Maternal Care & Outcomes Coordinator, RN

Blue Cross & Blue Shield of Mississippi; Flowood (MS); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Onsite gym

Café on campus

Walking track

Medical benefits

401(k)

Paid time off

Job summary

Blue Cross & Blue Shield of Mississippi is seeking a Maternal Care Management Coordinator, RN, to provide individualized clinical support to high‑risk members through prenatal, antenatal and postpartum care. The role deploys a multidisciplinary approach to ensure quality and cost‑effective outcomes for maternal and infant care.

The position requires a BSN and an unrestricted Mississippi RN license, plus 3+ years in maternal health.

Qualifications

• Bachelor’s degree in Nursing and RN licensure unrestricted in Mississippi.
• Three or more years of maternal health clinical experience.
• Proficiency with Microsoft Office (Word, Excel).
• Strong communication and compassionate guidance to Members and families.
• Ability to organize and coordinate multiple care plans and appointments.
• CCM certification preferred; must obtain within 2 years of hire if not certified upon hire.

Responsibilities

• Provide individualized clinical support to high‑risk members navigating prenatal, antenatal and postpartum care.
• Deploy a multidisciplinary care approach to ensure quality and cost‑effective outcomes.
• Review inpatient care coordination to determine medical necessity and policy alignment.
• Manage member cases as part of the Health Management Team.
• Monitor in-hospital services to promote safe home transitions and reduce readmission.

Skills

Nursing

Care coordination

Effective communication

Time management

Education

Bachelor's degree in Nursing

RN licensure

Tools

Microsoft Office

Job description

Blue Cross & Blue Shield of Mississippi is seeking a Maternal Care Management Coordinator, RN, to provide individualized clinical support to high‑risk members through prenatal, antenatal and postpartum care. The role deploys a multidisciplinary approach to ensure quality and cost‑effective outcomes for maternal and infant care.

The position requires a BSN and an unrestricted Mississippi RN license, plus 3+ years in maternal health.