PASRR, Provider, and Diversion Coordinator Team Lead II

Gulf Coast Center•Texas City, TX

About The Position

The PASRR, Provider, and Diversion Coordinator Team Lead II oversees PASRR compliance, provider services, diversion activities, staff productivity, training, service delivery, and documentation quality. The position coordinates complex work across staff, nursing facilities, contractors, and community partners to support timely access to community-based services, successful transitions, regulatory compliance, and appropriate services in the least restrictive setting. It monitors outcomes, resolves barriers to service access, and supports performance targets and operational efficiency. The role provides day-to-day direction and technical assistance to staff and serves as backup for the supervisor, providing coverage as needed. Backup duties may include completing Changes of Ownership (CHOWs), PASRR Evaluations (PEs), provider contract support, payment requisitions, and other assigned functions. The position may also provide direct services, case coordination, or waiver-service coverage to prevent interruptions and support billing. Work may take place in office, field, nursing-facility, community, and remote settings, with varied or irregular hours based on program and individual needs. Travel throughout Brazoria and Galveston Counties and occasional out-of-region travel for training may be required. The role requires a current Texas driver's license, a driving record consistent with Center policy, reliable transportation, and current auto liability insurance. Work may occur in settings with communicable-disease or other environmental risks. Physical requirements include handling or adjusting items up to 55 pounds, using stairs, remaining stationary for extended periods, operating office equipment, and performing various movements such as bending, kneeling, reaching, pushing, pulling, crawling, and squatting. Qualified individuals must be able to perform essential functions with or without reasonable accommodation.

Requirements

High school diploma and at least three years of experience working in services for individuals with IDD, or supervisory experience that substitutes for education as permitted by organizational requirements.
Working knowledge of PASRR IDD/MI requirements, HHSC standards, Texas Administrative Code requirements, Medicaid billing, provider-service requirements, and applicable performance measures.
Strong leadership, coaching, organization, time-management, multitasking, critical-thinking, problem-solving, and accuracy skills.
Ability to prioritize competing deadlines, coordinate complex work across multiple parties, and complete deliverables on time.
Ability to communicate clearly and effectively, orally and in writing, and work successfully as part of a team.
Proficiency with computers, electronic health records, spreadsheets, email, and other required systems.
Professionalism, accessibility, customer-service orientation, self-motivation, accountability, and respect for coworkers and individuals served.
Ability to complete and maintain Center-mandated training and role-specific training as required.
Current Texas driver's license, driving record consistent with Center policy, reliable transportation, and current auto liability insurance.
Ability to meet stated physical and mental requirements, including moving or adjusting items up to 55 pounds, communicating and writing effectively, maintaining regular attendance, and working independently and with others; essential functions must be performable with or without reasonable accommodation.

Nice To Haves

Bachelor's degree in a human services field.
At least three years of experience working in services for individuals with IDD, including at least one year of supervisory or team-lead experience.
PASRR, nursing-facility, provider-services, diversion, transition, billing, contract, or quality-assurance experience.

Responsibilities

Monitor PASRR notifications and ensure required responses, contacts, evaluations, meetings, services, and documentation are completed within applicable PASRR and HHSC timeframes.
Complete or oversee PASRR Evaluations, enter required information into the TMHP portal and electronic health record, and follow up on portal and email alerts.
Ensure IDT meetings and documentation are complete, accurate, and compliant; monitor specialized PASRR services, including applicable TRR, Recovery Plans, monitoring, and subsequent services.
Coordinate with nursing facilities, care homes, authority staff, providers, and other partners regarding individual needs and regulatory requirements.
Complete or oversee nursing-facility diversion documentation and participate in IDT decisions about diversion or community transition.
Develop and monitor community-transition plans, identify barriers, coordinate solutions, and arrange pre-move and post-move visits and follow-up.
Monitor services, safety, outcomes, and satisfaction during the required post-transition period, including 180-day monitoring when applicable.
Provide or arrange quarterly education for nursing-facility residents and families about community living options and complete required HHSC reporting.
Coordinate and support provider services, including respite, supported employment, community support services, day habilitation, behavioral supports, and nursing-facility services.
Monitor applicable regulations, service definitions, billing requirements, performance measures, Medicaid practices, and other standards.
Review PDPs and related action pages to confirm authorized services are referred to and delivered; discuss provider options and support informed choice and provider assignment.
Authorize and monitor services within the scope of the role; complete or oversee Implementation Plans and communicate with individuals, LARs, families, providers, and staff to individualize supports.
Review and update treatment or service plans as required and recommend outcome changes based on individual strengths, needs, and progress.
Maintain relationships with nursing facilities in Brazoria and Galveston Counties and coordinate access to provider services.
Monitor provider performance, utilization, documentation, contract compliance, training, credentialing, and service quality.
Support provider contract procurement, initiation, and maintenance as supervisor backup; complete assigned payment requisitions and support SmartCare enrollment and provider-function updates.
Provide day-to-day direction, coaching, mentoring, technical assistance, and performance feedback to PASRR, provider, and diversion staff.
Coordinate staffing, workload coverage, and training; monitor staff productivity, service delivery, documentation, billing, and performance targets.
Identify workflow barriers, service gaps, and performance risks; coordinate corrective action and elevate unresolved concerns to the supervisor.
Develop, deliver, or coordinate training for staff, providers, nursing facilities, and community partners as applicable.
Maintain tracking tools, reports, quality reviews, and outcome data; communicate findings to program leadership and use quality-assurance results to improve compliance and services.
Serve as supervisor backup and maintain operational continuity during absences, vacancies, high-volume periods, or urgent service needs.
Provide direct services, case coordination, or waiver-service coverage when needed to prevent disruption and support billing.
Complete and review programmatic, clinical, administrative, contract, and billing documentation accurately and on time; ensure records are entered, scanned, routed, and maintained appropriately.
Verify that services are supported, authorized, billable, and consistent with applicable requirements; complete CHOWs, PEs, and other assigned functions.
Track performance measures, provider activity, service utilization, transitions, barriers, and corrective actions, and report findings to the supervisor.
Provide courteous, respectful, responsive, efficient, person-centered service and promote trauma-informed practices.
Communicate professionally with individuals, families, LARs, staff, nursing facilities, contractors, providers, local entities, advocacy groups, and community partners.
Follow Gulf Coast Center policies, conduct and compliance standards, safety expectations, dress code, and applicable professional, ethical, and legal requirements; report leave and flex time to the assigned supervisor.
Complete Center-mandated training, maintain required qualifications, and complete special projects and related duties within agreed timeframes.