Case Coordinator

Online applications are only accepted for current available positions.

Incomplete applications will be rejected. Resumes are not accepted in lieu of an application and/or the Work History section.

Any position posted may be closed or extended at any particular time during the advertisement period at the discretion of Comal County.

SUMMARY

Under general supervision the Case Coordinator determines eligibility for the Countys Indigent Health Care Program in line with Texas Health and Human Services guidelines. This role involves maintaining client records managing provider relationships and referring ;individuals to appropriate social services. The coordinator communicates with clients and providers about eligibility benefits and policy updates and holds office hours in various County locations. Additional responsibilities include attending state and regional training researching alternative funding sources coordinating with other agencies monitoring Social Security status for Medicaid reimbursement and ensuring compliance with HIPAA regulations.

ESSENTIAL DUTIES AND RESPONSIBILITIES

To perform this job successfully an individual must be able to perform each essential duty satisfactorily. Duties include but may not be limited to the following:

• Screen applicants using approved procedures and forms; refer clients to appropriate agencies as needed.
• Conduct interviews with applicants review applications and document all findings.
• Determine eligibility for the Indigent Health Care Program in compliance with County and Texas Department of Health and Human Services (TDHHS) guidelines.
• Maintain and manage case files including scheduling reviews and documenting all client contact and case-related information
• Review and evaluate ongoing cases for recertification or denial ensuring compliance with established deadlines.
• Communicate with healthcare providers regarding client eligibility service restrictions and benefit limitations.
• Respond to inquiries from clients providers and agencies via telephone fax email or mail.
• County Inmate billing services to include jailings eligibility medical invoices research commissary accounts while maintaining strict record keeping and compliance.
• Ensure compliance with all HIPAA regulations regarding client privacy and confidentiality.
• Collaborate with the County Auditors Office on financial matters related to client eligibility and funding.
• Work with the District Attorneys Office and the Sheriffs Department on potential fraud investigations.
• Assist in updating and establishing local program policies in response to caseload growth and program changes
• Performs other duties as assigned.
• Attendance is an essential function of the job.

Note: The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the supervisor assigns the work.

EDUCATION AND/OR EXPERIENCE:

A high school diploma or GED equivalent is required. An Associates or bachelors degree in Business Health Care Administration or a related field is preferred but not mandatory. Candidates must have at least five (5) years of experience in health care social services or case management along with a minimum of two (2) years of office experience. Proficiency in basic computer applications including Microsoft Office is required. Bilingual in Spanish/English is required Within one (1) year of hire the employee must complete both Basic and Advanced Training through the Texas Department of State Health Services and be certified in CPR. Must have a valid Texas drivers license to operate county vehicles.

LANGUAGE SKILLS

Bilingual English/Spanish required for verbal and written communication with clients.

Ability to read and interpret documents such as safety rules operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization.

MATHEMATICAL SKILLS

Ability to calculate figures and amounts such as discounts interest commissions proportions percentages area circumference and volume. Ability to apply concepts of basic algebra and geometry.

REASONING ABILITY

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written oral diagram or schedule form.

PHYSICAL DEMANDS

This is a sedentary position. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this job. Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions of this job.

While performing the duties of this job the employee is frequently required to sit; use hands to finger handle or feel; and talk or hear. The employee is occasionally required to stand walk reach with hands and arms climb or balance and stoop kneel crouch or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision distance vision color vision peripheral vision depth perception and the ability to adjust focus.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be provided to enable individuals with disabilities to perform essential functions.

SELECTION GUIDELINES

Formal application rating of education and experience oral interview reference check and job-related tests might be required.

This job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. The employee further understands and accepts that this position falls under the provision of at-will employment and under no circumstances is this an employment contract.

*If you require reasonable accommodation in completing an application any pre-employment testing the interview process or otherwise participating in the selection process please direct your inquires to Comal County Human Resources at or.