Job Description:
• Serve as a high-risk case manager for Medicaid maternity members
• Deliver care coordination, health education, and community resource support
• Conduct member assessments and develop care plans
• Report on member cases in team rounds with the Medical Director
• Prepare documentation for state reporting and attend related meetings
• Provide culturally competent education and resources (e.g., doula programs, family visiting)
• Collaborate with a team of 2 RNs, 1 LPN, and 1 Community Health Worker
Requirements:
• Registered Nurse (RN) with an active, unrestricted PA license
• Resides in the South Eastern PA (Bucks, Montgomery, Chester, Philadelphia, or Delaware County)
• 3–5 years of nursing experience in: High-risk maternity care: Labor & Delivery or Antepartum Hospital Setting Obstetric or Maternal-Fetal Medicine outpatient clinic/office
• Strong background in Medicaid and managed care/health plan environments (preferred)
• Excellent verbal and written communication skills
• Tech-savvy (Microsoft Word, Excel, etc.)
• Comfortable engaging with members via phone or video
Benefits: