Case Manager IV

Health & Human Services Comm; Rusk (TX); On-site; USD 45,000 - 74,000; Full time

Job summary

Health & Human Services Commission (HHSC) is seeking a Case Manager IV at the Rusk State Hospital. You will perform advanced case management, coordinating with patients, families, and licensed representatives to develop recovery plans and discharge strategies.

You will advocate for patient rights, facilitate family involvement, and lead discharge planning activities to ensure seamless transitions from hospital to community placements.

Qualifications

• Knowledge of community resources and/or how to obtain information regarding those resources.

Responsibilities

• The Case Manager IV performs advanced, senior-level case management work and coordinates with the patient, family, and LAR to develop a recovery plan and discharge planning.
• Oversees the creation of individualized goals and ensures active patient involvement through meetings and input from LMHA.
• Aids families in understanding hospital rules, rights, and discharge options, and documents progress weekly to monitor recovery progress.
• Works with the recovery team to develop discharge plans ensuring continuity of care between hospital and placement.
• Participates in quality assurance activities and may assist other Case Managers as needed.

Skills

Community resources knowledge

Job description

Posting ID22075-Posted10/05/2026-Health & Human Services Comm-PsychSecurity Adm Spt-Community and Social Services-Rusk State Hospital-Not Eligible for Telework- 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 IV
Job Title:Case Manager IV
Agency:Health & Human Services Comm
Department:PsychSecurity Adm Spt
Posting Number:22075
Closing Date:10/19/2026
Posting Audience:Internal and External
Occupational Category:Community and Social Services
Salary Range:$4,020.33-$6,335.66
Pay Frequency: Monthly
Salary Group:TEXAS-B-19
Shift:Day
Additional Shift:Days (First)
Telework:Not Eligible for Telework
Travel:Up to 10%
Regular/Temporary:Regular
Full Time/Part Time:Full time
FLSA Exempt/Non-Exempt:Nonexempt
Facility Location:Rusk State Hospital
Job Location City:RUSK
Job Location Address:805 N DICKINSON DR
Other Locations:None
MOS Codes: 0149,5832,230X,42SX,4C0X1,68X,73A,HM

Brief Job Description:

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.

The Case Manager IV performs advanced (senior level) case management work. The Case Manager IV includes the patient, family, legally authorized representative, and Local Mental Health Authority (LMHA) in all phases of assessment, intervention, planning and discharge. Work includes collecting social assessment information, planning recovery team interventions to aid patients in achieving their recovery goals, patient advocacy, provision of group and individual interventions related to discharge planning, social education and skill development. The Case Manager IV assists other Case Managers in the completion of their job functions as needed and participates in Social Service department quality improvement and utilization management activities as assigned. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgement.

Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

Essential Job Functions (EJFs):

Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.

Collects social assessment information for the licensed social worker by interviewing with patients, family, legally authorized representatives (LAR), and Local Mental Health Authorities to determine what is important to the patient and gather background information needed to assess the individual’s support systems and identify the individual’s psychosocial and discharge planning needs.

Based upon the Social Assessment of the patient, the Case Manager IV oversees the creation and development of individualized goals and objectives on patients’ individualized recovery plan; ensures individuals active involvement in development through 1:1 meeting with patients, family contact, and input from the Local Mental Health Authority. Goals must reflect the individuals’ stated life goal and objectives must be measurable and written in active voice.

Serves as an advocate for individual rights by providing assistance to individuals, family, and LARs regarding rights of individuals receiving inpatient services in state hospitals, advance directives, voting, Medicare rights, privacy rights, and other rights in accordance with state and federal laws and regulations and state and center policies. Provision of this information is documented on admission and annually thereafter at a minimum.

Ensures that individuals’ families and/or LARs are involved in recovery activities, informed of changes to the recovery plan, restraint or seclusion events, serious injuries, illnesses, rights restrictions, and other significant events in the individuals’ treatment. The Case Manager IV aids the family in making reservations at the Family House for overnight stays, educates families on mental illness, and provides information on hospital rules. First family contact is made within two business days of admission or signed patient authorization and contacts are continued at a minimum of monthly. Family calls are returned promptly.

Meets with patients individually or in groups as indicated on the patient recovery plan; interventions are provided at the intervals prescribed by the recovery plan; documentation is completed weekly and reflects the individuals’ response to the intervention; interventions are individualized to the patient, but examples of interventions include discharge planning and education on social skills, community readiness, relationships, trial competency, or mental health skills.

Works closely with the patient, family, LAR, Local Mental Health Authority, physician, and other recovery team members to develop a discharge plan to ensure continuity of care between hospital and placement. The patient, family, and LAR are educated on discharge options and preparation. The Case Manager IV begins discharge planning upon admission, and the status of the plan is documented weekly for the first 8 weeks of hospitalization and monthly thereafter. The final discharge plan includes a plan for the safe transportation of the patient to the discharge destination and provision of records to the next provider.

Assists Case Managers IIs in completion of job functions as needed; provides training to new Case Manager IIs, and in-service training in relevant subject matter to all Case Manager IIs quarterly. Participates in quality assurance activities by completing assigned chart reviews in a timely manner, thoroughly documents reason for “No” answers; the Case Manager IV is expected to score within the margin of error as calculated by the right answer algorithm.

Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

Knowledge, Skills and Abilities (KSAs):

Knowledge of community resources and/or how to obtain information regarding those resources.