Clinical Resource Management Associate

Minimum Education
Associate's Degree (Required)

Minimum Work Experience
2 years Healthcare or health related setting required. (Required)

Functional Accountabilities
Patient Scheduling

• Gather information required to make specialty appointments and outpatient procedures and take family preferences (day of week, location) into consideration when scheduling appointments.

• Apply knowledge of Children's, its processes and payer requirements when scheduling appointments.

• Facilitate scheduling needed appointments (specialist, procedures) and work with the family to schedule PCP (primary care physician) appointment.

• Prioritize appointments to prevent discharge delays.

• Communicate scheduled appointments to the family and medical team using accepted processes.

Discharge Phone Call Support

• Work with the Case Manager(s) to prioritize the calls to be made on a daily basis.

• Use the Phone Call Script to complete post discharge calls and triage care failures/patient issues to appropriate member of the care team.

• Apply clinical knowledge when conducting follow up phone calls.

• Maintain database on completed phone calls.

Transition of Care

• Collaborate with Case Management, Social Work and physicians to meet patient/family needs.

• Utilize Case Management screening tool to gather pertinent information from patient/family.

• Interact and respond to inquiries from families, payers, external providers, and medical team by answering questions and explain information clearly and thoroughly to facilitate safe transition for patients.

• Fax discharge summaries for patients who don't have PCP fax number in Cerner system.

Performance Improvement

• Participate in the identification, implementation and evaluation of processes to improve work flow and customer service.