Children and Pregnant Women Case Manager - MFM

Children and Pregnant Women Case Manager - MFM

MyCHN is a nonprofit organization providing Medical, Dental, Behavioral Health, and Pharmacy services to communities in the South Houston and Gulf Coast area. We were founded in 2008 with one provider, three exam rooms and a big dream. Today, we have over 100 providers and more than 15 locations. MyCHN's mission is to "provide quality care that uplifts, supports, and shapes healthy communities while addressing financial and social barriers".

Job Summary:

Our mission is to make quality health care accessible to all people regardless of their ability to pay. Our vision is to be a leader in providing quality services and programs that enhance the lives of the people in our community. We accomplish this by adhering to the competencies and standards of Patient Centered Medical Home.

The Children and Pregnant Women (CPW) Case Manager supports the care coordination program and MyCHN clinics through case management of pregnant women and children. This position involves rendering care through Texas Medicaid CPW services at MyCHN. The CPW Case Manager will help patients access needed medical, social, educational and other services, aligning with policy guidelines to ensure compliance. This position is full-time in office at following our Women's and Children's locations offering MFM Services and Pediatric Care.

Duties and Responsibilities:

• This role focuses on High Risk MFM patients through 12-months postpartum and/or on Pediatric patients with Chronic Conditions from infancy through transition to Adult Care.
• Navigates inbound MFM referrals and initiates CPW Services
• Navigates inbound Chronic Pediatric referrals through transition to adult care
• Collaborates and coordinates with the providers of direct services to ensure the patient's care plan is followed.
• Provides all aspects of case management services to pregnant women and children, from initial assessment to follow-up through program discharge.
• Conduct non-medical drivers of health screens and follow through with referral to needed support access.
• Participates in community events and networks with community agencies who serve pregnant women and children.
• Actively participate in clinical huddles with the support team and various operational teams.
• Conduct CPW coordination visits quarterly for improved health outcomes for Pediatric focus and/or the Obstetrical Program (MyPrenatal Care) visit adherence schedule.
• Have knowledge of, and coordinate services with, providers of health and health-related services and other active community resources.
• Other duties assigned within scope.

Required Skills/Abilities:

• Interpersonal skills and the ability to communicate concisely with all individuals.
• Ability to community and collaborate effectively to meet objectives.
• Strong understanding of the target population.
• Commitment to quality improvement.
• Commitment to case management.
• Possess initiative and problem-solving skills.
• Strong sense of teamwork and team building.
• Advocate for quality health care and services.

Preferred Skills/Abilities:

• Bilingual in Spanish

Required Education and Experience:

• High school diploma or GED
• Registered Nurse (RN) with an associate's, bachelor's, or advanced degree in nursing.
• An RN with an associate degree in nursing must also possess two years of cumulative, paid, full-time work experience or two years of supervised, full-time educational internship/practicum experience in the past ten years with children, up to age 21, and/or pregnant women.
• Experience must include assessing the psychosocial and health needs of and making community referrals for these populations.
• A license must not be temporary or provisional in nature.
• OR
• A licensed social worker (LSW) with the appropriate licensure, including the practice of Independent Social Work.

Preferred Education and Experience:

• HHSC Case Management Training

Supervision Responsibilities:

• None

Physical Requirements:

• Occasionally required to sit
• Frequently required to talk and stand
• Frequently required to utilize hand and finger dexterity
• The employee must occasionally lift and/or move up to 50 pounds
• Specific frequently vision abilities required by this job include: Close vision, Color vision, Peripheral vision, Depth perception, and Ability to adjust focus

Work Environment:

• Bloodborne Pathogens Exposure Level: 3 (LOW)
• Noise Level: Moderate

Benefits:

• Health Insurance with the employee monthly premium paid 100% by MyCHN
• Dental Insurance with the employee monthly premium paid 100% by MyCHN
• 401 (k) with up to 4% company matching
• Paid Time Off accrues 128 hours the first year. The amount accrued increases as years of service increases.
• Sick Time of 40 hours per year
• Personal Time/Birthday of 8 hours per year
• $15,000 of Basic Life Insurance coverage paid by MyCHN
• Continuing Education Stipend of $200/year
• Referral Bonus
• Flexible schedules
• High opportunity for growth
• Other benefits offered: Vision, Short-Term Disability, Long-Term Disability, Hospital Indemnity, Critical Illness, etc.