Clinical Case Manager

Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home.

Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.

At Connecticut Children’s, treating children isn’t just our job – it’s our passion. As a leading children’s health system experiencing steady growth, we’re excited to expand our team with exceptional team members who share our vision of transforming children’s health and well‑being as one team.

The Case Manager is responsible for coordinating and facilitating high-quality, patient-centered care across the continuum of services. Through early identification and assessment of patient needs, the Case Manager collaborates with patients, families, providers, and interdisciplinary team members to develop and implement effective care plans. As a key member of the healthcare team, the Case Manager promotes timely access to services, supports care transitions, addresses barriers to care, and helps optimize patient outcomes while ensuring efficient utilization of healthcare resources.

The Case Manager plays an integral role in discharge planning by proactively identifying patient needs, coordinating post-acute services, and facilitating safe and timely transitions of care. Through collaboration with the interdisciplinary team, the Case Manager works to improve patient outcomes, reduce readmission risk, minimize avoidable days, and ensure patients receive the appropriate level of care throughout their healthcare journey.

• Conduct comprehensive assessments to identify patient, family, and caregiver needs, including medical, psychosocial, financial, and environmental factors.
• Develop, implement, and monitor individualized care plans in collaboration with patients, families, providers, and interdisciplinary team members.
• Coordinate care and services across the continuum, including inpatient, outpatient, community-based, and specialty care settings.
• Facilitate timely referrals to internal and external resources, programs, and community agencies.
• Support care transitions and discharge planning to ensure continuity of care and reduce barriers to treatment.
• Monitor patient progress toward established goals and modify care plans as needed.
• Advocate for patients and families to promote access to appropriate healthcare services and resources.

• Educate patients and families regarding diagnoses, treatment plans, available resources, and self-management strategies.
• Collaborate with physicians, nurses, social workers, therapists, and other healthcare professionals to optimize patient outcomes.
• Identify and address barriers to care, including social determinants of health that may impact treatment adherence and health outcomes.
• Serve as a resource and liaison for patients, families, providers, and community partners regarding care coordination services.
• Promote patient and family engagement in care planning and goal setting.
• Foster partnerships with community organizations and service providers to improve access to care and support.

• Maintain accurate, timely, and complete documentation in accordance with organizational, regulatory, and payer requirements.
• Participate in quality improvement initiatives, care management programs, and performance metrics related to patient outcomes and resource utilization.
• Ensure compliance with organizational policies, accreditation standards, and applicable federal and state regulations.
• Utilize data and population health tools to identify…