Maternity Care Coordinator

CareSource•Florida WFH, FL

2d•$47,400 - $76,000

About The Position

The Maternity Care Coordinator serves as the member concierge and single point of contact for assessment, person-centered planning, and service coordination for the Mom and Baby Beginnings program. The role engages and enrolls members, assesses their health and psychosocial needs, coordinates services and benefits, and collaborates with members, providers, case managers, internal clinical teams, and community professionals. The coordinator monitors and evaluates person-centered care plans and service delivery, maintains accurate documentation, and supports member outcomes and positive customer experiences. The role may also precept or mentor new staff and perform other duties as requested.

Requirements

A diploma or associate degree in a healthcare-related field, or equivalent years of relevant work experience.
At least three years of experience in a healthcare field, such as discharge planning, case management, care coordination, or home/community health management.
Intermediate proficiency with Microsoft Office, including Outlook, Word, and Excel.
Ability to communicate effectively with a diverse group of individuals.
Ability to multitask and work independently within a team environment.
Knowledge of local, state, and federal healthcare laws and regulations, and company policies regarding case management practices.
Knowledge of and adherence to Case Management Society of America standards for case management practice.
Strong member advocacy skills across all levels of care.
Strong understanding of and respect for cultural and demographic diversity.
Ability to interpret and implement current research findings.
Awareness of community and state support resources.
Critical listening and thinking skills.
Decision-making and problem-solving skills.
Strong organizational and time-management skills.
Trauma-informed training.

Nice To Haves

Bachelor’s degree in a healthcare-related field.

Responsibilities

Telephonically engage and enroll members in the Mom and Baby Beginnings program.
Complete health and psychosocial surveys while considering members’ cultural and linguistic needs, and educate members about the program.
Conduct initial screenings and needs assessments; verify member eligibility, prior enrollment history, demographics, and current health status.
Provide timely and accurate documentation and record care coordination activities and member responses according to standards of practice and CareSource policies.
Build strong member relationships by providing quality customer service and identify process improvements that make the member experience easier, sharing them with leadership.
Establish positive consultative relationships with assigned physician offices.
Work closely with members’ assigned case managers to coordinate care and programs.
Understand and implement Person-Centered Thinking, facilitate the person-centered planning process, and participate in training to support development of person-centered plans.
Coordinate services and health benefits for eligible members; consult and collaborate with professionals and community members to coordinate care and develop plans.
Maintain ongoing communication with the internal complex clinical team and assist with internal care coordination activities to support member outcomes.
Monitor service delivery for appropriateness and waiver compliance.
Assist providers with technical questions about processes and participate in provider meetings to explain services and benefits available to members.
Monitor and evaluate person-centered care plans through ongoing contact with members, families, providers, and stakeholders, modifying plans as needed based on member choice.
Maintain current and accurate electronic records of contacts, treatment plans, case notes, referrals, and assessments according to accreditation and compliance guidelines.
May precept and/or mentor new staff.
Perform other job duties as requested.