Care Manager (RN)
Core
Develops, assesses, and facilitates complex care management activities for Medicaid High Risk Maternity members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education.
Role type
Senior Registered Nurse Care Manager (High Risk Maternity)
Builds
Personalized care plans and service plans for Medicaid members
Domain
Healthcare / Medicaid / High Risk Maternity
Required skills
Registered Nurse licensure, care management, high risk maternity experience, care plan development, provider coordination, social determinants of health assessment, resource coordination, member education, regulatory compliance
Preferred skills
Care/case management experience, high risk maternity experience
Responsibilities
Evaluate member needs and barriers to accessing care, develop ongoing care plans, identify providers and community resources, coordinate between members and care provider teams, monitor member status and revise care plans, provide resource support for services like housing and employment, facilitate timely access to needed care, perform telephonic and digital outreach, document care management activities, provide education to members and families, provide feedback to leadership on quality delivery
Seniority
Mid-level, hands-on IC