CaseManagementExtender-CareguidePFK

**Overview:** **Monday - Friday, 8 a.m. - 5 p.m.** Full-Time, 1.0 FTE, Benefits Eligible **Job Description Summary:** The Case Management Extender PFK helps navigate and access community services and other resources and provides support through maintaining population health programs and care coordination activities. The Case Management Extender collaborates to arrange for or connect patients to needed services and identifies, creates, and nurtures relationships with local agencies, schools, churches, and other programs. Case Management Extenders are patient and family facing with daily activities during inpatient stays, outpatient specialty clinic visits, emergency room visits, home, community visits, and via telephone. **Job Description:** **Essential Functions:** * Engages and motivates members to participate in the various case management programs by clearly articulating goals, benefits, and interventions. Assists with the development of family-centered care. * Collects information for tailored assessments regarding case management eligibility and refers onward when response triggers criteria for referral and need for licensed clinical intervention. Facilitates communication and collaboration amongst the healthcare team. * Provides personalized navigation support to members to help them move through the healthcare system. Connects families to resources to address social determinants of health and accommodates the specific cultural and linguistic needs of all patients. Manages and monitors transitions between settings, caregivers, and providers, providing follow-up across the continuum of care. * Performs outreach to PCP/POC’s, specialists, and home care providers to research and facilitate referral for services. Develops patients and family’s self-management skills through education and resource provision. * Answers incoming telephone calls, schedules appointments, and assists members to resolve immediate needs in real time. Manages administrative functions to su