Lactation Care Manager

University of Rochester•Rochester, NY

13d•Onsite

About The Position

The Lactation Care Manager guides patients through the complexities of the healthcare system and provides field-based case management, serving as the main point of contact for clients with complex cases. The role builds relationships to help patients remain engaged in medical care and follow their care plans, identifies resources, supports navigation of healthcare services, and promotes patient health. The manager works with doctors, nurses, and other clinical staff to support positive outcomes; educates patients about rights, insurance coverage, and payment options; and addresses questions or complaints. The role may review team members’ work and identifies gaps in available resources for review with leadership. The position interacts with patients and providers to support ongoing care, helps lead conversations about treatment-plan compliance and access to care, provides education and training to providers and staff, and maintains case-management records. It also supports patients with screening results, diagnostic care, treatment, essential services, and applications for patient aid programs. This is a full-time, 40-hour-per-week position on the UR day shift, based at 220 Hutchison Rd, Rochester, New York.

Requirements

Bachelor’s degree and 3 years of relevant experience, or an equivalent combination of education and experience.
Valid in-state driver’s license required upon hire.

Nice To Haves

Board Certified Patient Advocate (BCPA) certification preferred upon hire.

Responsibilities

Interact with patients and healthcare providers to ensure ongoing care.
Lead provider/patient conversations regarding compliance with treatment plans and access to care.
Present educational in-services and training to providers and staff on covered services and processes.
Communicate with providers regarding patient enrollment status.
Interpret physician notes and enter findings into a database.
Review and assess the completeness, accuracy, and timeliness of provider exam reports.
Submit exam results to state databases.
Manage cases related to patients’ medical screenings, diagnoses, and treatments.
Gather critical information from patients and examine their need for diagnostic treatment and essential support services.
Discuss obtaining critical medical forms and ensure confidentiality.
Assess and address barriers that could prevent or delay patients from seeking care.
Provide support and education to patients with abnormal screening results.
Collaborate with patients’ healthcare teams to support compliance with care plans.
Maintain records of all patient contacts.
Work with patients to identify and overcome barriers to screening and follow-up care.
Contact patients promptly to begin follow-up after an abnormal finding or diagnosis.
Obtain required documentation for applications, conduct face-to-face meetings to determine eligibility for patient aid programs, and coordinate with doctors and the State on new and recertification applications.
Contact patients and treatment centers to discuss problems or issues during treatment.
Guide patients through healthcare services and systems, identify critical resources, and promote patient health.
Educate patients about their rights, insurance coverage, and payment options, and address questions or complaints.
Identify gaps in resource availability and work with leadership to review and include resources for the team.
Perform other duties as assigned.