CSHCN Services Program Eligibility Specialist

DSHS is committed to hiring skilled and dedicated individuals who share a passion for public health to pursue our vision of A Healthy Texas. If you are looking to make an impact and tackle new challenges, we encourage you to consider a career with us.

Employee Benefits:

DSHS offers insurance coverage and other benefits available through the State of Texas Group Benefits Plan administered by the Employee Retirement System of Texas (ERS). To learn more about all the benefits available to you as a DSHS employee and other DSHS opportunities for early career pathways, visit the DSHS Careers Page.

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BRIEF JOB DESCRIPTION

Under the supervision of the Children with Special Health Care Needs Services Program Supervisor, provides routine and advanced administrative support necessary to carry out daily program operations for the Children with Special Health Care Needs Services Program (CSHCN-SP) area and greater Specialized Health and Social Services (SHSS) program as needed. Provides information and referral for incoming calls and visitors. Processes eligibility applications for the CSHCN-SP, which includes: reviewing applications for accuracy, interviewing clients, collecting program required verification, and documenting case information in assigned databases. Coordinates successful case disposition and effective client services by referring clients to DSHS medical case managers as needed. Performs duties to support case management efforts of the region, including: entering and retrieving client information into/from assigned databases; and transferring and processing case management files according to the specific records retention policy for each case type. Performs duties under moderate supervision with limited latitude for the use of initiative and independent judgment. May train or mentor others. Performs other duties as assigned. Member of the Incident Command Structure (ICS) in response to public health emergencies. Must comply with HHS, DSHS, and Texas Department of Public Safety applicable policies/procedures/standards. Employee must be able to independently travel throughout the State of Texas and out-of-state to complete essential job functions. This position is office-based, Monday-Friday, 8:00 am - 5:00 pm.

ESSENTIAL JOB FUNCTIONS

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

• Provides administrative and technical support services for the Children with Special Healthcare Needs Services Program (CSHCN-SP), Personal Care Services (PCS), Community First Choice (CFC), and other SHSS programs. Answers and routes telephone calls, takes messages, and greets and directs visitors to the appropriate staff. Prepares, reviews and maintains program reports and documents utilizing standard office equipment and software. Maintains filing systems in compliance with applicable state and federal statutes. Processes and disseminates program and regional correspondence. Participates in the organization, coordination, and tracking of a wide variety of regional program processes and events. May train or mentor others. (45%)
• Processes eligibility applications for the CSHCN-SP program. Interviews consumers to determine eligibility for services. Provides eligibility information to internal and external customers. Inputs information and scans eligibility applications and associated documents into the appropriate database systems. Documents case activity in compliance with applicable state and federal statutes. Processes and disseminates related correspondence and documents. (45%)
Performs other duties as assigned. Duties include, but are not limited to, being required to work other than normal business hours in order to respond to public health emergencies and actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response/recovery/Continuity of Operations (COOP) activation
• -requires completion of at least ICS 100, 200, 300, 400, 700 and 800 and may require an alternate shift pattern assignment and/or location. Maintain compliance with DSHS Policy, Fleet Operations and Management & Procedures and Standards, and a current valid Texas Driver's License. Participates in regional assignments/duties/special initiatives. (10%)

KNOWLEDGE, SKILLS AND ABILITIES

• Knowledge of: CSHCN-SP program policy, requirements, and procedures; Medicaid programs and the client eligibility process; related children's health programs such as CHIP, CSHCN-SP, SSI; healthcare delivery systems in Texas; Health Insurance Portability and Accountability Act (HIPAA); agency policies and procedures; best practices pertaining to office etiquette and administrative procedures.
• Skilled at: planning, prioritizing, and organizing workload; developing, compiling, and analyzing reports; problem resolution and effective decision-making; use of software applications, including Microsoft office products.
• Ability to: communicate effectively, verbally and in writing; interpret and apply program policies, procedures, and regulations; establish and maintain effective working relationships with internal and external customers; work in teams and take direction from others; manage multiple tasks and meet deadlines; adhere to DSHS and HHS policies and procedures; function independently and with great initiative in the performance of professional duties.

REGISTRATIONS AND LICENSURES

Valid Class C Texas Driver's License

INITIAL SCREENING CRITERIA

• Two years’ experience delivering customer service to a diverse population.
• Experience with eligibility and healthcare delivery systems in Texas.

ADDITIONAL INFORMATION

In order to be considered for an interview, applications must clearly reflect that the candidate meets all initial selection criteria. This position occasionally
requires travel, including periodic overnight travel. Employee must be able to travel independently and provide transportation for office visits, participation in community events, and other relevant state business. Safe operation of either a state-owned vehicle or personal vehicle is required to conduct state business and an acceptable driving record must be maintained in accordance with Fleet Operations and Management & Procedures and Standards. This position may require working hours other than 8:00 a.m. – 5:00 p.m., Monday through Friday to respond to regional public health emergencies such as disease outbreaks, biological, environmental, and weather emergencies. This may include (but is not limited to): prevention, surveillance, and control and may involve on-call 24- hour work for emergency situations. Must be legally authorized to work in the U.S. without sponsorship.

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 to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified for this position. For more information see the Texas State Auditor’s Military Crosswalk at https://hr.sao.texas.gov/CompensationSystem/JobDescriptions/.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), DSHS will provide reasonable accommodation during the hiring process for individuals with a qualifying disability. If reasonable accommodation is needed to participate in the interview process, please notify the person who contacts you to schedule the interview. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747 or via email at HHSServiceCenter.Applications@ngahrhosting.com.

Salary Information, Pre-employment Checks, and Work Eligibility:

• The salary offered will follow DSHS starting salary guidelines. Any employment offer is contingent upon available budgeted funds.
• Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
• DSHS uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 form