Legal Assistant - Medicaid Eligibility Specialist - MO HealthNet/Long-Term Care Applications We are seeking a detail-oriented, compassionate, and highly organized Medicaid Eligibility Specialist to prepare, submit, and follow through on long-term-care Medicaid applications for clients. This is NOT a government caseworker position — it’s a client-facing role inside a private elder law firm where you will have the time, support, and resources to do it right without overwhelming caseloads. This position is ideal for: • Former or current DSS/FSD Eligibility Specialists • Former Income Maintenance Caseworkers • Hospital-based Medicaid Eligibility Workers • Skilled nursing facility admissions/Medicaid coordinators • Elder Law Firm Legal Assistants or Paralegals • Anyone with hands-on MO HealthNet eligibility experience Responsibilities: • Prepare, submit, and manage MO HealthNet / Medicaid long-term-care applications • Review client income, assets, bank statements, deeds, and financial documents • Communicate with DSS caseworkers and follow up on application status • Guide families through spend-down rules, asset documentation, and required verifications • Maintain accurate case notes and workflow within our systems (Actionstep, Lawmatics) • Work closely with attorneys, paralegals, and funding coordinators • Provide updates to clients and explain Medicaid eligibility requirements in simple, understandable terms • Track deadlines, respond to Requests for Information (RFI), and support clients through the approval process This is a role where you are part of a team, not overwhelmed with 300+ cases and impossible deadlines. Qualifications: Required: Hands-on Missouri Medicaid eligibility experience • (MO HealthNet preferred; LTC experience strongly preferred) Experience with: • DSS/FSD eligibility processing • Nursing home Medicaid applications • Spend-down rules • Asset verification • Adjusted income calculations • Ability to explain complex rules in a clear, friendly, non-legal way • Strong communication and client service skills • High attention to detail and follow-through • Ability to handle sensitive family situations with empathy Preferred but not required: • Background in a hospital financial counseling or SNF admissions office Compensation: $55,000

• Prepare, submit, and manage MO HealthNet / Medicaid long-term-care applications • Review client income, assets, bank statements, deeds, and financial documents • Communicate with DSS caseworkers and follow up on application status • Guide families through spend-down rules, asset documentation, and required verifications • Maintain accurate case notes and workflow within our systems (Actionstep, Lawmatics) • Work closely with attorneys, paralegals, and funding coordinators • Provide updates to clients and explain Medicaid eligibility requirements in simple, understandable terms • Track deadlines, respond to Requests for Information (RFI), and support clients through the approval processThis is a role where you are part of a team, not overwhelmed with 300+ cases and impossible deadlines.