Nurse Case Manager - Maternal Health

Why Join Care Medical Practice?

Care Medical Practice is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs, urban and rural communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient's race, culture, and environment is critical to delivering improved health outcomes. By empowering patients, providers, and caregivers with the support they need, we strive to make health and care a reality-not a burden-every single day. Join us in creating a better way to care.

Position Overview

The Nurse Case Manager will lead coordination of Healthy Start (HS) Program participants' whole-person care, including (re)assessments, care planning and updates, constituting and coordinating each participant's interdisciplinary care team, monitoring information flows for deterioration of participant condition, facilitating transitions of care, and marshaling other HS Team members to provide wraparound perinatal care.

Key Responsibilities
* Lead the coordination of HS participants' whole-person care, including medical, behavioral, and health-related social care
* Partner with the CHW Supervisor to marshal the project's Community Health Workers to facilitate non-clinical care interventions, targeted health education, and social support
* Conduct clinical assessments using evidence-based tools, under the guidance of the Program Manager, Director of Maternal Health, and Chief Medical Officer (CMO)
* Prepare participant-centered care plans
* Constituting and coordinating each participant's interdisciplinary care team
* Coordinate and monitor care plan implementation and triage changes in status
* Facilitate transitions of care to and from a higher level of care
* Lead daily huddles and weekly case conferences with Program Manager and Project Director support
* Conduct reassessments and update care plans according to practice standards
* Facilitate participant discharges according to HS program guidelines
* Complete inhome, virtual or telephonic visit as indicated by Program Manager's direction
* Coordinate participant educational materials with Program Manager, Director of Maternal Health, and CMO's support
* Report significant medical changes to program physician(s) and director
* Correlate and coordinate reports for Project Director

Required Qualifications
* Current unrestricted New York State Registered Nurse license (multi-state license preferred)
* Valid driver's license and auto insurance in nurse's name as a driver
* Reliable transportation
* Current CPR/BLS certification
* At least 3 years' patient care management experience, preferably in an obstetric practice setting (maternal health experience preferred)
* Strong experience with electronic medical records, health information exchanges, coding, and related systems and tools
* Excellent written and verbal communication skills and experience communicating and leading interdisciplinary care teams
* Comfort working in a diverse, fast-paced environment

The working environment and physical requirements of the job include:

Work is performed indoors in a setting with conditioned air and artificial light. Travel to and work in offices or other environments is required.

In this position you will need an to communicate with customers, vendors, management, and other co-workers in person and over devices, sometimes with people who are agitated. Regular use of the telephone and e-mail for communication is essential. Sitting for extended periods is common. Must be able to receive ordinary information and to prepare or inspect documents. Lifting of up to 10 lbs. occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculator, copiers, and FAX machines. Good reasoning ability is important. Able to understand and utilize management reports, memos, and other documents to conduct business.

Equal Opportunity & Reasonable Accommodation Statement

Care Medical Practice is an Equal Opportunity Employer committed to creating an inclusive environment for all employees. We provide equal employment opportunities to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law.

If you require a reasonable accommodation during the application or employment process, please indicate this in your application or speak with your recruiter during the hiring process.

Disclaimer

This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.

Our Benefits

Financial Well-being
* Competitive Compensation: We offer competitive salaries to attract and retain the best talent.
* 401(k) with Employer Match: Plan for your future with our 401(k) plan and a generous 4% employer match.

Health and Wellness
* Comprehensive Medical Plan: We proudly offer a comprehensive medical option with an employer contribution.
* Dental & Vision Coverage: Maintain your oral and eye health with our employer-paid dental and vision plans via MetLife.
* Employer-Paid Insurance: Life, Short-Term Disability (STD), and Long-Term Disability (LTD) insurance are provided at no cost to you.
* Generous Paid Time Off: Enjoy ample time off for rest and rejuvenation with generous PTO, holidays, and wellness time.

Additional Perks
* Continuing Medical Education (CME) Allowance for Providers: Stay at the forefront of your field with our CME allowance.
* Commuter Benefits: Save on your commute with our commuter benefits program.
* Mileage Reimbursement: Get reimbursed for work-related travel expenses.