Field Relations & Care Coordination Liaison

Texas Children's Hospital; Bellaire (TX); On-site; USD 48,000 - 64,000; Full time

Job summary

Texas Children’s Health Plan is seeking a Field Relations Coordinator to grow our team-based population management. You will build and sustain relationships with physicians, members, families, and providers while coordinating screenings, care plans, and community resource linkage to improve outcomes.

Responsibilities include leading coordination with care teams, monitoring service delivery, and ensuring excellent customer service to Members and providers in a busy health plan setting.

Qualifications

• HS Diploma or GED required.
• Bachelor's degree preferred.
• Driver’s license in any state required; auto insurance required.
• CHW certification by DSHS preferred.
• 5 years of experience in healthcare or managed care setting required.
• A bachelor's degree may substitute for four years of required work experience.
• A master's degree may substitute for five years of required work experience.

Responsibilities

• Develop and maintain satisfactory business relationships with participating providers.
• Collaborate with care coordination team and providers to perform care plan interventions and monitor outcomes.
• May lead service coordination for STAR Kids Level of Care 3 Members not receiving LTSS/PDN services.
• Review information with Member/family and support initiation of care and self-management plans.
• Identify options and coordinate linkage to specialists, homecare providers, financial assistance, housing, meals, transportation, and other community resources.
• Monitor service delivery to members including satisfaction and quality of services.
• Deliver exceptional customer service to contracted providers and Members.
• Ensure communication and education to Members/providers about delivery system capabilities to improve access and address needs.

Skills

Care coordination

Customer service

Communication

Healthcare experience

Education

HS Diploma or GED

Bachelor's degree preferred

DSHS CHW certification preferred

License required (Driver’s license)

Higher degree substitutions allowed

Job description

Texas Children’s Health Plan is seeking a Field Relations Coordinator to grow our team-based population management. You will build and sustain relationships with physicians, members, families, and providers while coordinating screenings, care plans, and community resource linkage to improve outcomes.

Responsibilities include leading coordination with care teams, monitoring service delivery, and ensuring excellent customer service to Members and providers in a busy health plan setting.