Collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual
Engages with the member and their natural support system through strength-based assessments and trauma-informed care
Develops and regularly updates a person-centered individualized care plan (ICP) in collaboration with the ICT
Identifies and manages barriers to achievement of care plan goals
Facilitates coordination and communication with the member and ICT to achieve goals and maximize positive member outcomes
Educates the member/natural supports about treatment options, community resources, insurance benefits, etc.
Documents care coordination activities and member response in a timely manner according to standards of practice

Nursing degree from an accredited nursing program or Bachelor’s degree in a health care field or equivalent years of relevant work experience is required
A minimum of three (3) years of experience in nursing or social work or counseling or health care profession (i.e. discharge planning, case management, care coordination, and/or home/community health management experience)
Three (3) years Medicaid and/or Medicare managed care experience is preferred
Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Professional Clinical Counselor is required.
Case Management Certification is highly preferred

Mom and Baby Care Manager – RN

Key skills