track referrals and follow up with Case Manager.
    • Perform annual recertification review for persons enrolled in the Medicaid Waiver program.
    • Perform Medicaid Waiver terminations when eligibility requirements are no longer met.
    • Distribute Medicaid Waiver documentation for data entry and filing to e-records.
    • Review and compare State and Regional Center reports to ensure accuracy of data.
    • Provide assistance during Federal and State audits  and  follow up on an appropriate plan of corrective action as needed.
    • Inform, educate and provide input to case management staff and others regarding Medicaid Waiver program, documentation, and any changes in Medicaid Waiver status of individuals served. Assist with the new hire orientation sessions to Medicaid Waiver and ongoing training for case management staff.
    • Establish and maintain relationships with external organizations including DDS and County Health and Human Services offices to facilitate the exchange of information between the agency and its community partners.
    • Participate in related projects, and assist with additional duties or  tasks, as  assigned.
    • Maintain all  information related to  individuals supported as confidential in compliance with the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the California Lanterman Act.

Requirements

Education/Experience

  • Bachelor’s Degree from an accredited school in Nursing. Master’s Degree preferred.
  • Valid Registered Nurse License at time of hire and ability to maintain license in good standing.
  • 2+ years in a variety of hospital and/or community settings
  • Experience with individuals with developmental disabilities and determining quality assurance is preferred.
  • Experience in multi-cultural settings and/or multi-lingual capacity is preferred.

Competencies

  • Strong organizational skills
  • Time management
  • Attention to detail
  • Collaboration/teamwork
  • Customer service orientation;
  • Demonstrate respect and cultural awareness;  effectively manage own reactions
  • Initiative and follow through
  • Adaptability
  • Ability to multi-task with competing priorities

General Skills

  • Knowledge of principles, methods and procedures of current nursing health practices, epidemiology, methods of developmental assessment and intervention and the ability to recognize changes in level of care.
  • Ability to extract and analyze pertinent information from a variety of sources including internal and external medical records and case notes.
  • Ability to interpret and apply federal, state and county eligibility regulations and agency procedures.
  • Ability to communicate complex information and ideas in a clear, concise and professional manner verbally and in writing.
  • Ability to operate basic office equipment, including scanners, copiers, faxes, phones.
  • Basic familiarity with MS Word, MS Excel, MS PowerPoint, MS Outlook or similar software applications.
  • Organizational skills; attention to detail, initiative and follow-up.
  • Ability to identify and assist in the resolution of operational difficulties.
  • Build partnerships and trust through collaboration, active listening and an openness to new ideas.
  • Act quickly and decisively in a crisis.
  • Understand and effectively react/adapt to multiple and competing priorities on the job.
  • Use knowledge and expertise to focus on key job outcomes
  • Demonstrate respect and cultural awareness
  • Experience in multi-cultural settings and/or multi-lingual capacity

Benefits

What are the benefits to working with GGRC?
We offer a comprehensive benefits package including Medical and Dental benefits with a generous employer contribution and additional employer paid Life, Disability and Vision coverage

10% employer contribution to a 403(b) retirement account to help you save for the future!

GENEROUS TIME OFF BENEFITS!!!

No really, we mean generous:

13 vacation days, 15 sick days, 11 paid holidays, 6 personal holidays, and up to 5 paid days for continuing education

What makes GGRC so special?

GGRC values diversity, we believe in creating an environment where people of all backgrounds can collaborate to find solutions to complex problems. We are community minded and passionate.

GGRC values each person as a full, robust, and unique individual and interacts with each person in a manner that is respectful and responsive. We endeavor to place each person at the center of his, her or their own life. We approach each person as an expert on his, her or their own life and identity with a clear and attentive inquiry into what is important to, as well as important for, that one person (whether coworker or person-served, family member or other stakeholder).

How to apply:

GGRC values diversity; people of all backgrounds are encouraged to apply. Please complete the application and submit your most recent resume. If you feel that the questions do not accurately capture what you have to offer Golden Gate Regional Center, you are also welcome to attach a cover letter. Applications are being reviewed on a rolling basis so we encourage you to submit yours soon. We look forward to reading your application.

Golden Gate Regional Center is an Equal Opportunity Employer.

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