Care Management Assistant- 40hrs

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. The CMA provides broad scale administrative, project, and operations support to the Center for Care Coordination inpatient teams, within the hospital setting. In addition, this position works closely with the Case Management, Social Work and Utilization Review staff to provide discharge planning assistance to RN Case Managers and Social Workers.  All administrative and support activities are completed in accordance with CT Children’s and department policies and procedures.

• 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%
   

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.