Human Services Specialist V

TX-HHSC-DSHS-DFPS•Arlington, TX

2d•$3,248 - $4,837•Hybrid

About The Position

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: Human Services Specialist V Job Title: Human Services Spec V Agency: Health & Human Services Comm Department: CRS - Program Admin Posting Number: 19995 Closing Date: 08/25/2026 Posting Audience: Internal and External Occupational Category: Community and Social Services Salary Range: $3,248.00 - $4,837.08 Pay Frequency: Monthly Salary Group: TEXAS-B-15 Shift: Day Additional Shift: Telework: Eligible for Telework Travel: Up to 20% 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: Houston; Austin; Dallas; Lubbock; San Antonio MOS Codes: 42SX,4C0X1 Job Description: The 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, coordinating appointments, 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.

Requirements

High School diploma or equivalent
Experience with medical billing, coding or claims
One year of experience providing customer service in a rehabilitation, medical or social service setting

Nice To Haves

Associate degree or higher in medical or human services related field
Experience in case or caseload management
Experience working with individuals with traumatic brain injury, traumatic spinal cord injury, complex medical needs or other disabilities.
Experience in administrative duties, documentation or records management

Responsibilities

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.
Assist the Social Worker with caseload management, utilizing critical thinking and problem solving to ensure people's 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.
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.
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.
Coordinates and participates in contract compliance and monitoring activities to ensure compliance regarding medical and physical rehabilitation services in accordance with the program’s policy and standards. Adhere to all program policies, standards and procedures. May also assist in development of policies, standards and procedures.
Assist the social worker complete intake activities including but not limited to explaining program benefits and requirements, scheduling interviews, collect eligibility documents and follow up on documents.
Performs other duties as assigned to ensure continuity of case and maintain positive consumer outcomes.