Nurse II 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 HHS CCSE case workers to resolve issues for HHS clients when needed, and to determine if services can be continued. 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 environment. Functions as an advocate to the participant and acts as a liaison to other providers of services. Participates in fair hearings related to the delivery of services to participants.
Essential Job Functions:
Attends work on a regular and predictable schedule in accordance with Agency leave policy and performs other duties as assigned. Be familiar with and follow all HHS policies and procedures relating to job performance and work rules. Reviews required paperwork and documents to approve or deny Community Attendant Services (CAS) and Day Activity/Health Services (DAHS). Information provided to CCSE staff and/or contracted agencies are accurate, appropriate and presented in a professional manner. Documents information manually and into multiple automated systems. Reviews, completes and finalizes authorization of services in an automated system, timely and accurately. Verifies client information utilizing multiple automated systems TIERS, SASO, SharePoint and other automated systems. Completes special assignments and/or reports.
Knowledge Skills Abilities:
Knowledge of nursing techniques and procedures. Knowledge of Community Care Services Eligibility (CCSE) program services policies and service delivery processes. Knowledge of medical diagnosis and ICD 10 coding. Knowledge of individuals with disabilities/geriatric and special needs. Proficient with Microsoft Outlook and other Microsoft Office products. 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.
Registration or Licensure Requirements:
Currently licensed as a Texas Registered Nurse or licensed in a state that recognizes reciprocity through the Nurse License Compact Act.
Initial Selection Criteria:
Must have a valid Texas license as a Registered Nurse or licensed in a state that recognizes reciprocity through the Nurse License Compact Act. Two years working experience as an RN preferred.
Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include: 68C, 66N/P/W, 290X, 46FX, 46NX, 46SX. For more information see the Texas State Auditor’s Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx. Req. # 371275 PN#84042 Applicants may not have a history of substantiated fraudulent activity against HHSC or any programs it administers. Applicants who have a non-fraud overpayment with an outstanding balance must agree to repay the overpayment balance as a condition of employment.
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
I-9 Form - Click here to download the I-9 form.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.