Job Description

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

$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 process

This is a role where you are part of a team, not overwhelmed with 300+ cases and impossible deadlines.

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
• Social work or human services background

We’re an established, forward-thinking law firm with offices in Creve Coeur and St. Charles, Missouri , representing clients in Missouri and Illinois. We help families protect what matters most through strategic estate planning and elder law services. Our firm is successful, profitable, and poised for growth.

Benefits

• Supportive, client-focused team that values work-life balance.
• Opportunity to make a direct impact, helping families protect their homes, assets, and legacies.
• Professional growth—work alongside experienced attorneys in a boutique law firm environment.
• Competitive compensation package including 401(k) with employer match, health insurance, paid time off, and more.

Are you ready to join an award-winning and dynamically growing organization with unlimited potential? If you think you would be a great fit for our team, we want to hear from you!

Please send your resume and cover letter to our staff, standing by to bring you aboard.

Compensation details: 55000-55000 Yearly Salary

PI92ccb2e60335-30492-39210970

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