Obstetrics Case Manager

Job Description

Job Description

Job Title: Obstetrics Case Manager Job Description

The Obstetrics Case Manager (OB RN Case Manager) coordinates comprehensive care for maternal and child health populations, ensuring safe, evidence-based interventions across the continuum of care. This role focuses on intake assessments, individualized care planning, discharge coordination, and ongoing monitoring of clinical outcomes for pregnant and postpartum individuals and their newborns. The position requires strong documentation skills, proficiency with electronic health record (EHR) systems, and the ability to manage a high-volume caseload while maintaining quality and compliance standards. The role supports Medicaid contract requirements and is dedicated to improving maternal and neonatal outcomes within the community.

• Conduct thorough intake assessments for maternal and child health patients to identify clinical needs, risk factors, and appropriate levels of care.
• Develop individualized, evidence-based care plans that address obstetric, neonatal, and high-risk antepartum and postpartum needs.
• Coordinate care across the continuum, including inpatient, outpatient, and community-based services, to ensure seamless transitions and continuity of care.
• Manage discharge planning for obstetric and neonatal patients, ensuring safe transitions, appropriate follow-up, and clear patient instructions.
• Monitor clinical outcomes and quality measures for maternal and child health populations and adjust care plans based on patient progress and changing needs.
• Provide patient education on disease management, maternal and newborn health, and available community resources to support long-term health outcomes.
• Perform outbound and inbound patient calls to conduct follow-up, reinforce care plans, and support adherence to recommended treatments and appointments.
• Coordinate utilization management activities, ensuring appropriate use of services in alignment with managed care and Medicaid guidelines.
• Support Medicaid members by navigating benefits, addressing barriers to care, and promoting access to necessary services and resources.
• Document all assessments, interventions, communications, and outcomes accurately and thoroughly in EHR and case management systems.
• Maintain strong organizational practices to manage a high-volume caseload while meeting productivity metrics and quality standards.
• Collaborate effectively with multidisciplinary teams, including physicians, nurses, social workers, and community program staff, to optimize patient care.
• Use care coordination and discharge planning skills to reduce avoidable readmissions and improve maternal and neonatal health outcomes.
• Participate in training and ongoing professional development related to maternal health quality measures, Medicaid regulations, and case management best practices.
• Adapt to hybrid work requirements, including onsite orientations, training sessions, and occasional visits, while maintaining consistent patient support.
• Contribute to a mission-driven culture focused on improving maternal and child health outcomes across Florida through compassionate, patient-centered care.

• Active, unrestricted Registered Nurse (RN) license in the state of Florida.
• 35 years of clinical nursing experience in obstetrics, including active delivery, high-risk antepartum, postpartum, or neonatal intensive care (NICU) settings.
• 35 years of experience in case management within a managed care organization, health plan, or insurance carrier.
• Demonstrated experience with utilization management in a healthcare or managed care environment.
• Experience supporting Medicaid members and navigating Medicaid-related care and services.
• Strong organizational skills with the ability to prioritize tasks and manage a high-volume caseload.
• Excellent documentation skills and attention to detail for accurate, timely recordkeeping in EHR and case management systems.
• Proficiency in care coordination and discharge planning for obstetric and neonatal populations.
• Ability to work independently while consistently meeting established productivity metrics and quality expectations.
• Commitment to evidence-based practice and continuous improvement in maternal and child health outcomes.

• Bachelors Degree in Nursing is preferred; a Masters Degree in Nursing or a related field is highly desirable.
• Strong communication and interpersonal skills, with the ability to build trust and rapport with patients and colleagues.
• Ability to work collaboratively within a multidisciplinary team, including clinical and non-clinical stakeholders.
• Proficiency with Microsoft Office applications and electronic health record (EHR) platforms, including EPIC.
• Flexibility to adapt to changing priorities, workflows, and hybrid work schedules.
• Experience using InterQual criteria in utilization management and care review processes.
• Certified Case Manager (CCM) or similar case management certification is preferred.
• Knowledge of Medicaid and Medicare regulations relevant to case management and maternal-child health services.
• Experience with motivational interviewing techniques to support patient engagement and behavior change.
• Understanding of maternal health quality measures, including HEDIS, and experience working toward performance improvement targets.
• Prior experience working in managed care or health plan environments.
• Demonstrated cultural competence and patient engagement skills to effectively serve diverse populations.
• Familiarity with community resources such as Healthy Start, WIC, and SNAP, and ability to connect patients to these programs.
• Ability to adapt effectively to hybrid work environments that combine remote and onsite responsibilities.

This role is based in Florida within a hybrid work model that combines remote work with scheduled onsite requirements. The standard schedule is Monday through Friday, 8:30 AM to 5:00 PM with a 30-minute lunch break, and offers flexible start times to accommodate varying needs. Initial orientation occurs onsite on Mondays for computer pickup, followed by onsite training sessions on Tuesdays and Thursdays, and onsite EPIC training on Wednesdays. After the initial training period, the position transitions to primarily hybrid work with occasional onsite visits in Sunrise, Florida as needed. The work environment is mission-driven and collaborative, focused on improving maternal and child health outcomes across the state. Team members use EHR platforms, including EPIC, and Microsoft Office tools to manage patient care, documentation, and communication. The culture emphasizes professional growth, ongoing training, and supportive collaboration, providing flexibility and resources to help clinicians succeed in a high-impact, community-oriented setting. Dress code during onsite days aligns with professional clinical or business casual standards appropriate for healthcare and office environments.

This is a Contract to Hire position based out of Sunrise, FL.

The pay range for this position is $38.00 - $44.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

This is a hybrid position in Sunrise,FL.

This position is anticipated to close on Oct 21, 2026.

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The company is an equal opportunity employer and will consider all applications withoutregard to race, sex, age, color, religion, national origin, veteran status, disability,sexual orientation, gender identity, genetic information or any characteristic protectedby law.

If you would like to request a reasonable accommodation, such as the modification oradjustment of the job application process or interviewing process due to a disability,please email View email address on ziprecruiter.com for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in thecity and county of San Francisco, we will consider for employment qualified applicantswith arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as acondition of employment or continued employment. An employer who violates this lawshall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process,including sourcing, screening, and evaluating candidates. AI helps assess applicationsand qualifications, but final decisions are made by our hiring team. By applying, youacknowledge and agree that your application may be reviewed using AI tools.