Service Coordinator - Advanced Social Worker

 
Position: Service Coordinator - Advanced Social Worker

Job ID: 148657

Location: US-TX-Bellaire

Department: STAR KIDS CARE COORDINATION II

Talent Area: Social Worker

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8am-5pm

About Texas Children's Hospital

Texas Children’s Health Plan (TCHP) is the largest Texas Medicaid managed care organization, and is part of the Texas Children’s healthcare system. Founded in 1996, TCHP is the nation's first health maintenance organization (HMO) created just for children and pregnant women. Our plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area. Currently the Health Plan serves more than 450,000 members across three service areas (Harris, Jefferson, North East). Members of the plan receive care from our network of more than 4,000 primary care physicians, 8,000 specialists, and 110 hospitals. They can also receive care at The Center for Children and Women, a patient and family-centered medical home with two convenient locations for TCHP members who can have all their medical needs met in one place, receiving multiple services the same day. TCHP is a recognized leader at encouraging holistic care that empowers families to live healthier lives.   To join our community of 13,000 dedicated team members, visit www.texaschildrenspeople.org for career opportunities.   You can also learn more about our amazing culture at www.infinitepassion.org  

Summary:

We are searching for a Service Coordinator in Advanced Social Work for JEFFERSON COUNTY – someone who works well in a fast-paced setting. In this position, you’ll function as a member of the interdisciplinary healthcare team in the provision of Level I (and higher) patient care. This positions focus will be on enhancing the quality of clinical and financial outcomes and patient satisfaction while managing the plan of care. Within the purview of financial management, this position will pro-actively communicate with members of the healthcare team to ensure appropriate medical necessity for patients in beds. This role will communicate with Payers and patient/family/healthcare team regarding payer information as necessary. Lastly, this role will ensure that care moves through the episode of care in a timely and efficient manner.

 

Think you’ve got what it takes?



Responsibilities :

  • Completes a comprehensive problem identification analysis of Level I (and higher) patients to identify opportunities for intervention that are appropriate and realistic for the patient/family’s psycho-social, cultural, spiritual, and physical plan of care
  • Coordinates, facilitates, and monitors the plan of care for Level I (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
  • 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
  • Assures timely performance of utilization management processes to maintain compliance with Federal, State, and Managed Care contract regulations
  • Creates data collection reporting tools, coordinates implementation and reporting of data collection to demonstrate compliance with standards and complete outcome studies
  • Annually completes training on health literacy, cultural competency, person-directed planning, trauma-informed care, motivational interviewing, integrated case management, life care planning, and complete the Texas Health Steps case management training module


Qualifications:

  • Master’s degree in social work required
  • LMSW - Licensed Master Social Worker Some or LCSW – Licensed Clinical Social Worker from the Texas Board of Social Work Examiners required
  • Driver’s license for any state and current auto insurance required
  • C-ASWCM – Certificate in Advanced Social Work Case Manager from the National Association of Social Workers preferred
  • CCM- Certificate Case Manager from Adult and Pediatric Integrated Case Management preferred
  • Experience in pediatrics working with children with special health care needs or working with a special needs population preferred


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