Medicaid Caseworker

Medicaid Solutions for Texans, L.L.C.; Plano (TX); On-site; USD 40,000 - 52,000; Full time

Job summary

Medicaid Solutions for Texans, L.L.C. in Plano, TX is seeking a full-time Medicaid Caseworker onsite. You will interview clients, gather and verify documentation for applications and renewals, and maintain confidential case records.

You will explain program benefits, coordinate services, and advocate for clients under state guidelines. Strong organizational skills and experience with case management are essential.

Qualifications

• Experience working with Medicaid for the Elderly and People with Disabilities is required.
• Prior experience working for Texas Health and Human Services as an Eligibility Advisor II or higher is strongly preferred.
• Experience must include case management and casework, including organizing, tracking, and documenting client information.
• Ability to interpret and apply Medicaid or public assistance program rules, regulations, and eligibility criteria.
• Attention to detail, strong organizational skills, and the ability to manage multiple cases and deadlines.
• Proficiency with basic computer applications and case management systems.
• Employment is onsite, must be within a reasonable commuting distance. No remote or offsite work.

Responsibilities

• Conduct interviews with clients to determine eligibility and needs.
• Gather and verify documentation for Medicaid applications, renewals, and updates.
• Maintain accurate and confidential case records and notes.
• Follow up with clients and external agencies to resolve issues and ensure timely processing.
• Coordinate services and explain program benefits and procedures to clients, advocating as needed.
• Collaborate with internal teams and external partners within state policies and confidentiality standards.

Skills

Interpersonal skills

Knowledge of social work principles

Advocacy

Education

High school diploma or equivalent

Tools

Case management systems

Basic computer applications

Job description

Company Description

Medicaid Solutions for Texans, L.L.C. is a Texas-based organization located at 5225 Village Creek Drive, Suite 400, Plano, Texas. The company focuses on helping Texas residents navigate Medicaid and related benefits programs. Team members work closely with individuals and families to support access to essential healthcare services. The organization values service, accuracy, and compassionate support for the communities it serves. Applicants can expect a mission-driven environment with a focus on improving outcomes for Medicaid recipients.

Role Description

The Medicaid Caseworker is a full-time, on-site role based in Plano, TX. This position is responsible for assisting individuals and families with Medicaid applications, renewals, and case updates, ensuring eligibility requirements are clearly explained and met. Daily tasks include conducting interviews, gathering and verifying documentation, maintaining accurate case records, and following up with clients and agencies to resolve issues. The role involves coordinating services, explaining program benefits and procedures, and advocating for clients within established guidelines and regulations. The caseworker collaborates with internal team members and external partners to provide timely support while adhering to state policies and confidentiality standards.

Qualifications

• Strong interpersonal skills and communication abilities to work effectively with diverse clients and stakeholders.
• Knowledge of social work principles or human services practices, with a commitment to client advocacy and support.

Experience working with Medicaid for the Elderly and People with Disabilities is required.

Prior experience working for Texas Health and Human Services as an Eligibility Advisor II or higher is strongly preferred.

• Experience must invlude case management and casework, including organizing, tracking, and documenting client information.
• Ability to interpret and apply Medicaid or public assistance program rules, regulations, and eligibility criteria.
• Attention to detail, strong organizational skills, and the ability to manage multiple cases and deadlines.
• Proficiency with basic computer applications and case management systems.
• High school diploma or equivalent required.
• Commitment to ethical practice, confidentiality, and respectful, non-discriminatory service to all clients.
• Employment is onsite, must be within a reasonable commuting distance. No remote or offsite work.