Case Management Extender - Behavior Health (PFK)

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"