Social Worker (Case Management) - The Health Plan
Company: Texas Children's Hospital
Posted on: June 12, 2021
We are searching for a Behavioral Health Social Work Case
Manager -- someone who works well in a fast-paced setting. In this
position, you will assess, plan, implement, monitor, and evaluate
the options and services required to meet an individual's health
needs. This position provides comprehensive ongoing case management
services by coordinating and managing care of high-risk members in
order to meet multiple service needs across the continuum of care,
ensure optimal member outcomes that address quality, service,
customer satisfaction and cost effectiveness. This role also
assists the member/member's family in coping with illness by
optimizing the member's/family's self-care abilities and supporting
their consumer rights.
Think you've got what it takes?
- Assesses, develops, implements, and monitors a comprehensive
plan of care through an interdisciplinary team process in
conjunction with the member/family in internal and external
- Comprehensively assesses member's biophysical, psychosocial,
environmental, discharge planning needs and financial status
- Communicates continually with members/families, medical staff,
caregivers, and primary HMO staff to facilitate appropriate,
timely, and cost-effective care
- Serves as a liaison with community organizations involved in
the interests of the maternity and pediatric population
- Assists internal and external Member Services and Case Managers
by serving as a communication link and providing education on
member issues and authorization process and status
- Completes all required annual education requirements and an
annual interaction event with members
- Identify and report quality of care and quality of services
issues and refer to appropriate Quality Management staff as
evidenced in Event Tracking system
- Documents all activities and interactions in the electronic and
event tracking systems
- Master's degree in social work required
- LMSW, LCSW, or LMSW-AP certification from the state of Texas
- LCSW preferred
- 3-5 years clinical experience preferred
- Behavioral health/mental health experience preferred
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.
Keywords: Texas Children's Hospital, Houston , Social Worker (Case Management) - The Health Plan, Other , Houston, Texas
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