Field Relations Coordinator - The Health Plan

 
Position: Field Relations Coordinator - The Health Plan

Job ID: 159742

Location: US-TX-Houston

Department: CARE COORDINATION I

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

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. You can also learn more about our amazing culture at infinitepassion.org.   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.

Summary:

We are searching for a Field Relations Coordinator -- someone who works well in a fast-paced setting. In this position, you will be responsible for deployment of team-based population management including developing and maintaining positive relationships with physicians, members and their families, and providers. This position interacts with physicians, members, caregivers, and care coordination team on a daily basis. This position is also responsible for assessments, coordination activities, referral, and linkage to community resources, monitoring and tracking outcomes.

 

Think you’ve got what it takes?



Responsibilities :

  • Develops and maintains satisfactory business relationships with participating providers
  • Assists participating providers with referrals to community resources, needed engagement with schools, and/or communication between providers
  • Reviews and interprets all relevant information with Member/family and develops/initiates a care plan and self-management plan with family during an in-home assessment
  • Identify options and initiates collaboration with referral sources to ensure Member/family linkage to specialists, homecare providers, financial assistance, housing, meals, transportation, and other community resources as appropriate for Members with unmet needs
  • Identify 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
  • 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
  • Provides for resolution and revision of plans on an ongoing basis as needs are identified, additional information is required or problems are encountered
  • Ensures thorough communication and education to Members/providers an understanding of delivery system capabilities to improve access and address Member needs


Qualifications:

  • Being fully vaccinated against COVID-19 is required for all employees unless approved for a medical or religious exemption
  • High school diploma or GED required
  • Driver’s license required
  • Current auto insurance required
  • 5 years’ experience in health care, local and state programs for children with disabilities or managed health care setting required
  • Experience working within a Medicaid office or Social Security Administration highly preferred


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