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
We are searching for a Field Relations Coordinator — someone who works well in a fast-paced setting. In this position, you'll be responsible for the deployment of team-based population management including developing and maintaining positive relationships with physicians, members and their families, and providers.
Think you’ve got what it takes?
- Develops and maintains satisfactory business relationships with participating providers
- Collaborates with care coordination team and provider to develop, implement, and monitor member care plan
- Identifies educational needs within the provider network and initiates educational efforts as needed or upon provider’s request
- Develops and conducts formal group presentations for members
- Assists participating providers with referrals to community resources, engagement with schools, and/or communication between providers
- Maintains documentation of internal and external communication of providers
- Reviews and interprets all relevant information with member/family and develops/initiates a care plan and self
- Manages plans with family during in-home assessments
- Identifies options and initiates collaboration with referral sources to ensure member/family linkage to specialists, home care providers, financial assistance, housing, meals, transportation, and other community resources as appropriate for members with unmet needs
- Develops support systems to meet the members’ needs by identifying and coordinating a variety of available services based upon member needs and preference
- Assumes the role of advocate for the member/family regarding referral and acceptance into early intervention and treatment programs if delay is present
- Identifies options and initiate collaboration with referral source to ensure member/family linkages financial assistance, legal aid, housing, job placement, and other community resources as appropriate
- Develops support systems to meet member needs by identifying and coordinating a variety of available services
- Supports parents in navigation of agencies/programs that serve children with social or physical/behavioral healthcare needs
- Travels to member homes for periodic evaluation and assessment of unmet functional needs, educational needs, and goal attainment seeking member/family input in care plan
- Monitors service delivery to members including satisfaction and quality of services
- Provides for resolution and revision of plans on an ongoing basis as needs are identified, additional information is required, or problems are encountered
- Documents and tracks all referrals, time to completion, and provide monthly statistics to manager on completed cases
- Takes a lead role in the establishment and maintenance of good relationships with external agencies and program partners documenting match to family preference and need
- Actively contributes relevant knowledge during team meetings and contributes to program direction through special projects
- Delivers exceptional customer service to contracted providers and members
- Ensures thorough communication and education to members/providers and an understanding of delivery system capabilities to improve access and address member needs
- Ensures appropriate and timely escalation of member/provider issues to management
- Contributes to delivery of educational presentations by health plan for community at large on issues of healthcare for Medicaid and CHIP recipients and children with special healthcare needs
- Participates in ongoing Parent Advisory Board and/or Health Plan Care Management Collaborative
- Bachelor's degree
- Four (4) additional years of related healthcare experience, which can include personal experience providing direct care to an adult or child with special healthcare needs, may be accepted
- Driver’s License in any state is required
- Auto Insurance is required
- 5 years of experience in healthcare, local and state programs for children with disabilities, or managed healthcare setting
- Knowledge of the managed healthcare environment
- Proficiency with computer word-processing, spreadsheet, and database software
- Candidate should possess exceptional written and oral communication skills, as well as a high-level of interpersonal skills
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