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RN Maternity Care Manager II, BSN
2 months ago
RN Maternity Care Manager II, BSN (Philadelphia and Montgomery Counties in PA)
We are looking for the next generation of health care leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. Together we can build healthier communities. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
The RN Maternity Care Manager II assists pregnant members appropriate for care coordination services in achieving optimal health throughout pregnancy, delivery, and the postpartum period. The RN Maternity Care Manager II facilitates and coordinates care for pregnant members while assuring quality and use of cost-effective resources. Assesses pregnant members to determine care coordination needs. Creates a plan of care to assist pregnant members in reducing/resolving problems and or barriers so that members may achieve their optimal level of health. Identifies both short and long term goals and associated time frames for completion. Shares goals with the member and family as appropriate and documents progress towards meeting goals and resolving problems. Coordinates care and services with member, family members, OBGYN, PCP, Specialists, and Community Based Organizations as appropriate.
Must be willing to attend community events supporting members enrolled in our maternity program.
* Bachelor's Degree in Nursing required.
* Minimum of 3 years of clinical practice experience Labor and Delivery/Mother-Baby/High Risk Ante-Post Partum.
* Case management experience within a managed care organization.
* Proficiency using MS Office (Word, Excel, Outlook), internet applications, and electronic medical record and documentation programs.
* Valid driver's license and car insurance and personal vehicle.
Diversity, Equity, and Inclusion
Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
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