Community Care Worker IV.
Determines need and eligibility for Community Based Alternatives (CBA) Program services. Work involves conducting home visits, interviewing individuals who are older or have a disability, documenting information, determining need for services and developing service plans; verifying data, explaining program benefits and requirements, referring individuals for appropriate services, and assuring authorizations are registered in automated systems. Ensures coordination between Texas Medicaid and Healthcare Partnerships (TMHP) for medical necessity determinations, Medicaid for the Elderly and People with Disabilities (MEPD) for Medicaid eligibility, and Disability Determination Unit for disability determinations, when applicable, before services are authorized. Authorizes services and monitors to determine if services are meeting the individual’s
Essential Job Functions:
Essential Job Functions: Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Develops/coordinates/explains client service and payment plans and authorizes services to meet client's individual needs. Interviews clients to assess potential eligibility for state health and human services programs. Assesses/reassesses client eligibility and service needs. Monitors provider services to clients through phone calls, client site visits, and documentation. Serves as a client advocate and agency representative in locating available resources and making referrals to community resources when appropriate. Documents case records using automated equipment to form a record for each client.
Knowledge Skills Abilities:
Knowledge Skills Abilities: Knowledge of Gerontology, the field of disability, the dynamics of the aging process, and the special problems of the aged and disabled. Experience to communicate effectively with all types of people, in all types of situations. Ability to operate computer equipment. Knowledge of business English. Education which demonstrates the possession of knowledge, skills, and abilities for job performance.
Registration or Licensure Requirements:
Texas Driving Licensue.
Initial Selection Criteria:
Initial Screening Criteria: Long Term Care/Aged and Disabled casework experience preferred. Education and/or experience that demonstrate possession of the knowledge, skills and abilities necessary for job performance. Professional experience in interviewing; counseling; in gathering of information; in programs which require applying complex policies to determine eligibility; interpreting policies to the public, clients or others. Extensive working knowledge in automation programs including Word, Excel, Outlook and Power Point. Ability to travel 50% of the time.
Additional Information: Occasional overnight travel stay required. Person selected will be responsible for a caseload, which may cover several counties. This position is included in a career track series and may be filled at any level within the career track, dependent upon the selected applicant's qualifications as they relate to career track promotion eligibility requirements.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.