Performs entry level to routine habilitative to rehabilitative care work with individuals who have developmental disabilities. Work involves implementing treatment programs and performing therapeutic or developmental activities. Works under moderate supervision, with limited latitude for the use of initiative and independent judgement. 

Under the supervision of the TCOOMMI Program Director, the Case Manager (CM) performs moderately complex (journey-level) rehabilitative planning and instructional work. Work involves identifying client’s rehabilitative needs and providing the necessary instruction in teaching self-help or self-care and vocational skills to assist clients in attaining their optimum levels of independent living and vocational goals. CM Works under general supervision, with moderate latitude for the use of initiative and independent judgment. The CM will perform functions based on the TCOOMMI Program Guidelines and Processes (PGP) and contract, DHHS, JCO, and other regulatory agencies for assigned caseload. CM will provide services to mentally ill offenders who are supervised by the parole/probation departments in order to assist them in obtaining the coping skills needed to enhance good mental health, independence and autonomy, and community integration. The CM will provide case management functions such as linking and referring the offender to intra/inter service providers and assist them in gaining and coordinating access to necessary care and services and needed resources, conduct assessments to ensure proper services based on needs, and treatment planning.

Under supervision of the General Revenue/Community-First-Choice-Texas Home Living (GCT) supervisor, performs advanced (senior-level) case management work. Work may involve coordinating case management and program activities, helping to develop program goals, objectives, and procedures, and evaluating outcome measures for the program. May review the work of others. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgement.

Provides on-going services to assist people with Intellectual and Developmental Disabilities in developing their Person Directed Plan (PDP) and Transition/Diversion Plan. Completes screening and assessments to identify the services and supports to be provided to address the consumer's identified needs and desired outcomes. Arranges for the delivery of the identified services/supports and monitors the effectiveness of these and the need for additional or different services/supports through GR, TxHmL, and HCS programs.

Under the supervision of IDD Transitions Support Team Supervisor, this position performs advanced (senior-level) health services or social services consultative work. Work involves directing psychological activities and programs, conducting psychological evaluations, diagnosing clients, providing consultation and training on conducting sessions, and conducting psychological research. May plan, assign, and/or supervise the work others. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgment. Work includes complying with all Medicaid, HHSC, and Joint Commission standards as well as other applicable standards as they arise.

Must have reliable transportation. May use personal vehicle to conduct business. Must have a valid driver’s license at all times, liability insurance, and a good driving record.

Supervisor to complete based on specific position and state classification system.

Under the general supervision of a registered nurse, is responsible for performing moderately complex medical aide work. Assist nurses in obtaining reports and records from medical records. Performs nursing functions as appropriate. Assists medical staff in performing procedures. Performs related work as assigned and trained.

Under the general supervision of the Intensive Services Supervisor and the guidance of the Outpatient Biopsychosocial Interventions (OBI) Lead, the Collaborative Care Case Manager (CCCM)/Qualified Intellectual Disabilities Professional (QIDP) works to provide outpatient Mental Health services for persons with Intellectual and Developmental Disabilities (IDD), their families, the community, and IDD service providers in the local service area. The CCCM completes OBI screening, Biopsychosocial assessments, and recovery planning for children and adults who have IDD or who are presumed to have IDD and who also have a co-occurring mental health condition, substance use disorder, or behavior support needs. The CCCM will provide services via a cross-systems biopsychosocial approach. Other services provided will include outreach, education, and training to community mental health partners.

Under the general supervision of the Intensive Services Supervisor, the Outpatient Biopsychosocial Intervention Lead (OBI Lead) performs senior-level work to promote outpatient Mental Health services for people with Intellectual and Developmental Disabilities, their families, the community, and IDD service providers in the local service area. The Outpatient Biopsychosocial Interventions (OBI) Lead collaborates with appropriate LIDDA staff to identify children and adults who have IDD or who are presumed to have IDD and who also have a co-occurring mental health condition, substance use disorder, or behavior support needs. The OBI Lead will assist with establishing and operating a program which will expand access to outpatient mental health services for individuals with IDD and mental health needs. The OBI Lead will ensure the program offers cross-systems biopsychosocial approach, provides education and training to community mental health partners, offers collaborative care case management, and provides skills training for parents and support systems. The OBI Lead will also ensure provision of outpatient mental health services are occurring, that collaborative case service delivery of physical and behavioral health services for individuals with IDD are occurring, and that these are done so in compliance with the HHSC contract scope of work to prevent or reduce crisis amongst individuals served.

