Case Management Extender - Careguide (PFK)

10 Nationwide Children's Hospital; Columbus (OH); On-site; USD 42,000 - 64,000; Full time

Job summary

Nationwide Children’s Hospital in Columbus, OH, seeks a Case Management Extender to support navigation to community services, care coordination, and population health programs. The role involves direct patient and family engagement across inpatient, outpatient, home, and community settings, with a focus on coordinating referrals and maintaining detailed records.

The position requires a Bachelor’s degree in healthcare or related field, valid Ohio driver's license, BLS certification, and at least

Qualifications

• Bachelor’s degree in health care, public health, or related clinical field.
• Active BLS certification.
• Valid Ohio driver’s license and proof of auto insurance.
• 2 years of healthcare experience in a patient-facing role.
• Knowledge of Medicaid and regulatory standards.

Responsibilities

• Engages and motivates members to participate in case management programs.
• Assists with development of family-centered care.
• Collects information for tailored assessments and referrals.
• Facilitates communication among the healthcare team.
• Provides navigation support to move patients through the healthcare system.
• Connects families to social determinants resources and addresses linguistic needs.
• Manages transitions between settings and provides follow-up care.
• Responds to inquiries and schedules appointments; supports administrative functions.

Skills

Medicaid knowledge

Regulatory knowledge

Healthcare experience

Communication skills

Education

Bachelor's degree in health care/public health/related field

Job description

Overview: Full-Time, 40 hours per week Monday - Friday, 8am - 5pm Visit our website: https://partnersforkids.org/

Job Description Summary

The Case Management Extender PFK helps navigate and access community services and other resources and provides support through maintaining population health programs and care coordination activities. The Case Management Extender collaborates to arrange for or connect patients to needed services and identifies, creates, and nurtures relationships with local agencies, schools, churches, and other programs. Case Management Extenders are patient and family facing with daily activities during inpatient stays, outpatient specialty clinic visits, emergency room visits, home, community visits, and via telephone.

Essential Functions

• Engages and motivates members to participate in the various case management programs by clearly articulating goals, benefits, and interventions.
• Assists with the development of family-centered care.
• Collects information for tailored assessments regarding case management eligibility and refers onward when response triggers criteria for referral and need for licensed clinical intervention.
• Facilitates communication and collaboration amongst the healthcare team.
• Provides personalized navigation support to members to help them move through the healthcare system.
• Connects families to resources to address social determinants of health and accommodates the specific cultural and linguistic needs of all patients.
• Manages and monitors transitions between settings, caregivers, and providers, providing follow-up across the continuum of care.
• Performs outreach to PCP/POC’s, specialists, and home care providers to research and facilitate referral for services.
• Develops patients and family’s self-management skills through education and resource provision.
• Answers incoming telephone calls, schedules appointments, and assists members to resolve immediate needs in real time.
• Manages administrative functions to support program.
• Prepares and maintains records and case files, including documentation such as clients' personal and eligibility information, services provided, progress towards goals, and significant changes.
• Participates in orientation and continuing education of staff and students as appropriate.

Education Requirement

Bachelor's degree with background in health care, public health, or related clinical field, preferred.

Licensure Requirement

Valid Ohio driver's license and proof of auto insurance as required by hospital policy and position-specific requirements. Must pass motor vehicle background inspection, insurance eligibility, driving qualifications, and training set forth by Nationwide Children's Hospital and maintain qualification of insurance guidelines.

Certifications

Active BLS certification, required.

Skills

Working knowledge of Medicaid and other regulatory agency standards, required.

Experience

2 years of experience working in healthcare in a patient facing role, required.

Physical Requirements

• OCCASIONALLY: Bend/twist, Climb stairs/ladder, Communicable Diseases and/or Pathogens, Electricity, Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Machinery, Patient Equipment, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel
• FREQUENTLY: Color vision, Depth perception, Driving motor vehicles (work required) *additional testing may be required, Peripheral vision, Standing, Walking
• CONTINUOUSLY: Audible speech, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting

Additional Note

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision.

EOE

EOE M/F/Disability/Vet

When you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children's Hospital, Where Passion Meets Purpose. Here, Diversity, Equity and Inclusion are integrated into our core values and practices. We are passionate about building, sustaining and evolving an inclusive and equitable environment. We are seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission. We’re 15,000 strong. And it takes every one of us to improve the lives of the kids we care for, and the kids around the world we’ll never meet. Kids who live healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere. Ask anyone with a Nationwide Children's badge what they do for a living. They’ll tell you it’s More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere. Nationwide Children's Hospital. A Place to Be Proud.