Nurse I

TX-HHSC-DSHS-DFPS • Wells Branch, TX

2d • Hybrid

About The Position

Nurse I: Reviews required paperwork and documents to approve or deny Community Attendant Services (CAS) and Day Activity/Health Services (DAHS). Conducts reviews and authorizes CAS services annually.Participates in Interdisciplinary Team meetings with Health and Human Services Commission (HHSC) Community Care Services Eligibility (CCSE) case workers to resolve issues for HHS clients when needed, and to determine if services are appropriate based on program criteria. Maintains confidentiality of all incoming and outgoing information. Understands and adheres to all HHSC and CCSE policies and procedures. Provides outstanding customer service in person, over the telephone and via e-mail. Maintains a positive and productive attitude while working in a fast-paced, high-volume environment. Functions as an advocate to the participant and acts as a liaison to other providers of services. May participate in HHSC fair hearings process related to the delivery of services to participants.

Requirements

• Must have a valid Texas license as a Registered Nurse or licensed in a state that recognizes reciprocity through the Nurse License Compact Act
• Knowledge of nursing care standards, techniques and procedures.
• Knowledge of Community Care Services Eligibility (CCSE) program services policies and service delivery processes.
• Knowledge of individuals with disabilities/geriatric and special needs.
• Experience in functioning as an advocate and as a resource for providers and co-workers.
• Skill in organizing workloads; skill in setting priorities and being able to effectively handle multiple responsibilities.
• Knowledge of nursing techniques and procedures; health laws and regulations, medical diagnoses and ICD 10 coding, procedures and accepted medical treatment patterns.
• Knowledge of community health and nursing care principles
• Knowledge of agency and community resources
• Proficient with Microsoft Outlook and other Microsoft Office applications.
• Ability to work independently and productively with all levels of staff
• Ability to communicate effectively both orally and in writing.
• Two years working experience as an RN required.

Responsibilities

• Reviews required paperwork and documents, completes and finalizes authorization of services in an automated system, timely and accurately to approve or deny Community Attendant Services (CAS) and Day Activity/Health Services DAHS). (60%)
• Documents information manually and into multiple automated systems. (10%)
• Verifies client information utilizing multiple automated systems TIERS, SASO, SharePoint and other automated systems. (10%)
• Serves as a resource, interprets policies, procedures, rules and regulations for clarification to provider agencies, practitioners and CCSE staff. (15%)
• Completes special assignments and/or reports. (5%)
• Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

Benefits

• comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees
• defined benefit pension plan
• generous time off benefits
• numerous opportunities for career advancement

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees