PASRR Specialized Service Reviewer

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: PASRR Specialized Service Reviewer 
Job Title: Program Specialist V 
Agency: Health & Human Services Comm 
Department: PASRR 
Posting Number: 10762 
Closing Date: 11/11/2025 
Posting Audience: Internal and External 
Occupational Category: Community and Social Services 
Salary Group: TEXAS-B-21 
Salary Range: $4,523.16 - $5,888.50 
Pay Frequency: Monthly
Shift: Day 
Additional Shift:  
Telework:  
Travel: Up to 5% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Exempt 
Facility Location:  
Job Location City: AUSTIN 
Job Location Address: 701 W 51ST ST 
Other Locations:  
MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS 
 
 
 

The Program Specialist V position reports to the Pre-Admission Screening and Resident Review (PASRR) Manager within the Intellectual and Developmental Disability (IDD) Services and PASRR Section.  This position performs highly complex (senior-level) work and has responsibility for assisting the manager and the PASRR Specialized Services Lead in reviewing and authorizing requests for specialized services under the Preadmission Screening and Resident Review (PASRR) program. This position provides technical assistance and policy clarification to stakeholders and providers on procedures, policies and rules related to PASRR with a focus on Habilitation Coordination and PASRR Specialized Services.  This position requires considerable knowledge of program policies and rules to respond directly to internal and external stakeholder inquiries related to authorization of PASRR Specialized Services. This position will also assist with Nursing Facility Specialized Services (NFSS) and IDD habilitative specialized services (IHSS) authorizations.  Works under limited supervision, with moderate latitude for the use of initiative and independent judgment.

Ideal candidates should be comfortable with change, skilled at navigating ambiguity, and capable of quickly pivoting when systems or processes prove ineffective or inefficient. 

If you're energized by meaningful work, ready to build sustainable systems that improve lives, and excited to make a difference in the IDD community, we encourage you to apply.

Essential Job Functions

Review and adjudicate requests for nursing facility specialized services and IDD habilitative specialized services, for PASRR-eligible people living in nursing facilities. Responsible for ensuring compliance with required timeframes for approving PASRR specialized services, using both automated and manual processes. (50%)

Provide technical assistance and policy clarifications to external providers on procedures, policies, and rules related to the PASRR program and the request for NFSS submitted through the TMHP Long Term Care (LTC) online portal and IHSS manual process.  (30%)

Assist with developing program and quality monitoring policies and procedures related to the prior authorization of PASRR specialized services. Produce reports of findings and trends to assist in the overall monitoring of PASRR specialized services. (10%)

Participate in work groups and TMHP LTC online portal initiatives such as user acceptance testing (UAT) on enhancements to the portal. (5%)

Complete other work as assigned by the PASRR Policy Manager or PASRR Specialized Services Lead (5%)

Knowledge, Skills and Abilities

Knowledge of PASRR processes, policies, and regulations.  Familiarity with the LTC Online Portal and its functions.

Strong organizational and time management skills to handle workload and deadlines.

Excellent communication skills to provide technical assistance and clarification to various stakeholders.

Skills in using Microsoft Office products.

Ability to communicate effectively both verbally and in writing

Ability to gather, assemble, and analyze business requirements.

Ability to develop and or maintain complex spreadsheets using Microsoft Excel.
 

Registrations, Licensure Requirements or Certifications

N/A

Initial Screening Criteria

Graduation from an accredited four-year college or university with major course work in a human services field is required. One year of relevant experience may be substituted for each year of required education.

At least 2 years of experience in the IDD services field is required.

Experience in claims management is preferred. 

Experience working at a LIDDA or IDD provider is preferred.

Additional Information:
1. Your application must be complete and contain all the requested information. Job histories must demonstrate how you meet the initial selection criteria at a minimum.

2. Any employment offer is contingent upon available budgeted funds. The offered salary will be determined in accordance with budgetary limits and the requirements of HHSC Human Resources Manual.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS 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.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework.  Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.