Lactation Care Manager
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 that help clients remain engaged in medical care and follow their care plans, identifies resources and barriers, navigates healthcare services, and promotes patient health. The manager works with doctors, nurses, and other clinical staff to support positive health outcomes; educates patients about rights, insurance coverage, and payment options; and addresses questions or complaints. The role may review team members’ work and identify gaps in resource availability for review with leadership. The position interacts with patients and healthcare providers to support ongoing care, leads conversations about treatment-plan compliance and access to care, provides educational in-services and training to providers and staff, communicates patient enrollment status, interprets physician notes, and enters findings into a database. It reviews exam reports for completeness, accuracy, and timeliness and submits exam results to state databases. The manager handles case management related to medical screenings, diagnoses, and treatments. Duties include gathering patient information, assessing needs for diagnostic treatment and support services, discussing required medical forms and confidentiality, addressing barriers to care, and educating and supporting patients with abnormal screening results. The role collaborates with healthcare teams to support care-plan compliance and maintains records of patient contacts. The position also helps patients overcome barriers to screening and follow-up care, promptly contacts patients after abnormal findings or diagnosis, gathers documentation for applications, conducts face-to-face eligibility meetings for patient aid programs, coordinates new and recertification applications with doctors and the State, and contacts patients and treatment centers about issues during treatment. Other duties may be assigned.
Requirements
- Bachelor's degree and 3 years of relevant experience, or an equivalent combination of education and experience.
- Valid in-state driver license required upon hire.
Nice To Haves
- Board Certified Patient Advocate (BCPA) certification preferred upon hire.
Responsibilities
- Guide patients through healthcare-system complexities and provide field-based case management, serving as the main contact for complex cases.
- Build relationships that support patient engagement in medical care and adherence to care plans.
- Identify resources and barriers to care, help patients navigate healthcare services, and promote patient health.
- Work with doctors, nurses, and other clinical staff to support positive patient outcomes.
- Educate patients about their rights, insurance coverage, and payment options, and address queries or complaints.
- Identify gaps in resource availability and work with leadership to ensure resources are reviewed and included for the team.
- Interact with patients and healthcare providers to support ongoing care and lead conversations about treatment-plan compliance and access to care.
- Present educational in-services and training to providers and staff on covered services and processes.
- Communicate patient enrollment status to providers; interpret physician notes and enter findings into a database.
- Review exam reports for completeness, accuracy, and timeliness, and submit exam results to state databases.
- Manage cases related to medical screenings, diagnoses, and treatments; gather patient information and assess needs for diagnostic treatment and essential support services.
- Discuss critical medical forms and confidentiality, assess barriers that could delay or prevent care, and provide support and education to patients with abnormal screening results.
- Collaborate with patients’ healthcare teams to support compliance with care plans and maintain records of patient contacts.
- Help patients overcome barriers to screening and follow-up care and promptly contact patients after abnormal findings or diagnoses.
- Obtain required application documentation, conduct face-to-face eligibility meetings for patient aid programs, and coordinate new and recertification applications with doctors and the State.
- Contact patients and treatment centers to discuss problems or issues during treatment.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
