Care Manager - Outpatient Pediatrics - Full-Time

Mary Free Bed Rehabilitation Hospital•Grand Rapids, MI

About The Position

The Care Manager provides outpatient pediatric care management services to patients and families, promoting optimal functioning throughout the rehabilitation process. The role involves psychosocial assessment, patient and family education, discharge and transition planning, coordination with internal and external providers, and follow-up to support durable outcomes. The Care Manager also maintains current clinical practice through continuing education, research, and program development. This full-time position follows a Monday–Friday schedule. The Care Manager collaborates with the rehabilitation team, advocates for patients and families, supports quality and cost-effective care, and contributes to staff training and program operations.

Requirements

A qualifying degree from an accredited school in Registered Nursing, Master of Social Work, Occupational Therapy, Physical Therapy, Speech-Language Pathology, or Counseling; equivalent degrees from an accredited school of Care Management are accepted.
Current professional license in the area of practice from the State of Michigan.
Competence in an identified area of clinical expertise.
Three years of experience as a care manager in a health care setting.
Excellent verbal and written communication skills.
Ability to collaborate effectively with interdisciplinary team members and families.
Excellent time-management and organizational skills, and ability to work in a self-directed manner.
Ability to make quality, collaborative decisions within short timeframes.
Analytical and strong problem-solving skills, including the ability to work effectively under tight deadlines, high volumes, and multiple interruptions.

Nice To Haves

Pediatric experience.
Experience working in acute rehabilitation.
Experience in interdisciplinary team management.

Responsibilities

Provide care management services to patients and families.
Assess patient and family functioning, adjustment to disability, health literacy, and coping skills.
Educate patients and families to support adjustment, problem solving, and discharge or transition planning.
Communicate with patients, families, and supports to encourage participation in the plan of care.
Serve as an internal case manager and liaison with external case managers, providers, and funding sources.
Coordinate transitions from inpatient care to community-based services, including outpatient rehabilitation, home care, hospice, school, vocational rehabilitation, and counseling.
Oversee patient follow-up to support durable outcomes.
Document patient and family status, progress, and discharge status in evaluations, progress notes, and discharge summaries within established time standards.
Identify complex discharge and transition needs early and help patients and families obtain needed resources.
Help ensure access to follow-up primary care and medications at discharge, including locating funding when needed.
Educate patients and families about evidence-based practices for complex or chronic disease management across the continuum of care.
Communicate patient and family needs, preferences, resources, funding issues, and transition status to the rehabilitation team.
Participate in patient team conferences and facilitate family conferences when appropriate.
Advocate for patients and maintain confidentiality; educate patients, families, and care team members about treatment options, community resources, insurance benefits, psychosocial concerns, and case management.
Promote patient self-advocacy, choice, and self-determination, and educate patients and families about appropriate use of health care services.
Provide discipline-specific coverage within the Mary Free Bed System as requested.
Participate in orientation and training of new staff.
Supervise student internships as appropriate.
Support program operations as assigned.
Demonstrate excellent customer service and standards of behavior, encourage and monitor these standards in team members, promote teamwork and direct communication, and handle confidential information discreetly and sensitively.
Contribute to quality improvement by identifying problems and seeking solutions, promoting patient and family satisfaction, and participating in efforts to monitor and report customer service.
Follow leadership interaction practices, including rounding, thank-you notes, employee selection or peer interviewing, Key Words at Key Times, AIDET® + Promise, and Standards of Behavior.