Care Management Assistant- 40Hrs

Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.

At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team.

The Care Management Assistant (CMA), functions as a member of the multidisciplinary health care team with guidance from the nurse case managers, social workers and utilization review nurses.

Education and/or Experience Required:

• Education: GED or High School Diploma required

Education and/or Experience Preferred:

• Education: Associate's Degree preferred
• Experience: 5-7 years of increasing experience directly related to supporting children/families in a pediatric setting

Knowledge, Skills and Abilities:

Knowledge:

• Knowledge of pediatric growth and development 0-21 yrs.
• Demonstrates current knowledge of Nurse Case Manager, Utilization Review Nurse, and Social Work activities as appropriate and seeks professional help when unfamiliar with specific regulations or department policies and procedures.
• Applies understanding of payer reimbursements and contracted terms to identify denied services.

Skills:

• Proficient in Word, Excel.
• Ability to prioritize the department's needs in an organized manner based on available resources of time and personnel.
• Collaborates with department leaders to ensure seamless transitions in function and maintain information flow.
• Demonstrates effective communication skills using interest-based communication and following chain-of-command.

Abilities:

• Communicate effectively and efficiently to internal and external customers.

• Prioritize responsibilities and adjusts time to accommodate the needs of the department.

• Organize and manage projects.

• Collect data and input according.

• Support case managers, social workers and utilization review staff with discharge planning process, DME, administrative tasks.- 20%

• Conduct discharge follow-up phone calls as needed in conjunction with other Center inpatient and outpatient staff.- 5%

• Assist families with resolving issues and/or escalate to case management, providers etc. to assist families. 10%

• Manage DME inventory: supply, storage, and track issues.- 5%

• Assist with tracking of Center metrics as requested by Center leadership.- 5%

• Assures that day-to-day deliverables align with policy and procedures to include regulatory and compliance requirements.- 5%

• As necessary, sends clinical information on behalf of the Center to third-party payers.- 2.5%

• Engagement in Center activities that will create opportunities for broad impact on child/family health and well-being (i.e. research, innovation, forums, presentations)- 2.5%