OB CASE MANAGER

Position Overview An employee in this classification serves as the program coordinator for the Pregnancy Care Management (PCM) program. The OB Care Manager provides management services to Medicaid patients at risk for poor pregnancy outcomes. Work is performed under general supervision and is evaluated on the basis of attainment of individual and departmental performance objectives, feedback from the public served, and observation. Responsibilities Assess clinical and social stability, ability to impact, and patient willingness to participate in program. Conducts a thorough assessment by review of claims history and medical record, patient interview, case review with prenatal care provider and other methods, on all recipients with one or more priority risk factors on initial or follow‑up risk screenings and all recipients directly referred for care management support. Assigns goals, interventions and tasks; reevaluates and updates according to program guidelines. Determines follow‑up/monitoring frequency and assigns care management status (level of intensity); reevaluates and updates according to program guidelines. Documents all continued care management activities, interventions, tasks, progress toward goals, etc., in Virtual Health. Performs regular periodic status and goal reviews in Virtual Health at intervals, per program guidelines and as needed, for patients being care managed at all intensity levels. Identifies local community resources available to meet the specific needs of the population. Refs clients to childbirth education, parenting classes, breast feeding support, oral health, behavioral health or other needed services reimbursed by Medicaid. Refs to other supportive services and classes as available in the community. Assesses each client and follows up on compliance with prenatal care issues and other needed clinical services. Contacts client’s Pregnancy Medical Home and other appropriate providers to inform them of changes in status and compliance with care. Provides education and assists the client with scheduling a postpartum visit. Provides education concerning the importance of a primary care medical home for clients who continue to remain and/or become eligible for Medicaid beyond the postpartum period and refers them to a primary care medical home of their choice. Attends scheduled PCM Program meetings, webinars and training. Reviews all initial and follow‑up pregnancy risk screenings received and ensures they are entered into Virtual Health within 7 days of receipt. Utilizes risk screening data and provider referrals to develop strategies to meet the needs of those patients at highest risk for poor pregnancy outcome. Completes Comprehensive Pregnancy Assessment within 30 days of entering client into PCM services. Participates in mass immunization clinics; enters immunizations given into NCIR. Participates in shelter rotation and recovery during hurricanes and other natural disasters. Notifies the Nursing Supervisor or Director of Nursing of any problems in clinic management and offers recommendations. Performs related duties as required and may include participation in medical record audit reviews, educational in‑service programs, professional development and training exercises. Is responsible for other duties as assigned. Duties may also include Preparedness activities/directives as assigned by Supervisor, Nursing Director or Agency Director. Essential Knowledge, Skills, and Abilities Thorough knowledge of the methods, procedures and policies of Bladen County Health Department as they pertain to the performance of duties of the OB Case Manager. Thorough knowledge of the laws, ordinances, standards and regulations pertaining to the specific duties and responsibilities of the position. Thorough knowledge of and skill in professional nursing theory and practice; considerable knowledge of the principles and practices of public health nursing and patient care services, including clinic services and home services; thorough knowledge of the principles and methods of social work; considerable knowledge of medical terminology, clinic routine and equipment; considerable knowledge of septic techniques and infection control in clinic / home settings and inpatient treatment and care; considerable knowledge of occupational hazards and safety precautions pertaining to health care; considerable knowledge of the methods of medical case recording and report preparation. Comprehensive knowledge of the terminology and various professional languages used within the department. Considerable knowledge of the functions and interrelationships of County and other governmental agencies. Considerable knowledge of available resources and organizations and the ability to coordinate these as needed. Knowledge of current social and economic problems relating to public health. Knowledge of recent developments, current literature and sources of information regarding nursing services and home health care. Knowledge of local social / health service resources. Knowledge of and skill in using public relations and public education tools and techniques. Knowledge of proper English usage, punctuation, spelling and grammar. Knowledge of modern office practices and technology, including the use of computers for word and data processing and records management. Ability to apply supervisory and managerial concepts and principles; knowledge of administrative principles involved in developing, directing and supervising various programs and related activities. Ability to plan, coordinate, and supervise the work of others. Ability to deal tactfully with others and to exercise good judgment in appraising situations and making decisions. Ability to secure the cooperation of clients, to elicit needed information, and to maintain effective working relationships. Ability to record accurately services rendered and to interpret and explain records, reports, and medical instructions. Ability to offer instruction and advice to subordinates regarding departmental policies, methods and regulations. Ability to perform employee evaluations and to make recommendations based on results. Ability to develop, coordinate and implement effective public health programs. Ability to assess patient health status in hospital, clinic or home environment as applicable; develop and implement appropriate nursing care plans for patients; effectively use nursing processes and provide highly skilled direct patient care; safely and skillfully operate / use nursing and medical equipment and instruments as required; follow and transmit in exact detail oral and written instructions of a technical and complex nature; prepare concise and accurate reports and charts regarding patient care and treatment; monitor and assess the medications and treatment prescribed for patients; communicate compassionately with patients and family members; maintain confidentiality as appropriate. Ability to perform under flexible, frequently stressful working conditions and react calmly and quickly in emergency situations. Ability to make public presentations. Ability to make sound, educated decisions. Ability to offer assistance to co‑workers and employees of other departments as required. Ability to plan and develop daily, short‑ and long‑term goals related to County purposes. Ability to take the initiative to complete the duties of the position without the need of direct supervision. Ability to plan, organize and prioritize daily assignments and work activities. Ability to learn and utilize new skills and information to improve job performance and efficiency. Ability to make required mathematical calculations. Ability to compile, organize and utilize various financial information necessary in the preparation of assigned budgets, and knows how to prepare and monitor budgets. Ability to read and interpret complex materials pertaining to the responsibilities of the job. Ability to assemble and analyze information and make written reports and records in a concise, clear and effective manner. Ability to maintain effective relationships with personnel of other departments, professionals and members of the public through contact and cooperation. Minimum Education and Experience Graduation from a four-year college or university with a B.S. Degree in Nursing which includes a Public Health Nursing rotation and one year of Public Health Nursing experience; or graduation from an accredited school of professional nursing and two years of professional nursing experience including one year in public health; or an equivalent combination of education and experience. Individuals, employed in a local health department, without a B.S. Degree which includes a Public Health Nursing Rotation will be required to complete a Public Health Nurse training program as a condition of continued employment. Special Requirements Valid North Carolina Driver’s License Must be licensed to practice as a Registered Nurse by the North Carolina Board of Nursing. Complete CSI 100, 200, and NIM’s 700, 800 at employment and stay current on training and staff development as required. FLSA Status Exempt Disclaimer This classification specification has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to perform the job. Bladen County reserves the right to assign or otherwise modify the duties assigned to this classification. April 2025 BLADEN COUNTY IS AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER #J-18808-Ljbffr Bladen-County