Outpatient Pediatric Care Manager

Essential Job Responsibilities

Care Coordination & Management

• Provides care management services to pediatric patients and families across outpatient programs.

• Conducts initial psychosocial assessments to evaluate family functioning, coping skills, health literacy, and adjustment to disability or chronic conditions.

• Develops and implements individualized care plans that address medical, psychosocial, and educational needs.

Education & Support

• Educates patients and families on treatment plans, community resources, and evidence-based practices for managing chronic or complex conditions.

• Promotes patient and family engagement in care planning and self-management strategies.

Continuity of Care

• Coordinates transitions between outpatient services and other levels of care (e.g., home health, school-based services, vocational rehabilitation).

• Ensurestimelyaccess to follow-up appointments, medications, and supportive services to prevent gaps in care and reduce risk of hospitalization.

Resource Navigation

• Identifiesand addresses barriers to care, including financial, transportation, and equipment needs.

• Assistsfamilies in accessing funding sources and community resources for non-covered services or equipment.

Communication & Collaboration

• Serves asliaisonbetween patients, families, providers, and external case managers tooptimizequality and cost-effective outcomes.

• Facilitates communication between interdisciplinary, family, other healthcare providers, and other relevant providers (e.g., foster care agencies, CPS, school).

• Facilitates family conferences when needed to align goals and interventions.

Documentation & Compliance

• Maintainsaccurateandtimelydocumentation of assessments, care plans, progress notes, and outcomesin accordance withorganizational standards.

• Ensurescompliance with healthcare regulations and confidentiality requirements.

• Ensures that patient information is current in the EMR surrounding complex family/custody situations.

Advocacy & Quality Improvement

• Functions as a patient advocate, promoting self-determination and informed decision-making.

• Supports program development and quality improvement initiatives to enhance outpatient care delivery.

Professional Development

• Participates in orientation and training ofnew staff.

• Supervises student interns asappropriate.

• Engages in continuing education and research tomaintainclinicalexpertise.

• Leadership Must-Haves will be followed for patient and staff interactions:

• We'llembrace all people by:

• Treating everyone with dignity and respect.

• Opening more doors to opportunity for others to succeed.

• Growing talent and people.

• Ensuring a welcoming experience for all we serve, regardless of origin, race, religion, disability, sexualorientationor socioeconomic status.

• Taking actionagainst discrimination.

• Honoring our differences and how we collaborate.

• Educating staff,patientsand the communities we care for.

• Restoring hope andfreedom,together.

• Rounding

• Thank You Notes

• Employee Selection/Peer Interviewing

• Key Words at Key Times

• AIDET Promise

• Standards of Behavior

Customer Service Responsibilities

Demonstrate excellent customer service and standards ofbehaviorsas well asencourages, coaches, and monitors the sameinteam members. This individual should consistently promote teamwork and direct communication with co-workers and deal discretely and sensitively with confidential information.

Responsibilities in Quality Improvement

Contribute byidentifyingproblems and seeking solutions. Promote patient/family satisfaction where possible;participatesin departmental efforts tomonitorand report customer service.

Essential Job Qualifications

• Must have earned a degree in one of the following:Masters in Social Work,Masters in Counselingor related field from an accredited school.

• At least 3 years of experience as a care manager in a health care setting.

• Currentprofessional license with the State of Michiganin the area ofpractice is required.

• Possesses anddemonstratescompetence in an identified area of clinicalexpertise.

• Excellent verbal and written communication skills, expressing self in a clear, concise, and professional manner.

• Ability to work collaboratively and effectively withthe interdisciplinaryteam members and family.

• Excellent time management and organizational skills.Function in a self-directed manner.Ability to make quality, collaborative decisions in shorttimeframes.

• Analytical and strong problem-solving skills.Ability to work effectively and efficiently under tight deadlines, highvolumesand multiple interruptions.

Preferred Job Qualifications

• Experience working inpediatrics,acuterehabilitationor outpatient setting ispreferred.

• Experience in interdisciplinary team management.

Physical Requirements for Essential Job Qualification

Levels:

• None (No specific requirements)

• Occasionally (Less than 1/3)

• Frequently (1/3 to 2/3)

• Majority (More than 2/3)

Remain in a stationary position:Majority