Clinical Resource Management Associate

111 Michigan Avenue Northwest Washington, DC 20010

Kids Are Our Everything.

Department

10296 Hospital - Integrated Care Man

Pay Range

$43,326.40 - $72,196.80

Schedule: Monday-Friday 8:30-5:00

Who We Are:

Children's National's Care Management team is recognized as a leader in care coordination and patient advocacy. We work collaboratively across inpatient, outpatient, and community settings to help children and families navigate complex healthcare needs. Through comprehensive care coordination, discharge planning, utilization management, and community resource support, we ensure safe transitions of care, optimize healthcare resources, and improve outcomes for every child and family we serve. Our team is committed to delivering compassionate, family-centered care while helping patients access the services and support, they need to thrive.

What You'll Do:

As a Clinical Resource Management Associate, you will play a vital role in supporting the Care Management team and helping ensure safe, coordinated transitions of care for our patients and families. Working under the supervision of a Registered Nurse Case Manager, you will collaborate with patients, families, vendors, payers, community agencies, and multidisciplinary healthcare teams to facilitate access to services, support appropriate utilization of healthcare resources, and promote positive patient outcomes. Through strong organizational skills, attention to detail, and exceptional customer service, you will help coordinate administrative and operational functions that contribute to seamless care delivery across the continuum.

What You'll Need:

Minimum Education

Associate's Degree (Required)

Minimum Work Experience

2 years Healthcare or health related setting required. (Required)

Functional Accountabilities

Patient Scheduling

• Gather information required to make specialty appointments and outpatient procedures and take family preferences (day of week, location) into consideration when scheduling appointments. Apply knowledge of Children's, its processes and payer requirements when scheduling appointments.
• Facilitate scheduling needed appointments (specialist, procedures) and work with the family to schedule PCP (primary care physician) appointment.
• Prioritize appointments to prevent discharge delays.
• Communicate scheduled appointments to the family and medical team using accepted processes.

Discharge Phone Call Support

• Work with the Case Manager(s) to prioritize the calls to be made on a daily basis.
• Use the Phone Call Script to complete post discharge calls and triage care failures/patient issues to appropriate member of the care team.
• Apply clinical knowledge when conducting follow up phone calls.
• Maintain database on completed phone calls.

Transition of Care

• Collaborate with Case Management, Social Work and physicians to meet patient/family needs.
• Utilize Case Management screening tool to gather pertinent information from patient/family.
• Interact and respond to inquiries from families, payers, external providers, and medical team by answering questions and explain information clearly and thoroughly to facilitate safe transition for patients.
• Fax discharge summaries for patients who don't have PCP fax number in Cerner system.

Performance Improvement

• Participate in the identification, implementation and evaluation of processes to improve work flow and customer service.

What You'll Receive:

Benefits That Support You:

• Comprehensive health coverage, including medical, prescription, infertility, and transgender health services.
• Generous paid time off, including vacation accrual from day one, sick leave, holidays, and a personal day.
• Financial wellness support, including a 401(k) plan and healthcare and dependent care spending accounts.
• Employer-paid life, AD&D, and long-term disability coverage, with optional supplemental plans.
• Additional perks, including tuition assistance, fitness resources, employee assistance, commuter benefits, and more.

Why Join Us:

• Nationally Recognized Excellence - Consistently ranked among the Top 10 Children's Hospitals in the nation by U.S. News & World Report.
• Leading Pediatric Care - One of the largest and most comprehensive children's hospitals in the country, offering nationally ranked specialties and cutting-edge treatments.
• Innovation & Research - A premier academic medical center with a strong commitment to pediatric research, education, and advancing the future of child health.
• Mission-Driven Culture - Dedicated to providing family-centered care while fostering a collaborative, supportive environment for clinical teams.

The disclosed salary range includes the minimum and maximum rates within which Children's National believes an individual's base pay rate will fall for this position. It is not typical for an individual to be hired at or near the maximum of the pay range. The exact pay rate for this position will be based on a variety of factors in alignment with the Children's National compensation philosophy. These factors are legitimate and non-discriminatory including, but not limited to, the current market conditions; organizational needs; the individual's combination of prior work experience, level of education, knowledge, skills, and other qualifications. Children's National is committed to providing a fair and competitive total rewards package to each of our employees. This base salary range does not include our comprehensive benefits package or any additional compensation for which this position may be eligible.

Childrens National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law. The "Know Your Rights" poster is available here: and the pay transparency policy is available here: Know Your RightsPay Transparency Nondiscrimination Poster.

Please note that it is the policy of Children's National Hospital to ensure a "drug-free" work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors). Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug-free workplace, including prohibiting recreational or prescribed marijuana.