OB Case Manager RN

Location: Charleston, WV
Date Posted: 09-19-2018
Obstetrics Case Management RN – Managed Care
Charleston, WV 
*** This Full Time, Benefits Available, CONTRACT position is expected to last until May of 2019! ***
Case Manager Job Summary:
  • The Case Manager plays an integral part in the coordination of care assessing the member’s condition and providing them the necessary resources, options, and coordination for a healthy care outcome.
  • The primary responsibility of the Nurse Case Manager is to coordinate and monitor the care of Health Plan members and develop a nursing plan of care.
  • They will participate in interdisciplinary conferences to review clinical assessments, update care plans and determine follow-up frequency.
  • The Case Manager also acts as an advocate for members and their families linking them to other members of the care team to help them gain knowledge of their disease process and to identify community resources for continued growth toward a maximum level of independence. 
  • The focus of this position is on High Risk and complex OB/Maternal Child Health, NICU, and Pediatrics. 
Case Manager Background: 
  • Valid, unrestricted state Registered Nurse (R.N.) license.
  • Certification in Case Management (CCM) is preferred.
  • Requires 2-3 years’ acute care clinical nursing experience, including: obstetrics, neonatal intensive care (NICU), or newborn nursery.
  • Prefer 1-2 years’ experience with Care Coordination, Case Management and/or discharge planning at a Health Plan, TPA, or Hospital setting.
  • Ideal candidate will 4-5 years experience with obstetrics (OB), Labor & Delivery (L&D), antepartum care, maternal-child health, pediatrics, in both a clinical and case management capacity.
  • Experience working with Federal and State assistance programs (Medicare/Medicaid/etc) is preferred.
  • Basic computer literacy (MS Office) and typing skills are necessary.
  • Bilingual in English and Spanish (or other languages beneficial to local population) is a plus.
Erik Berg
443.470.8240 (CALL – TEXT – FAX)
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