Field Relations Coordinator

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

Job Description

We’re looking for a Field Relations Coordinator, someone who’s ready to grow with our company. In this position, you’ll be responsible for deployment of team-based population management including developing and maintaining positive relationships with physicians, members and their families, and providers. You’ll also be responsible for screenings, performing care plan interventions when licensure is not required, coordinating activities, referral and linkage to community resources, monitoring and tracking outcomes.

Job Duties & Responsibilities

• Develop and maintain satisfactory business relationships with participating providers
• Collaborate with Service Coordinator, Care/Case Manager, and other members of the care coordination team and providers to perform care plan interventions where able and monitors care plan outcomes and member needs
• May act as the lead service coordinator for STAR Kids Level of Care 3 Members who are not receiving LTSS/PDN services with the support of a Care/Case Manager to perform assessments and build member care plan
• Review and interpret all relevant information with Member/family and develops/supports the initiation of a care plan and self-management plan with family
• Identify options and initiate 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
• Monitor service delivery to members including satisfaction and quality of services
• Deliver exceptional customer service to contracted providers and Members
• Ensure thorough communication and education to Members/providers an understanding of delivery system capabilities to improve access and address Member needs

Skills & Requirements

• H.S. Diploma or GED required
• Bachelor's degree preferred
• Driver’s license in any state required, and auto insurance required
• CHW – Community Health Worker certification by Texas Department of State Health Services (DSHS) preferred
• 5 years of experience in healthcare, local and state programs for children with disabilities or managed healthcare setting required
• A bachelor's degree may substitute for four (4) years of required work experience
• A master's degree may substitute for five (5) years of required work experience

About Us

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.

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.