RN Care Manager- OB/Peds/L&D

Daily Responsibilities:

• Telephonic position

• Working with pregnant women and new mothers (can follow mothers’ care up to about 2 years after birth)Develop, assess and adjust, as necessary, the care plan and promote desired outcome

• Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options

• Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients

• Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs

• Provide patient and provider education

• Facilitate member access to community based services

• Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan

• Actively participate in integrated team care management rounds

• Identify related risk management quality concerns and report these scenarios to the appropriate resources

• Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems