Current jobs related to Managed Care Program Advisor - Abilene, Texas - Texas Department of Aging & Disability Services

  • Service Advisor

    2 weeks ago

    Abilene, Texas, United States Four Seasons RV Full time

    Job OverviewWe are seeking a skilled Service Advisor to act as our liaison for customers to address their vehicle repair needs.The successful candidate will be responsible for documenting repairs, scheduling technicians, and ensuring customer satisfaction.Key Responsibilities:Develop cost estimates and log necessary parts and time for repairsSchedule the...

  • Child Care Services Program Manager

    2 weeks ago

    Abilene, Texas, United States SERCO OF TEXAS INC - WEST CENTRAL TEXAS Full time

    Job SummaryAs a Child Care Services Program Manager at SERCO OF TEXAS INC - WEST CENTRAL TEXAS, you will be responsible for establishing, managing, and operating the Child Care Services program for local workforce boards. Under the direction of a Regional Director, you will work collaboratively to outreach, advocate, and network on behalf of SERCO with local...

  • Automotive Service Advisor

    1 week ago

    Abilene, Texas, United States Lawrence Hall Chevrolet Buick GMC Full time

    Job SummaryWe are seeking a highly motivated and experienced Service Advisor to join our team at Lawrence Hall Chevrolet Buick GMC. As a Service Advisor, you will be responsible for overseeing service orders and ensuring that customers receive prompt and courteous service.Key ResponsibilitiesProvide customer support and answer technical questions about...

  • Body Shop Estimator/Advisor

    2 weeks ago

    Abilene, Texas, United States Lawrence Hall Chevrolet Buick GMC Full time

    Body Shop Estimator/Advisor Job DescriptionLawrence Hall Chevrolet Buick GMC is seeking a skilled Body Shop Estimator/Advisor to join our team. As a key member of our Body Shop department, you will play a crucial role in preparing estimates and developing repair plans for vehicles.Responsibilities:Prepare accurate and detailed estimates in accordance with...

  • Wound Care Nurse

    4 weeks ago

    Abilene, Texas, United States Home Care Wellness LLC Full time

    Job Title: Wound Care Registered NurseWe are seeking a skilled Wound Care Registered Nurse to provide expert nursing care to patients in the comfort of their homes. The ideal candidate will possess the skills to initiate and supervise intravenous lines and tubes, dispense medications, and provide guidance to families.Key Responsibilities:Assess and evaluate...

  • Wound Care Nurse

    3 weeks ago

    Abilene, Texas, United States Home Care Wellness LLC Full time

    Job Title: Wound Care Registered Nurse (RN)We are seeking a skilled Wound Care Registered Nurse (RN) to provide expert nursing care to patients in the comfort of their homes.Key Responsibilities:Administer intravenous products and medications as prescribed by physicians.Provide education to patients on managing lines and treatment plans.Ensure a safe and...

  • Wound Care Nurse

    1 month ago

    Abilene, Texas, United States Home Care Wellness LLC Full time

    Job Title: Wound Care Registered Nurse RnWe are seeking a skilled Wound Care Registered Nurse (RN) to provide expert nursing care to patients in the comfort of their homes.Key Responsibilities:Administer intravenous products and medications as prescribed by physicians.Provide education to patients on managing lines and treatment plans, ensuring a safe and...

  • Protestant Religious Education Program Manager

    1 week ago

    Abilene, Texas, United States LADGOV CORPORATION Full time

    Job Summary: We are seeking a highly motivated and organized individual to serve as the Protestant Religious Education Coordinator at LADGOV CORPORATION. The successful candidate will be responsible for managing the Protestant Religious Education program, including Sunday Worship, mid-week RE, and monthly community-wide outreach events.Key...

  • Protestant Religious Education Program Manager

    2 weeks ago

    Abilene, Texas, United States Ladgov Corporation Full time

    Job Title: Protestant Religious Education Program ManagerJob Summary:We are seeking a highly motivated and organized Protestant Religious Education Program Manager to oversee Protestant RE programs, including worship and outreach, at Ladgov Corporation. The ideal candidate will have a bachelor's degree in a related field and experience in roles such as RE...

  • Care Manager LVN

    1 week ago

    Abilene, Texas, United States MRI Full time

    Job Title: Care Manager LVNAt MRI, we are seeking a skilled Care Manager LVN to join our team. This role involves providing high-quality care to our clients, ensuring their needs are met, and exceeding their expectations.Key Responsibilities:Conduct telehealth biannual assessments and in-person visits as needed.Complete assigned tasks and document findings...

  • Senior Vice President of Program Management

    3 weeks ago

    Abilene, Texas, United States Texas Family Initiative LLC Full time

    {"h1": "Senior Vice President of 2INgage Program", "p": "Texas Family Initiative, LLC is seeking a highly experienced Senior Vice President to lead the 2INgage program, a key initiative in collaboration with the Texas Department of Family and Protective Services (DFPS).", "ul": [{"li": "Lead and guide the 2INgage program, ensuring alignment with the mission...

  • Wound Care Nurse Specialist

    2 weeks ago

    Abilene, Texas, United States Home Care Wellness LLC Full time

    Job Title: Wound Care Registered Nurse (RN)We are seeking a skilled Wound Care Registered Nurse (RN) to provide expert nursing care to patients in the comfort of their homes.Responsibilities:Assess and evaluate patients' reactions to intravenous medications and treatments in the homecare setting.Provide clear explanations of procedures and regularly monitor...

  • Wound Care Nurse Specialist

    1 month ago

    Abilene, Texas, United States Home Care Wellness LLC Full time

    Wound Care Registered Nurse (RN) Job DescriptionWe are seeking a skilled Wound Care Registered Nurse (RN) to provide expert nursing care to patients in the comfort of their homes.Main Responsibilities:Administer intravenous products and educate patients on managing lines and treatment plans.Ensure a safe and professional environment for patients.Collaborate...

