About Texas Children's HospitalFounded 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.
We are searching for an Advanced Social Work Service Coordinator — someone who works well in a fast-paced setting. This position will function as a member of the interdisciplinary health care team in the provision of Level I (and higher) patient care, as well as enhance the quality of clinical and financial outcomes. You will communicate with members of the health care team to ensure appropriate medical necessity for patients and interact with payors and the patient/family/health care team regarding payor information as necessary. Lastly, this role will ensure that care moves in a timely and efficient manner.
Think you’ve got what it takes?
· Complete 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
· Coordinate, facilitate, and monitor 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
· Oversee the discharge planning and facilitate safe transitions to community settings