Human Services Spec V

Job/Position DescriptionThe Human Services Specialist (HSS) V for the Comprehensive Rehabilitation Services Program (CRS) reports to the CRS Purchasing Manager. The HSS supports the team utilizing Person-Centered Planning, Wraparound and Trauma Informed Care to provide rehabilitation services supports to individuals with Traumatic Brain Injuries (TBI) and/or Traumatic Spinal Cord Injuries (TSCI). Collaborates with internal and external stakeholders to ensure continuity of care. Coordinates medical services and supports; including but not limited to, explaining program benefits and requirements, scheduling, collecting eligibility documents, obtaining quotes, identifying and utilizing comparable benefits, issuing services authorizations, managing caseload budget, collecting billing and claims information for payments. Participates in contract monitoring and quality assurance activities. Serves as a subject matter expert regarding complex medical issues, goods and services, medical terminology, assistive technology and procedure coding. The HSS works independently with latitude to use critical thinking and problem solving to establish and maintain effective business relationships with individuals we support, their families, providers, and colleagues to ensure individuals we support needs are met. May mentor peers or oversee the work of others. May require travel outside immediate office location to accomplish assignments.Essential Job Functions1. Oversees and coordinates the provision of services for the individuals CRS supports which includes scheduling, obtaining quotes, identifying, and utilizing comparable benefits, issuing services authorizations, managing caseload budget, collecting billing and needed information related to service provision to make payment. (30%)2. Assist the Social Worker with caseload management, utilizing critical thinking and problem solving to ensure peoples needs are met. Fosters positive collaboration with internal and external providers and stakeholders with focus on solution-based outcomes. Collaborates with assigned Social Worker, the individuals we support, families, and providers as needed to obtain necessary documentation, arrange services and process claims. (25%)3. Documents all tasks, case related activities, and communication with individuals we support, their families, and providers in the designated electronic case management system and the data reporting system. Completes administrative activities, reports, and maintains consumer case files to ensure case file is properly maintained and organized. (20%)4. Provides education, information and technical assistance regarding the CRS Program and services to individuals we support, families, internal and external stakeholders. Serves as subject matter experts on medical and rehabilitation services, coordination of services and payment methodology. Supports other colleagues to manage workload priorities, assisting with complicated medical issues and promotes an effective and cohesive team. May mentor peers and oversee the work of others to provide technical assistance, training and consultation to support related assignments, work abilities, and professional growth. (10%)5. Coordinates and participates in contract compliance and monitoring activities to ensure compliance regarding medical and physical rehabilitation services in accordance with the programand#146;s policy and standards. Adhere to all program policies, standards and procedures. May also assist in development of policies, standards https://jobshrportal.hhsc.state.tx.us/ENG/CareerPortal/jobprofile.cfm?szOrderID=618180 Copy the URL in the preceding sentence to an Internet Explorer browser to apply to the job directly through the Texas Health and Human Services Career Portal.