The Licensed Chemical Dependency Counselor (LCDC) – TRA SUD Services is responsible for providing trauma-informed, evidence-based substance use disorder (SUD) treatment services to adults ages 18 and older. Works under the supervision of the TRR director. Moderate supervision, with limited latitude for the use of initiative and independent judgment. This position supports recovery-oriented care that addresses the complex needs of individuals with co-occurring mental health and substance use conditions. Services are delivered in accordance with Texas Health and Human Services Commission (HHSC) standards and agency policies, with a focus on improving client engagement, wellness, and recovery outcomes. Deliver individual and group counseling services to adults diagnosed with a substance use disorder, following HHSC-approved treatment models and trauma-informed principles. Requirements include completing screenings, biopsychosocial assessments, and clinical formulations that support accurate diagnosis and individualized treatment planning.

Performs moderately complex rehabilitation planning and instructional work. Works under moderate supervision with latitude for the use of initiative and independent judgment. Coordinates and monitors delivery service. Services provided to individuals ages 3-18 in the intensive Family services and or / Youth Empowerment Services (YES) Waiver program. Services are provided within a Wraparound planning process. Perform tasks including linkage, referral, crisis management, and follow-up. A facilitator provides services that are goal- oriented activities that assist youth by locating, coordinating, and monitoring necessary care and services ensuring that they are appropriate and accessible.

Under the immediate supervision of the Mental Health Director, performs moderately complex Management, utilizing initiative and independent judgement. Responsible Diversion Center Operations. The Diversion Center Director leads the planning, operations, compliance, and performance management of the Diversion Center an alternative location for crisis intervention and/or for law enforcement to drop off adults (18+) with mental illness or co-occurring disorders (COPSD) who are at risk of arrest and do not meet criteria for an acute crisis.

The Educational Resource Clinician with the Behavioral Health Partnership Program (BHPP) is a mental health professional that will serve as a mental health and substance use resource for school districts located in the region served by Education Service Center (ESC) Region 2. Responsible for increasing awareness and understanding of mental health and co-occurring mental health and substance use disorders. Assisting school personnel with implementing initiatives regarding these areas and ensuring local school personnel are aware of recommended best practice-based programs and other resources in the community. Facilitate trainings regarding effects of grief and trauma, substance use and abuse, intervention and prevention, and Mental Health First Aid. Must be available to deliver trainings on weekends if needed. Position will be housed at ESC 2.

Under the supervision of the Intake Program Supervisor, the roles involve conducting screenings and assessments to determine eligibility for intakes and admission to adult mental health services. Responsibilities include completing intake procedures and conducting diagnostic evaluations for authorization under the supervision of the Intake Program Supervisor and/or other available Licensed Practitioners of the Healing Arts (LPHA). Crisis assessments and interventions are carried out promptly when necessary. The position facilitates linkage to both internal and external providers based on individuals’ needs, with a focus on discharging individuals to the least restrictive environment possible.

Certification in Cognitive Behavioral Therapy (CBT) through DSHS could be obtained. This position can offer CBT to individuals meeting the state’s level of care criteria, as well as facilitating groups, as necessary.

Under supervision of the Transition Support Team & IDD Crisis Services Supervisor with consultation with the IDD Services Director, contracted agency provides out-of-home crisis respite services. Services would include providing therapeutic support in a safe environment with staff on-site providing 24-hour supervision for up to 14 calendar days to an individual who is demonstrating a crisis that cannot be stabilized in a less intensive setting. Out of home crisis respite is provided in the following settings: an ICF/IID; a HCS group home; an HCS-authorized Crisis respite facility; an HHSC-authorized crisis residential facility; or a LIDDA-operated facility.

Must comply with all contract, Medicaid, HHSC, and Joint Commission standards as well as other applicable standards as they arise.

Under supervision of the PASRR Supervisor, consultation with the LIDDA Director and IDD Services Director, contracted agency provides Pre-Admission Screening and Resident Review (PASRR) Specialized Services to individuals with intellectual and developmental disabilities residing in nursing facilities (NF) within the Local IDD Authority’s (LIDDA) service area of Nueces County. Specialized services may include independent living skills training, day habilitation, employment assistance, or supported employment.

Must comply with all contract, Medicaid, HHSC, and Joint Commission standards as well as other applicable standards as they arise.