CLASS Case Manager

Job Description

JOB TITLE: Class Case Manager

REPORTS TO: Program Director

PROGRAM: CLASS

PART-TIME/NON-EXEMPT

REVISED: March 2026

Purpose: To assist individual consumers who are eligible for and enrolled in the CLASS program to achieve and maintain community living and avoid institutionalization. CLASS Case Manager is expected to perform routine case management/service coordination under the direct supervision of the Program Director. CLASS Case Management is provided by CBCIL in accordance with Texas Health and Human Services, Medicaid 1915-C Waiver guidelines, CBCIL policies and procedures, and consumer choice.

Essential Functions and Responsibilities:

General Responsibilities

Manage daily activities of an assigned caseload with no more than 25 individual consumers within the Corpus Christi CLASS Program catchment area.

Develop long-term contacts, maintain effective working relationships with consumers, families, co-workers, Direct Service Agencies, HHSC CLASS Program staff, and community and non-waiver resources.

Ensure case management services are aligned with consumer goals, preferences, and choices.

Ensure all required data is entered in appropriate software program, consumer records and other required document files in a timely and accurate manner.

Track, document and submit individual participant billable hours to Program Director on a timely basis each month.

Coordinate service planning, coordination, and reviews; monitor provision of services and supports provided by DSA and contractors.

Participate in periodic internal quality assurance reviews, State utilization reviews, CBCIL Agency and HHSC program audits to assure ongoing contract compliance and program integrity.

Complete Activity Details and mileage expense reports and forward to Program Director per Agency policy.

II. Case Manager Duties

Maintain caseload in compliance with HHSC guidelines and CBCIL policies and procedures, to meet the needs of individual CLASS participants.

Assist the consumer as necessary to maintain Medicaid eligibility

Receive referrals from HHSC State office and as assigned by Program Director, and initiate chart set-up.

Schedule an initial face-to-face meeting with consumer (and family and/or authorized representative) within required time frame to conduct pre-assessment and determine initial eligibility for CLASS services.

Schedule and coordinate the Service Planning Team (SPT) meeting with consumer, family, direct service agency and any other person identified by the consumer, to develop the individual’s service plan (plan of care) and individual program plan.

Enter data and maintain all appropriate consumer data systems and case documentation and ensure that consumers and/or family members are provided copies of documentation.

Advocate on behalf of consumer as necessary for appropriate services/supports and to safeguard individual rights; be available on 24-hour call; provide crisis intervention as necessary.

Conduct quarterly face-to-face reviews at least every 90 days to ensure consumer Individual Plan of Care and Individual Program Plan complies with CLASS guidelines, approved service levels, or to make changes to the plan. Schedule and conduct an annual reassessment with the SPT.

Communicate with Direct Service Agencies as needed on behalf of consumers and/or families.

Make consumer contacts based on individual plans and consumer requests for case manager contact. Billable contact hours are maintained at least once monthly.

Stay abreast of CLASS Program guidelines, including the Consumer Directed Services option, non-waiver resources and process, to provide accurate information to consumers/ families. Attend trainings as required by the State or Agency.

Review case notes prior to the provision of case management services to individuals that are not assigned to their case load; and provide completed case notes to the ongoing case manager.

Complete case notes for everyone that is assisted in a timely manner.

Qualifications:

Preferred: Bachelor’s degree in human services or related field and: two years’ experience working directly with individuals with disabilities; and two years’ experience providing case management in a community-based setting; two years’ experience working in consumer-directed programs.

Minimum: high school degree or equivalent and four years’ work experience in the delivery of services and supports to persons with related conditions or similar disabilities.

Knowledge of case management/service coordination principles and delivery systems.

Strong computer skills including ability to learn and use Agency and funding stream-specific software.

Strong interpersonal skills and ability to interact with diverse populations.

Strong communication skills both verbal and written.

Strong planning, organization, time management skills and detail oriented.

Highly motivated, self-starter, able to work independently and as a team member.

Knowledge of community resources to support consumer choice and community-based living.

Highly dependable, responsible and reliable.

Able to travel locally and throughout CLASS catchment area required.

Commitment to continuous learning and professionalism.

Pay: From $17.00 per hour

Benefits:

• Dental insurance
• Retirement plan
• Vision insurance

Education:

• Bachelor's (Required)

Experience:

• Case management: 2 years (Preferred)

Work Location: In person