Case Manager
$3,095.33 - $4,114.06 per monthTexas Health and Human Services
Date: Oct 23, 2026 Location:
ARLINGTON, TX
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Functional Title: Case Manager Job Title: Community Care Worker IV Agency: Health & Human Services Comm Department: MC Prog Supp & Int Mgmt - Reg Posting Number: 22689 Closing Date: 11/06/2026 Posting Audience: Internal and External Occupational Category: Community and Social Services Salary Range: $3,095.33 - $4,114.06 Pay Frequency: Monthly Salary Group: TEXAS-B-14 Shift: Day Additional Shift: Days (First) Telework Travel: Up to 10% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt Facility Location: Job Location City: ARLINGTON Job Location Address: 2561 MATLOCK RD Other Locations: Grand Prairie; Arlington; Houston MOS Codes: 42SX,4C0X1 Program Support Specialist IV serves as an advanced worker in the Program Support Unit performing complex tasks related to STAR Kids. This includes case management activity related to helping people select a provider (Managed Care Organization (MCO)), approving and denying Medically Dependent Children Program (MDCP) waiver services, playing a key role in transitioning individuals from nursing homes back to the community (Promoting Independence), entering or validating MDCP service authorizations in automated systems, notifying members of MDCP waiver eligibility, managing the fair hearing process, assisting with transfer of cases where STAR Kids is involved, and coordinating the aging out process for individuals enrolling in STAR+PLUS. Work involves frequent contact with 1915(c) waiver recipients and applicants, service providers, STAR Kids MCOs, relocation specialists, nursing facility staff, the public, and Health and Human Services Commission Health Plan Management staff. Additional duties include serving as acting supervisor in the absence of the unit supervisor, supervising worker and clerical staff, providing assistance and policy interpretation to staff, training new workers, completing special reports and attending and conducting meetings. Works under general supervision with moderate latitude for the use of initiative and independent judgment. Work includes operating a computer and an extensive knowledge of HHSC community programs and PSU programs and software. Essential Job Functions Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.- 10%) Develops/coordinates/explains STAR Kids and the MDCP waiver and authorizes services, such as approval and denial of waiver services, sending approval/denial notices to applicants, members and other key parties, validating eligibility in TIERS and the Long-term Care Portal, authorizing the MCO to start services, and authorizing enrollment in STAR Kids.
- 30%) Provides leadership, policy interpretation, and coordination for activities related to transitioning individuals from the nursing home to the community, handling the transition of children into the STAR+PLUS program, people who transition in and out of STAR Kids services, and the handling of people released from the MDCP waiver interest list.
- 5%) Monitors and tracks services provided by contract agencies to measure the effect of services delivered and to detect any problems. As appropriate, if timeframes are not followed by key players, contact the appropriate person to assist with resolution of obstacles and document the reason for the delay.
- 5%) Handle continuum of care issues related to Long-term Services and Supports (LTSS) for STAR Kids members who have been disenrolled or transferred in or out of STAR Kids areas and are experiencing a gap in services.
- 10%) Assist individuals in the process of selecting an MCO. Assist with management of the MDCP interest list, which includes scrubbing the list at the time of release to ensure the information is accurate and individuals wish to be assessed for MDCP services. Assist STAR Kids members who have been denied waiver services to file for a fair hearing with the State. Track and monitor appeal process through decision.
- 5%) Handle duties such as completing reports, researching and resolving errors in enrollment, or making referrals for DADS services for individuals who lose Supplemental Security Income (SSI) eligibility. Prepares reports and records to provide management information on program operations.
- 20%) Provides administrative assistance to the supervisor, which may include serving as acting supervisor, assisting in conducting staff meetings, and monitoring worker activity. Assists staff with the interpretation of policy.
- 15%) Assists in training new staff. Assists the unit supervisor in completing reports or resolving special case problems. Serves as a resource person for more difficult or complex cases.
Vacancy posted 4 days ago
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