Case Management Extender - PFK (Main)

Nationwide Children's Hospital Inc; Columbus (OH); Presencial; USD 42.000 - 66.000; Jornada completa

Descripción de la vacante

Nationwide Children’s Hospital is seeking a Case Management Extender to help navigate community services and support population health programs. The role involves coordinating care across inpatient stays, outpatient visits, home and community settings, and via telephone, with a focus on family-centered care.

You will develop connections with local agencies and schools, ensuring smooth transitions between settings while addressing social determinants of health and cultural/linguistic needs.

Formación

• Bachelor’s degree in health care, public health, or related clinical field.
• Active BLS certification required.
• 2 years of experience in healthcare in a patient-facing role.
• Valid Ohio driver’s license and auto insurance as required by hospital policy.

Responsabilidades

• Engages and motivates members to participate in case management programs and assists with family-centered care.
• Collects information for tailored assessments regarding eligibility and refers onward when criteria for referral exist.
• Provides personalized navigation support to move patients through the healthcare system and connect to social resources.
• Outreach to PCPs, specialists, and home care providers to research and facilitate referrals.
• Answers calls, schedules appointments, and assists members with immediate needs.
• Prepares and maintains records and case files, including client information and services provided.
• Participates in orientation and continuing education of staff and students.

Conocimientos

Medicaid knowledge

Educación

Bachelor’s degree in health care or related field

Descripción del empleo

Overview:

Fulltime, benefits eligible role

Mon-Fri 8-5

Valid Ohio driver’s license and proof of auto insurance is required by hospital policy. Must pass a motor vehicle background inspection, insurance eligibility, driving qualifications and training set forth by Nationwide Children’s Hospital and must maintain qualification of insurance guidelines.

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. 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 Physical Requirements performed but not listed above:

(not specified)

“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”