RN, Field Care Manager – Maternal-Child Health

This is a fully remote position, open to applicants in Louisiana.

📋 Description

• Evaluate and assess the needs and requirements of members to support or sustain optimal wellness.

• Direct members and their families towards suitable care and wellness resources.

• Oversee members' physical, environmental, and psychosocial health concerns.

• Identify and address obstacles to effective care delivery.

• Involve members and their families in recovery and wellness initiatives through a holistic, member-centered approach.

• Perform assessments via phone and in-person.

• Track and assess member progress.

• Create personalized care plans utilizing clinical judgment and changes in health status.

• Partner with providers and community organizations to ensure quality, cost-effective outcomes.

• Coordinate physical health, social determinants of health, and additional benefits.

• Enhance communication among the care team, including Primary Care Providers (PCPs) and during care transitions.

• Offer families resources related to health and wellness.

• Report incidents as necessary.

• Engage in health promotion and community events.

• Execute care management activities in accordance with contractual obligations, established protocols, and directives from the Louisiana Department of Health.

• Conduct face-to-face interactions with members, their families, and providers.

• Travel up to 50% within the designated Louisiana region.

⛳️ Requirements

• Must reside in Region 6, 7, or 8 of Northern Louisiana, including the specified eligible parishes.

• Active Registered Nurse (RN) license in Louisiana without any restrictions.

• A minimum of two years of clinical experience in maternal-child health, Labor & Delivery (L&D), and/or pediatrics.

• Proficient to advanced computer skills.

• Familiarity with Microsoft Word, Outlook, and Excel.

• Ability to utilize electronic information applications/software, including electronic medical records.

• Excellent communication and interpersonal abilities.

• Capability to work independently with minimal oversight and demonstrate sound judgment.

• Case Management Certification (CCM) or a commitment to obtain within two years of employment.

• Awareness of current state Maternal/Child Mortality Morbidity.

• Basic knowledge of breastfeeding.

• Understanding or experience with Medicare, Medicaid, and dual-eligible populations.

• Experience in Field Case Management.

• Background in Managed Care Health Plans.

• Familiarity with community health and social service agencies along with community resources.

• Experience in health promotion, coaching, and wellness.

• Experience in Motivational Interviewing.

• Must satisfy work-at-home internet requirements: minimum 25 Mbps download and 10 Mbps upload.

• Must work from a designated area without ongoing interruptions to safeguard member PHI/HIPAA information.

• Current or former Louisiana Health Department personnel engaged directly with LDH's Medicaid Division must have a separation of two or more years from LDH for consideration.

🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability.

• Long-term disability.

• Life insurance.

• Mileage reimbursement for work-related travel.

• Remote home office when not conducting community or member visits.