Pregnancy Case Manager III

Medica•,

1d•$72,100 - $123,600•Remote

About The Position

Medica’s Pregnancy RN Case Managers provide a member-centered, evidence-based model of care across multiple products. Our Pregnancy Case Management program aims to serve maternal members with the highest needs and help them navigate the health system with the aim of healthy birth outcomes. The Pregnancy Program focuses on improving maternal and infant health outcomes by delivering education, care coordination, identifying gaps in care, and advocacy. These actions enable the case manager to reduce the risk of pregnancy and birth related complications for individuals and their families while decreasing healthcare costs. Performs other duties as assigned.

Requirements

Associates or Bachelor's degree in Nursing
5+ years of clinical/acute care experience including direct maternal patient care
Current, unrestricted RN license in the state of residence

Nice To Haves

Certified Case Manager (CCM) preferred, or ability and commitment to obtain within two years of hire
Experience working with vulnerable and complex populations in a clinical, home care or telephonic environment; direct case management experience strongly preferred.
Experience and at ease working with various populations: multiple age groups, ethnic and socioeconomic backgrounds, medical, surgical backgrounds and a generalized level of understanding across specialty care areas.
Experience managing multiple computer systems and tools.

Responsibilities

Provide a member-centered, evidence-based model of care across multiple products.
Serve maternal members with the highest needs and help them navigate the health system with the aim of healthy birth outcomes.
Improve maternal and infant health outcomes by delivering education, care coordination, identifying gaps in care, and advocacy.
Reduce the risk of pregnancy and birth related complications for individuals and their families.
Decrease healthcare costs.
Perform other duties as assigned.