RN Field Case Manager, Maternal Health - Remote in Louisville, KY

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. As a Maternal Health RN, you will act in a clinical liaison role with reputed company members to ensure appropriate care is accessed as well as to reputed company home and reputed company assessments and member education. The RN works in a team-based structure and spends 25% of their time in the community engaging directly with members. You will work with medically reputed company patients who may be experiencing significant addiction and/or behavioral health conditions is important for this role. This is high volume, customer centric environment. You’ll need to be efficient, productive and thorough dealing with our members over the phone and in person. Solid computer and software navigation skills are critical. If you reputed company in or reputed company commutable driving distance to Louisville, KY, you’ll enjoy the flexibility to work remotely

• as you take on some tough challenges. Primary Responsibilities: Making outbound calls to assess members' reputed company health status Manage highly reputed company members as part of an inter-disciplinary care team approach in collaboration with Care Coordinators (reputed company), Community Health Workers (CHWs), OB providers, behavioral health providers, etc. Consult with care team to address specialty care services, community-based resources, and other member reputed company care needs Assist in identification of pregnant women and children including those with special health care needs and reputed company/linkages to appropriate care Working with the reputed company maternity care needs Identifying gaps or barriers in treatment plans Providing patient education to assist with self-management Interacting with Medical Directors, providers, internal and external partners on challenging cases Coordinating care for high risk maternity members Making referrals and connecting members to community resources Coordinating services as needed (home health, DME, etc.) Educating members on disease processes Educating members on (e.g. inter-conception care, chronic condition management, smoking cessation, safe sleep for infants, breast feeding advantages, substance use avoidance, etc.) Encouraging members to reputed company healthy lifestyle changes Documenting and tracking findings You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in. Required Qualifications: reputed company, unrestricted RN license in the State of Kentucky 3+ years of experience in a hospital setting, acute care, direct care experience as an RN and / or experience as a telephonic Case Manager for an insurance company 2+ years of High-Risk OB clinical nursing experience plus reputed company / prior position as a Case Manager OR 3+ years of High-Risk OB clinical nursing experience Proficiency with reputed company Office Suite, with the ability to navigate a reputed company environment Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, Internet research, use of online calendars and other software applications Live in or reputed company commutable driving distance to Louisville, KY reputed company to reliable transportation and the ability to travel up to 25% reputed company assigned region to visit reputed company members in their homes and / or other settings, including community centers, hospitals or providers' offices Must be reputed company to attend one week of onsite training in Louisville, KY office (travel accommodations provided) Preferred Qualifications: BSN or health care reputed company degree Certified Case Manager (CCM) A background in managed care Experience in pediatrics or NICU reputed company experience Case Management experience Experience working with chronic illness and reputed company care needs population Experience in utilization review, reputed company review and / or risk management Experience with HIV population Psychiatric or Behavioral Health experience Bilingual Spanish speaking Proven excellent Communication and Writing skills Proven problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action Proven ability to communicate reputed company or technical information in a manner that others can understand, as well as ability to understand and interpret reputed company information from others At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative Action employer and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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