Community Care Worker III

Career Opportunities:
Community Care Worker III (20242)

Posting 20242
-Posted
08/18/2026

- Health & Human Services Comm

- MC Prog Supp & Int Mgmt
- Reg

- Community and Social Services

- Eligible for Telework
- Other Locations (1) -a. $1 - $2999 per month

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:

Community Care Worker III

Job Title: Community Care Worker III (CT)

Agency: Health & Human Services Comm

Department: MC Prog Supp & Int Mgmt
- Reg

Posting Number: 20242

Closing Date: 09/01/2026

Posting Audience: Internal and External

Occupational Category: Community and Social Services

Salary Range: $2,953.25-$4,365.66

Pay Frequency: Monthly

Salary Group: TEXAS-B-13

Shift: Day

Additional Shift: None

Telework: Eligible for Telework

Travel: Up to 10%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Nonexempt

Facility

Location:

Job Location City: HARLINGEN

Job Location Address: 3625 W HWY 83

Other Locations: Harlingen

MOS Codes: 42SX,4C0 X1

Program Enrollment and Support (PES) under the Medicaid CHIP Services Division (MCS) is searching for new team members to join our Program Support Unit (PSU). PSUis responsible forfacilitatingthe STAR Kids Medically Dependent Children Program (MDCP) and STAR+PLUS Home and Community Based Services (HCBS) eligibility and enrollment process for applicants and members. Services under these programsassistmanaged care members withmaintainingtheir independence in the community.

PSU staff perform moderately complex tasks related to Medicaid managed care Long Term Services and Supports (LTSS). Work involves frequent telephone contact with the general public, members and their families and staff from external organizations such as Managed Care Organizations (MCOs), PSU staff will also coordinate with various internal HHSC departments such as Managed Care Compliance and Operations (MCCO) and Medicaid for the Elderly and People with Disabilities (MEPD).

Upon successful completion of training, PSU staff will have full knowledge of program operational policies, procedures, and software. Duties include assisting applicants with the eligibility and enrollment processes for Medicaid waiver programs, approve and deny eligibility for Medicaid waiver programs, provide assistance to members transitioning from a nursing facility to the community, validate and enter waiver eligibility records in authorization systems, notify members of Medicaid waiver program eligibility, manage fair hearing requests for program denials, transfer members between waiver programs, and coordinate the age out process for individuals enrolled in a children’s Medicaid program.

This position requires extensive computer usage, research and comprehension of program policies and procedures to successfully process cases according to PSU program policy and procedures. Staff work under general supervision with moderate latitude for the use of initiative and independent judgment.

Attends work on a regular and predictable schedule in accordance with agency leave policy andperformsother duties as assigned.

Develop, coordinate, and explain waiver programs to applicants and members. Authorize or deny waiver services, send approval and denial notices. Validate eligibility inappropriate systems. Register waiver program eligibility in authorization system, authorize MCOs to begin approved services. Coordinate with MEPD staff for enrollment in Medicaid. This includes activities for members transitioning out of nursing facilities to the community. (50%)

Perform interest list activities such as confirmingaccuratecontact information, mail enrollment packets,…