Human Services Specialist V

About the role

The Human Services Specialist (HSS) V for the Comprehensive Rehabilitation Services Program (CRS) reports to the CRS Purchasing Manager and supports the team utilizing Person-Centered Planning, Wraparound and Trauma Informed Care to provide rehabilitation services supports to individuals with Traumatic Brain Injuries (TBI) and/or Traumatic Spinal Cord Injuries (TSCI).

Responsibilities

The HSS collaborates with internal and external stakeholders to ensure continuity of care, coordinates medical services and supports, and participates in contract monitoring and quality assurance activities.

• Oversees and coordinates the provision of services for the individuals CRS supports, including scheduling, obtaining quotes, identifying and utilizing comparable benefits, issuing services authorizations, managing caseload budget, and collecting billing and needed information related to service provision to make payment (30%)
• Assists the Social Worker with caseload management, utilizing critical thinking and problem solving to ensure people's needs are met, and fosters positive collaboration with internal and external providers and stakeholders (25%)
• Documents all tasks, case related activities, and communication with individuals we support, their families, and providers in the designated electronic case management system and the data reporting system (20%)
• Provides education, information, and technical assistance regarding the CRS Program and services to individuals we support, families, internal and external stakeholders, and serves as subject matter experts on medical and rehabilitation services (10%)
• Coordinates and participates in contract compliance and monitoring activities to ensure compliance regarding medical and physical rehabilitation services in accordance with the program’s policy and standards (5%)
• Assists the social worker complete intake activities, including explaining program benefits and requirements, scheduling interviews, collecting eligibility documents, and following up on documents (5%)
• Performs other duties as assigned to ensure continuity of case and maintain positive consumer outcomes (5%)

Requirements

The ideal candidate will have a High School diploma or equivalent, experience with medical billing, coding or claims, and one year of experience providing customer service in a rehabilitation, medical or social service setting.

• Knowledge of rehabilitation and social services programs, traumatic brain injury and traumatic spinal cord injury, and assistive technology for individuals with disabilities
• Case and caseload management techniques and best practices
• Rehabilitation services and medical terminology
• State of Texas purchasing policies and procedures
• State of Texas contracts and monitoring techniques
• Comparable benefits for medical services

Skills

• Providing technical assistance to providers related to contracts and service delivery
• Managing multiple and competing priorities
• Understanding and applying policies and procedures
• Working collaboratively and cooperatively with diverse groups
• Utilizing Microsoft Office programs, including Word, Outlook, and Excel
• Medical billing, coding, and processing claims

Qualifications

Preferred candidates will have an Associate degree or higher in a medical or human services related field, experience in case or caseload management, and experience working with individuals with traumatic brain injury, traumatic spinal cord injury, complex medical needs, or other disabilities.

Benefits

The Texas Health and Human Services Commission offers a comprehensive benefits package, including 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, and numerous opportunities for career advancement.

Pay

The salary range for this position is $3,248.00 - $4,837.08 per month, with the offered salary determined in accordance with budgetary limits and the requirements of HHSC Human Resources Manual.

Schedule

This is a full-time position with a regular schedule, and may require occasional local area travel and overnight travel for meetings and training. The position is eligible for telework, subject to state and agency telework policies and the discretion of the direct supervisor and business needs.