Career Center

About Akron Children's Hospital

Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties are ranked among the nation's best by U.S. News & World Report. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we're making it easier for today's busy families to find the high-quality care they need. In 2020, our health care system provided more than 1.1 million patient encounters. We also operate neonatal and pediatric units in the hospitals of our regional health care partners. Every year, our Children's Home Care Group nurses provide thousands of in-home visits, and our School Health nurses manage clinic visits for students from preschool through high school. With our Quick Care Online virtual visits and Akron Children's Anywhere app, we're here for families whenever and wherever they need us. Learn more at akronchildrens.org .

OUR PROMISES

1. To treat every child as we would our own
2. To treat others as they would like to be treated
3. To turn no child away for any reason

Prior to the start date, full COVID-19 vaccination is required for employment. Full vaccination is defined as 14 days after the last received vaccination. Boosters are excluded from this requirement.

We are seeking people who are committed to fostering a diverse environment in which patients, family and staff from a variety of backgrounds, cultures, and personal experiences are welcomed, included and can thrive.

Full - Time 40 Hours Per Week

1st Shift 8:00am - 4:30pm 

Monday - Friday

Hybrid

Summary:

The Care Guide, under the direction of the licensed professional, will be responsible for supporting licensed personnel in care management efforts. A Care Guide facilitate the initial point of contact to support care management for all pediatric populations as assigned. This position facilitates short-term care plans and works collaboratively with the Care Management (CM) team to deliver high quality of care coordination to patients/families/caregivers.

Responsibilities:

1. Participates in the Care Management model as a working partner with providers, facilities, care managers, social workers, pharmacists, and other professional staff and supports Care Management (CM) clinical staff in processing referrals to the CM program.
2. Supports patient outreach efforts and outreaches to patients/families/caregivers to engage in care management. Verifies and/or secures insurance coverage, individual demographics, referring physician and network status of the provider for the attributed population.
3. Facilitates timely completion of patient assessments/screenings and remediates immediate and acute gaps in care and access issues under the direction of licensed CM staff. Connects patients to licensed CM when the patient's needs indicate a higher level of coordination.
4. Maintains a caseload of patients for non-licensed follow-ups, adhering to communicated productivity metrics. Accurately and efficiently documents patient data and communications in accordance with compliance and regulatory requirements.
5. Assists with bi-directional communication between primary care providers, specialists, pharmacies, ancillary services and payers to facilitate timely exchange of information. Facilitates needed services for the patient/family/caregiver  and exchanges information with the patient's care team to support the patient's care.
6. Assists in the coordination of covered services and connection to resources and provides information to patients/families/caregivers related to insurance payer requirements, services and benefits.
7. Participates in discharge planning activities with inpatient facilities and payers to support safe discharge placement and prevent unplanned or unnecessary readmissions, ED visits or adverse outcomes. Ensures patient access to post discharge services as specified in the discharge and transition plan. Facilitates clinical hand-offs between discharging facilities and other providers involved in the care and treatment of patients.
8. Assists patients with filing grievances and appeals, supporting their point of view.
9. Other duties as assigned.

Other information:

Technical Expertise

1. Experience working in healthcare and knowledge of medical terminology required.
2. Experience with healthcare coordination in a managed care environment, homecare or community agency is preferred.
3. Excellent interpersonal skills: ability to communicate effectively with patients/families/caregivers and the multidisciplinary team both within and outside the organization.
4. Excellent organizational skills with the ability to effectively prioritize multiple tasks and coordination completion in a timely and accurate manner.
5. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Epic software or similar EMR software is preferred.

Education and Experience

1. Minimum Education & Experience:
   1. High School Diploma or equivalent is required Associates degree in related field is preferred.
   2. Completion of state approved Medical Assistant Program, EMT, Paramedic or Certified Community Health Worker program is required.
   3. Basic Life Support (BLS) certification from the American Heart Association is required. Experience in high volume payer, healthcare inbound/outbound customer service and/or care coordination setting preferred.
2. Years of experience supervising: None.

Full Time

FTE: 1.000000

Akron Children's Hospital is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities.

EEO is the law, please click/copy paste the link below to learn more:

https://www.eeoc.gov/sites/default/files/migrated_files/employers/eeoc_self_print_poster.pdf