Community Care Worker III

Career Opportunities:
Community Care Worker III (21086)

Posting 21086
-Posted
- Health & Human Services Comm

- MC Prog Supp & Int Mgmt - Reg

- Community and Social Services

- Eligible for Telework
- Other Locations (1) - Additional Shifts available (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:21086
Closing Date:09/18/2026
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:Days (First)
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:TYLER
Job Location Address:3150 ROBERTSON RD
Other Locations:Tyler
MOS Codes: 42SX,4C0 X1

Managed Care Long Term Services and Supports STAR+PLUS Program Support Unit
- Community Care Worker III

Travel: 10% for training, meetings

Job Description:

Program Enrollment and Support (PES) is searching for new team members to join our Program Support Unit (PSU). PSU is responsible for working with our managed care members to enroll them in life changing services to maintain their independence in the community. Our positions offer an excellent benefits package and telework options after successfully completing initial training.

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, case managers from external organizations such as Managed Care Organizations (MCOs), service providers and nursing facility staff. 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 PSU operations and program 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.

This position will conduct all work activities from an HHSC or home office. Case management activities are not conducted via home visits.

Essential Job Functions:

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other 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 in appropriate 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 confirming accurate contact information, mail enrollment packets, determine appropriate MCO enrollment and verify applicants desire to enroll in a Medicaid waiver program. (10%)

Perform age out…