Case Management Extender - Careguide (PFK)

nationwidechildrens; North Carolina; On-site; USD 52,000 - 68,000; Full time

Job summary

Nationwide Children's Hospital is seeking a Case Management Extender to support navigation and access to community services, and to maintain population health programs and care coordination activities. You will connect patients and families with needed services and collaborate with local agencies and schools.

You will engage patients across inpatient stays, outpatient visits, ER, home and community settings, providing guidance, referrals, and follow-up to ensure smooth transitions and culturally

Qualifications

• Bachelor's degree in health care, public health, or related clinical field.

Responsibilities

• Engages and motivates members in case management programs and supports family-centered care.
• Collects information for tailored assessments and refers when criteria for referral and licensed clinical intervention are met.
• Provides navigation support to access social determinants of health and coordinates transitions of care.
• Outreach to PCPs, specialists, and home care providers to facilitate referrals and educate families for self-management.
• Answers calls, schedules appointments, and assists members to resolve immediate needs; maintains records and case files.

Skills

Medicaid knowledge

Education

Bachelor's degree in health care/public health

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.

Job Description

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

\"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 M/F/Disability/Vet\"