Job Description

At Children’s Wisconsin, we believe kids deserve the best.

Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin:https://www.instagram.com/lifeatcw/

Coordinates transitional care and discharge planning for hospitalized children/families throughout the hospitalization and through discharge follow-up. Responsible for effective coordination of care, this role collaborates with all care team members to assure patient's care plan advocates for a safe and effective discharge plan.

Essential Functions:

• Identifies and maintains an awareness of appropriate medical resources that provide additional support and assistance to patients and their families during and after hospital admission.

• Provides initial ongoing assessment of the patient’s clinical situation and inclusive of their physical and behavioral needs.

• Documents interventions according to department and organizational standards.

• Provides daily hand off report in the electronic medical record for peer follow-up/coverage. Facilitates informed of care transitions within hospital and at time of discharge

• Assumes the assigned care coordination responsibilities delegated by the RN Case Manager and/or the Care Coordinator.

• Maintains knowledge base in relative fiscal influences on discharge planning including health insurance plans and Medicaid, Medicare, and Tricare

• Develops, utilizes and maintains community/state resource files and protocols for referring patients/families to sources of home health care and supplies as prescribed by patient care needs and third party payers.

• Provides or arranges outreach calls or visits to patients to insure appropriate delivery and access to aftercare services. Provide education to families about outpatient/observation level of care and potential co pays.

• Identifies and monitors patients with long lengths of stay, rural service areas, concurrent denials, other reimbursement risks and/or placement concerns. Works with care team to resolve issues.

• Prepares monthly, quarterly, and annual department reports via collaboration with the department manager. Responsible for upkeep of HCM departmental Web site on CHHS Intranet. Supports the Private Duty Nursing (PDN) Web site workflow.

Legacy Essential Functions:

• Participates in the orientation of new staff and/or education of case management assistants, administrative assistant, and utilization management assistant.

• Assists with My Chart referrals. Including initial setup within the electronic health record and information sharing about access of patient’s medical record with patients and familiar

• Cross trained in the functions of the case management assistant and utilization management assistant role.

Education:

• Bachelor's Degree required

Experience:

• 1+ years experience in a hospital based setting required

• experience as a Case Management assistant or experience in inpatient pediatrics, discharge planning, home care, and/or other care of the child/family preferred

Knowledge, Skills and Abilities:

• Independent judgment, analytical ability, systems thinking and interpersonal communications to work effectively in complex systems.

• Computer knowledge and skills in WORD, Outlook, and Internet use. Advanced excel skills preferred.

• An understanding of the impact of healthcare delivery systems on the patient and family.

• This is a fast paced work environment in the hospital setting

• This position has some holiday and weekend requirements.

Licenses and Certifications:

• ANCC-Nursing Case Management Certification - American Nurses Credentialing Center preferred

Patient Care Responsibility:

• Provides care appropriate to patient population and as described in applicable policies and procedures.

Required for All Jobs:

• This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job.

• Employment is at-will. This document does not create an employment contract, implied or otherwise.

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

Certifications/Licenses:

ANCC-Nursing Case Management Certification - American Nurses Credentialing Center, License Social Worker (120) - State of Wisconsin