Case Manager

Health & Human Services Comm; Arlington (TX); On-site; USD 35,000 - 46,000; Full time

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension

Generous paid time off

Job summary

Health & Human Services Commission (HHSC) in Arlington, TX seeks a Community Care Worker IV to perform advanced case management for STAR Kids and the MDCP waiver programs. The role includes authorizing services, guiding transitions, and coordinating with MCOs and providers.

The position requires strong knowledge of HHSC community programs, excellent communication, and the ability to train staff while working under general supervision.

Qualifications

• High School Diploma or GED required.
• Knowledge of managed care programs, policies and procedures.
• Ability to use Outlook, Excel and Word; familiarity with TIERS and SAS.

Responsibilities

• Administers STAR Kids and MDCP waivers; authorizes and notifies on approvals/denials.
• Leads transitions from nursing homes to community-based care and cross‑program coordination.
• Attends meetings, trains staff, prepares reports and monitors service delivery.
• Develops and coordinates waiver explanations, eligibility validation and enrollment.
• Assists with fair hearings and manages MDCP interest lists.
• Provides policy interpretation and supervision when needed.

Skills

Case management

Communication skills

Policy interpretation

Microsoft Outlook

Excel/Word proficiency

Education

High School Diploma or GED

Tools

Outlook

Excel

Word

TIERS

SAS

Job description

Posting ID22689-Posted10/23/2026-Health & Human Services Comm-MC Prog Supp & Int Mgmt - Reg-Community and Social Services- Other Locations (3) - Additional Shifts available (1) -b. $3000 - $4999 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: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.

Registrations, Licensure Requirements or Certifications:

None required

Knowledge, Skills and Abilities:

• Knowledge of managed care programs, policies, and procedures. General knowledge of community and government service delivery systems; case guidelines, regulations, and policies; of interviewing techniques; of mental illness and the emotional components of physical illness; of individual needs associated with disabilities; and of community welfare resources.
• Skill in communicating effectively orally and in writing with all types of people, in all types of situations.
• Ability to convey instructions and explanations to individuals and key parties, to negotiate available services, and to train others.
• Ability to operate computer equipment and be proficient in the use of Outlook, Excel, Word, as well as a general understanding of various state software programs, e.g., TIERS, SAS, and CSIL.
• Skill in managing stress and high-profile situations while maintaining a professional demeanor.
• Skill in identifying systemic problems and ways to resolve same. Skill and ability to multi-task under pressure.
• Skill and ability to monitor performance and give appropriate feedback.
• Skill and ability to manage workload effectively to meet goals and objectives of STAR Kids, prevent problems, and meet timeframes.
• Ability to identify potential problems that would have a negative impact on service delivery and act proactively to prevent the problem.
• Ability to communicate policies and procedures to staff.
• Ability to establish priorities according to relative importance and deadlines, set goals, and manage time efficiently.
• Ability to monitor unit operations.
• Ability to observe employee performance and record observations.

Initial Screening Criteria:

High School Diploma or GED required. Prefer knowledge of or experience with managed care or the Medically Dependent Children Program. Preferred experience with LTSS or Medicaid for the Elderly and People with Disabilities (MEPD) services. Ability/experience with various types of computer equipment and software, including Outlook, Word, Excel, TIERS and SAS.

Active Duty, Military, Reservists, Guardsmen, and Veterans :

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited tothose listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions .

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS 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.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.