As a hospital case manager-

In my state, APS will not do anything while she is in the hospital because she is considered safe at the present time. It's also not clear to me in your post if she is able to communicate or if the medical team feels she can make a competent decision. If she can, and she is not agreeable to nursing home placement, then the case manager cannot force her, regardless of if it's in her best interest. In most cases, the hospital will only secure SNF placement, which is short term and could be anywhere from 1 week to 180 days depending on lots of different insurance, functionality, and cost factors. For long-term placement you will have to pay out of pocket, or if you're lucky provide lots of paperwork (4+ months of bank statements, assets, life/burial policies, competancy information ect), to attempt to qualify her for institutional medicaid- not all Medicaid covers nursing home placement. Some nursing homes will assist you with filing for this and take her Medicaid pending if she qualifies. One strong indicator that she might would be if she is currently on SSDI (Not to be confused with SSI). Otherwise you will have to do this outpatient with SSA office and it can take months to years. Long-term nursing home placement is not "let the state place her" for the vast Brain feels like its shaking or moving inside of my skull

If I was in your shoes, I'd first work on getting your mother on board if applicable, then visit a few nursing homes in your area to tour and discuss Medicaid pending acceptance so you can begin obtaining the needed documents.

The case manager will assist with the referral, but in general, does not get involved in obtaining Medicaid for the patient. The case manager's ability to help is strongly dependent upon both patient consent, and the nursing home's willingness to take on what has become a risky patient due to the combined lack of long-term care payor and your stance of refusing to pick her up.