Field Relations Coordinator - Case Management - The Health Plan

 
Position: Field Relations Coordinator - Case Management - The Health Plan

Job ID: 160247

Location: US-TX-Houston

Department: FIELD RELATIONS COORDINATOR

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.   To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.   Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Summary:

We are searching for a Field Relations Coordinator -- someone who works well in a fast-paced setting. In this position, you will be responsible for the deployment of team-based population management including developing and maintaining positive relationships with physicians, members and their families, and providers. Interact with physicians, members, caregivers, and the care coordination team daily. You will also be responsible for assessments, coordination activities, referral, and linkage to community resources, monitoring and tracking outcomes.

Think you’ve got what it takes?



Responsibilities :

  • Develop relationship with participating providers
  • Collaborate with care coordination team and provider to develop, implement, and monitor member care plan
  • Assist families with obtaining appropriate medical and community resources
  • Review and interpret all relevant information with Member/family and develops/initiates a care plan and self management plan with family during an in-home assessment
  • Track and monitor medical, behavioral, and community resources
  • Ensure provider satisfaction
  • Deliver exceptional customer service to contracted providers and members
  • Travel to member homes for periodic evaluation and assessment of unmet functional needs, educational needs, and goal attainment seeking member/family input in a care plan


Qualifications:

Being fully vaccinated against COVID-19 is required for all employees unless approved for a medical or religious exemption

  • High school diploma or GED required
  • Driver’s license required
  • Auto insurance required
  • 5 years’ experience in healthcare, local and state programs for children with disabilities, or a managed healthcare setting required


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