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 Care Coordinator – someone who works well in a fast-paced setting. In this position, you’ll be responsible for assessing, planning, implementing, monitoring, and evaluating the options and services required to meet an individual's health needs. You will also provide comprehensive ongoing case management services to patients by coordinating and managing care of high-risk patients to meet multiple service needs across the continuum of care. Lastly, you will assist the patient and patient's family in coping with illnesses by optimizing the patient's and family's self-care abilities and supporting their consumer rights.
Think you’ve got what it takes?
- Proactively identifies patients in need of case management through clinical rounds, medical management staff referrals, care team recommendations, consultation with primary HMO staff, medical director and PCP, parents, staff, and/or home care staff
- Comprehensively assesses patient’s biophysical, psychosocial, environmental, discharge planning needs, and financial status
- Participates in planning and coordinating services across the continuum of care and documents plan in designated system looking at the prioritized goals of each patient and any barriers to those patients meeting their goals
- Assess, develop, implement, and monitor a comprehensive plan of care through an interdisciplinary team process in conjunction with the patient and their family in internal and external settings
- Communicate the utilization assessments needed to provide appropriate levels of care during stays of illness and for continuity of care needs
- Utilize concepts of reflection and motivational interviewing with the patient and the entire family unit through phone conversations and face to face conversations
- Document all activities and interactions in the electronic and event tracking systems
- Provide community education/outreach for patients when needed for health promotion for chronic disease management and health and wellness information
- Educate providers on network compliance and policies and procedures of the organization’s health plan, managed care, and Medicaid
- Maintain flexible schedule for travel, some evenings and weekends for patient visits, health fairs, and patient and community educational outreach
- Identify and report quality of care and quality of services issues and refer to appropriate Quality Management staff as evidenced in Event Tracking system
- Diploma in nursing
- Bachelor’s degree in nursing
- Master’s degree in nursing, nursing education, or other health care related field preferred
- License Registered Nurse from the Texas Board of Nursing
- Certification in Basic Life Support from the Active American Heart Association preferred
- Certification in Case Management preferred
- 3 years’ clinical experience in the following areas of expertise: Home Care, Case Management, Managed Care or Utilization Review
- 3 years’ nursing experience required if candidate has a diploma in nursing or an associate degree in nursing
- Bachelor's or master’s degree in nursing, nursing education, or other health care related field will substitute for three (3) years of the clinical experience
- Bilingual in English and Spanish preferred
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