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Maternity Care RN Manager II, BSN
2 months ago
We are seeking a dedicated RN with a current license in Pennsylvania and a BSN to join our team. Candidates must be residents of the Philadelphia or Montgomery counties in Pennsylvania and be open to participating in community events as required.
Your Journey Begins Here:
At AmeriHealth Caritas, we are committed to nurturing the next generation of healthcare leaders. Our mission is to assist individuals in accessing care, maintaining wellness, and fostering healthy communities.
As a prominent provider of healthcare solutions, we empower our associates to make a significant impact on the lives of millions through our extensive range of products, services, and award-winning initiatives.
Headquartered in Newtown Square, PA, AmeriHealth Caritas has over 30 years of experience in delivering comprehensive, outcome-focused care to those who need it most. We provide integrated managed care products, pharmaceutical benefit management, specialty pharmacy services, behavioral health services, and various administrative services.
Key Responsibilities:
The RN Maternity Care Manager II plays a crucial role in supporting pregnant members who require care coordination services, ensuring optimal health throughout pregnancy, delivery, and the postpartum period. This position is responsible for:
- Engaging with pregnant members and healthcare providers to assess, plan, and establish personalized health goals.
- Facilitating and coordinating care for pregnant members while ensuring quality and cost-effective resource utilization.
- Acting as a single point of contact and advocate for pregnant members enrolled in the Bright Start Maternity program.
- Conducting comprehensive assessments to identify care coordination needs, including physical, psychosocial, environmental, and support requirements.
- Creating tailored care plans to help pregnant members overcome challenges and achieve their health objectives.
- Setting both short-term and long-term goals with associated timelines for completion.
- Documenting progress towards goals and addressing any issues that arise.
- Implementing appropriate interventions based on members' needs and clinical progress, scheduling follow-up calls, and making necessary referrals.
- Coordinating care and services with members, families, OBGYNs, PCPs, specialists, and community-based organizations as needed.
Qualifications:
To be considered for this role, candidates must:
- Reside in Philadelphia or Montgomery counties in Pennsylvania.
- Be willing to engage in community events that support members in our maternity program.
- Hold a current and unrestricted Registered Nurse license in Pennsylvania.
- Possess a Bachelor's Degree in Nursing.
- Have a minimum of 3 years of clinical experience in Labor and Delivery, Mother-Baby, or High-Risk Ante-Post Partum care.
- Have at least 3 years of experience in case management, preferably in a telephonic capacity.
- Have case management experience within a managed care organization.
- Hold certification as a case manager (preferred).
- Demonstrate proficiency in MS Office (Word, Excel, Outlook), internet applications, and electronic medical record systems.
- Exhibit strong organizational and communication skills, with the ability to meet deliverables within designated timeframes.
- Possess a valid driver's license and car insurance, along with access to a personal vehicle.
Diversity, Equity, and Inclusion:
At AmeriHealth Caritas, we strive to create an environment where everyone feels valued, supported, and free to express themselves. Our commitment to equity ensures that all associates have equal opportunities to reach their full potential. We actively promote integrity and respect in our workplace, standing against injustice and working to dismantle barriers to foster a more inclusive and equitable environment.
We celebrate the diverse perspectives that enrich our workforce, making our organization more vibrant and innovative, ultimately enhancing our ability to serve the communities we support.
Comprehensive Benefits Package:
We offer flexible work solutions, competitive pay, paid time off including holidays and volunteer opportunities, health insurance coverage from Day 1, a 401(k) plan, tuition reimbursement, and more.
