Career | Texas Children’s People

Position: Service Coordinator Social Work

Talent Area: Social Worker

Full/Part Time: Full time

Location: Houston, TX, US

Department: STAR KIDS

Shift: M-F 8-5

Job ID: 419678

We are searching for a Service Coordinator Social Work who will function as a member of the interdisciplinary healthcare team in the provision of Level II (and higher) patient care with the underlying objectives of enhancing the quality of clinical and financial outcomes and patient satisfaction while managing the plan of care. Within the purview of financial management, pro-actively communicates with members of the healthcare team to ensure appropriate medical necessity for patients in beds; Communicates with Payers and patient/family/healthcare team regarding payer information as necessary. Ensures that care moves through the episode of care in a timely and efficient manner.

Think you've got what it takes?

Qualifications:

Bachelor's Degree Social Work (or other degrees allowed by the Texas Board of Social Work Examiners to obtain LBSW licensure)
LBSW - Lic Baccalaureate Social Worker Texas Behavioral Health Ex Council (TBHEC)
DL ANY - DRIVER'S LICENSE ANY STATE required
INSURANCE - Auto Insurance required
CCM - Cert-Certified Case Manager Adult and Pediatric preferred
3 years experience in Pediatrics working with children with special healthcare needs or working with a special needs population preferred.

Responsibilities:

Completes a comprehensive problem identification analysis of Level II (and higher) to identify opportunities for intervention that are appropriate and realistic for the patient/family’s psycho-social, cultural, spiritual, and physical plan of care
Coordination: Coordinates, facilitates and monitors the plan of care for Level II (and higher) patients throughout the episode and continuum of care to achieve the optimal clinical and financial outcomes. Oversees discharge planning and facilitates safe transitions to community settings.
Communication/Collaboration: Serves as a liaison between members of the interdisciplinary care team, community providers, payer sources, and patient/family to ensure safe and effective plans and smooth transitions between internal and external levels of care.
Resource Management: Effectively and efficiently oversees the plan of care to optimally assure clinical and financial outcomes.
Professionalism: Within the social work scope of practice, the care manager continuously assesses self-knowledge and competencies to assure job performance.

About Texas Children’s

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.

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.