Immediate need for a talented
Care Manager GYN/OB (RN). This is a
06+months contract opportunity with long-term potential and is located in
FL(Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:26-30621
Pay Range: $39 - $42/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:- Review referrals and risk stratification reports to identify member needs and risk factors.
- Conduct comprehensive trimester-based assessments and ongoing clinical assessments.
- Develop, implement, and update individualized care plans.
- Manage an assigned caseload of complex and high-risk Medicaid members.
- Conduct member outreach and promote active engagement in care.
- Identify and address gaps in care and barriers to accessing healthcare services.
- Coordinate services across providers, hospitals, behavioral health organizations, community agencies, and internal interdisciplinary teams.
- Identify social determinants of health (SDOH) needs and connect members with appropriate community resources.
- Facilitate referrals to medical, behavioral health, social, and community-based services.
- Support Transitions of Care (TOC) and complete required post-discharge follow-up.
- Provide education, advocacy, coaching, and support to members and families throughout pregnancy, postpartum, and other care management programs.
- Collaborate with Healthy Start programs and other maternal-child health resources.
- Monitor member progress and facilitate appropriate case closure or graduation based on program goals and outcomes.
- Maintain accurate and timely documentation of assessments, interventions, outreach, and care plans.
- Ensure compliance with NCQA, state, regulatory, and health plan documentation standards.
- Utilize care management platforms, EMRs, Microsoft Office, and organizational reporting tools.
- Work independently in a remote environment while maintaining effective communication with multidisciplinary teams.
Key Requirements and Technology Experience:- Minimum 3 years of recent RN clinical experience.
- 5 years of nursing experience preferred, particularly in:
- Care Management
- Case Management
- Maternal-Child Health
- Obstetrics (OB)
- NICU
- Pediatrics
- Population Health
- Medicaid Managed Care
- Community Health
- Active, unrestricted RN license required.
- Strong critical-thinking and clinical assessment skills.
- Excellent communication and motivational interviewing skills.
- Ability to build rapport with diverse member populations.
- Highly organized, self-directed, and detail-oriented.
- Strong problem-solving and decision-making abilities.
- Ability to prioritize and manage a large caseload and competing priorities.
- Experience collaborating with community resources, providers, hospitals, and interdisciplinary teams.
- Knowledge of maternal and infant health programs and care management practices.
- Experience addressing social determinants of health and healthcare disparities.
- Ability to adapt to a fast-paced and changing healthcare environment.
- Data-driven mindset with a strong focus on quality outcomes and compliance.
- Ability to work independently and effectively in a remote environment.
Our client is a leading
Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
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