  • Wound Care Nurse Specialist

    2 weeks ago

    Abilene, Texas, United States Home Care Wellness LLC Full time

    Job OverviewWe are seeking a skilled Wound Care Registered Nurse to provide expert care to patients in the comfort of their homes. As a key member of our team, you will be responsible for administering intravenous products, educating patients on managing lines and treatment plans, and ensuring a safe and professional environment for patients.Key...

  • Holistic Health Care Specialist

    1 week ago

    Abilene, Texas, United States Health Care Service Corporation Full time

    At Health Care Service Corporation, we empower our employees with curated development plans that foster growth and promote rewarding, fulfilling careers.This position is responsible for performing a variety of functions and serving as a single source of contact for members, healthcare personnel, and other entities involved in managing care.The ideal...

  • Protestant Religious Education Program Manager

    2 weeks ago

    Abilene, Texas, United States LADGOV CORPORATION Full time

    LADGOV CORPORATION seeks a dedicated and organized individual to manage the Protestant Religious Education program. As a key member of our team, you will be responsible for planning and implementing a year-round religious education program for parish members of all ages. This includes organizing Sunday Worship, mid-week RE, and monthly community-wide...

  • Care Manager/Medication Technician

    1 week ago

    Abilene, Texas, United States Morada Abilene Full time

    Morada Abilene is seeking a skilled Care Manager/Medication Technician to provide exceptional care and support to our residents.Responsibilities: Provide hands-on care and physical support to residents, maintaining a safe and comfortable environment. Observe and report changes in resident conditions, documenting symptoms and behaviors. Respond promptly to...

  • Program Coordinator

    1 week ago

    Abilene, Texas, United States Serco Full time

    Job Summary:Serco is seeking a highly skilled and customer-focused individual to serve as the first point of contact for customers at our workforce centers. As a Program Coordinator, you will be responsible for greeting customers, determining their needs, and transferring them to the appropriate department. You will also assist in updating and maintaining...

  • Care Manager/Medication Technician

    2 weeks ago

    Abilene, Texas, United States Morada Abilene Full time

    Care Manager/Medication Technician**Job Summary**Morada Abilene is seeking a dedicated and compassionate Care Manager/Medication Technician to join our team. As a key member of our care team, you will provide exceptional care and support to our residents, ensuring their physical, emotional, and social needs are met.**Responsibilities*** Provide hands-on care...

  • RN Case Manager

    1 month ago

    Abilene, Texas, United States Kinder Hearts Home Health and Hospice Full time

    Hospice Care RN Case Manager Job SummaryKinder Hearts Home Health and Hospice is seeking a compassionate and skilled RN Case Manager to join our team. As a Hospice Care RN Case Manager, you will play a vital role in providing high-quality patient care and coordinating services to meet the unique needs of our patients and their families.Key...

Managed Care Program Advisor

2 months ago

Abilene, Texas, United States Texas Department of Aging & Disability Services Full time
Job Overview:

The Texas Department of Aging & Disability Services is seeking a dedicated professional to join our Program Support Unit (PSU) as a Community Care Worker III. This role involves performing moderately complex tasks related to managed care Long Term Services and Supports (LTSS).

In this position, you will engage frequently with case managers in Community Care Services Eligibility (CCSE), individuals enrolled in or applying for waiver services, service providers, LTSS Managed Care Organizations (MCOs), relocation specialists, nursing facility personnel, and various stakeholders within the Health and Human Services Commission.

Working under general supervision, you will have moderate latitude for the use of initiative and independent judgment. Your responsibilities will include operating a computer and utilizing extensive knowledge of CCSE/PSU programs and software.


Key Responsibilities:

- Conduct case management activities, including assisting individuals in selecting a managed care organization (MCO) and determining eligibility for Medicaid waiver programs.

- Play a vital role in facilitating the transition of individuals from nursing facilities to community settings, ensuring a smooth process for all parties involved.

- Enter and validate waiver eligibility records in authorization systems, and communicate Medicaid Waiver program eligibility to members.

- Manage fair hearing requests for Medicaid Waiver program denials and oversee the transfer of Medicaid waiver program cases.

- Coordinate the aging out process for individuals enrolled in the Medically Dependent Children Program (MDCP).


Essential Functions:

- Attend work regularly and predictably in accordance with agency policies and perform additional duties as assigned.

- Develop, coordinate, and explain Medicaid waiver programs to applicants and members, ensuring clear communication of approval or denial notices.

- Validate eligibility in appropriate systems and register waiver program eligibility, authorizing MCOs to initiate approved services.

- Perform interest list activities, confirming contact information, mailing enrollment packets, and ensuring individuals are assessed for Medicaid Waiver programs.

- Interpret policies and coordinate activities related to transitioning individuals from nursing homes to community settings.

- Address continuum of care issues for Medicaid waiver members experiencing service gaps, coordinating with CCSE and MCOs as necessary.

- Assist members denied services in filing fair hearing requests and monitor the appeal process.

- Complete reports to monitor program operations and resolve enrollment errors, making referrals as needed.


Required Knowledge, Skills, and Abilities:

- In-depth knowledge of Medicaid waiver programs, policies, and procedures.

- General understanding of community and government service delivery systems, case guidelines, and regulations.

- Proficient communication skills, both oral and written, to effectively interact with diverse individuals.

- Ability to operate computer equipment and proficiency in software applications such as Outlook, Excel, and Word.

- Strong skills in managing stress and multi-tasking in high-pressure situations while maintaining professionalism.

- Capacity to identify and proactively address potential problems impacting service delivery.

- Ability to prioritize tasks and manage time efficiently to meet program goals and deadlines.