Maternity Nurse Care Manager

Responsibilities

• Deliver coordinated, patient-centered virtual Care Management by telephone and/or messaging that improves members’ health outcomes.

• Generate impactful care plans together with members and our multidisciplinary care team, and help members achieve their desired goals.

• Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.

• Partner with the members’ local providers to ensure coordinated care.

• Provide compassionate, longitudinal follow-up care, building supportive relationships.

Qualifications and Requirements:

Bachelor of Science in Nursing (BSN).

Must reside in a compact NLC state.

Active Compact RN license (in state of residence) in good standing with the nursing board of their state

Additional active Licensure a plus (IL, CA, MN, NY)

CCM Certification preferred

5+ years of nursing experience

2+ years experience working in care, case and disease management, preferably in a health plan, health navigator or third party administrator (TPA) environment

2+ years experience working in labor and delivery

Be comfortable discussing a wide variety of medical conditions

Experience working remotely preferred; Comfortable with technology.

Be highly empathetic. We work with patients and their families who are going through challenging times. Ideal candidates practice empathy and reassure patients that we are available to help them.

Must be able to work efficiently. We are a fast growing company and we are busy. Our team is expected to meet volume goals without sacrificing quality. Good judgment for balancing priorities is a must.

Be flexible and comfortable with working in a rapidly-changing environment.

Strictly follow security and HIPAA regulations to protect our patients’ medical information.

Be pleasant, responsive, and willing to work with and learn from our team.

Strong verbal and written communication skills. A lot of time is spent on the phone with patients and families, as well as a lot of time communicating with colleagues. Therefore, the ability to gather a clinical history, answer questions at a patient level, and succinctly summarize findings is critical.

Strong competence and ability to use multiple computer/medical record systems.

Collaborate well across multidisciplinary teams with clinical and non-clinical members to deliver a seamless, top-quality care experience to patients.

Ability to understand cultural and socioeconomic issues affecting members and to coordinate all available resources to serve members.

Excellent grammar, attention to detail, and efficient at writing medical information in easy-to-understand, patient-centric language.

Physical/Cognitive Requirements:

• Prompt and regular attendance at assigned work location.
• Capability to remain seated in a stationary position for prolonged periods.
• Eye-hand coordination and manual dexterity to operate keyboard, computer and other office-related equipment.
• No heavy lifting is expected, though occasional exertion of about 20 lbs of force (e.g., lifting a computer / laptop) may be required.
• Capability to work with leadership, employees, and members in an appropriate manner.