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).

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

Resource Navigation

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

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

Communication & Collaboration

• Serves as liaison between patients, families, providers, and external case managers to optimize quality 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

• Maintains accurate and timely documentation of assessments, care plans, progress notes, and outcomes in accordance with organizational standards.

• Ensures compliance 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 of new staff.

• Supervises student interns as appropriate.

• Engages in continuing education and research to maintain clinical expertise.

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

• We'll embrace 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, sexual orientation or socioeconomic status.

• Taking action against discrimination.

• Honoring our differences and how we collaborate.

• Educating staff, patients and the communities we care for.

• Restoring hope and freedom, 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 of behaviors as well as encourages, coaches, and monitors the same in team 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 by identifying problems and seeking solutions. Promote patient/family satisfaction where possible; participates in departmental efforts to monitor and report customer service.

Essential Job Qualifications

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

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

• Current professional license with the State of Michigan in the area of practice is required.

• Possesses and demonstrates competence in an identified area of clinical expertise.

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

• Ability to work collaboratively and effectively with the interdisciplinary team members and family.

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

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

Preferred Job Qualifications

• Experience working in pediatrics, acute rehabilitation or outpatient setting is preferred.

• 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