Maternity Care Coordinator

CareSource Management Services; Florida; Hybrid; USD 47,000 - 76,000; Full time

Job summary

CareSource Management Services in the United States is seeking a Maternity Care Coordinator to serve as the member concierge and single point of contact for assessment, planning, and service coordination in the Mom and Baby Beginnings program.

The role involves telephonic enrollment, health and psychosocial surveys, education on the program, initial screening, eligibility verification, and timely documentation, while building strong member relationships and collaborating with physicians to

Qualifications

• Diploma or Associates in a healthcare related field or equivalent years of relevant work experience is required
• Bachelor's degree in a healthcare related field is preferred
• A minimum of three (3) years of experience in a healthcare field (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required

Responsibilities

• Telephonically engage and enroll members in Mom and Baby Beginnings program
• Engage the member and complete a health and psychosocial survey, taking into account the cultural and linguistic needs of each member
• Educate members on the Mom & Baby Beginnings program
• Conduct initial screening and needs assessments
• Verify eligibility, previous enrollment history, demographics, and current health status of each member
• Provide timely and accurate documentation
• Build and strengthen member relationships by providing quality customer service
• Establish positive, consultative relationships with assigned Physician offices
• Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation
• Look for ways to improve the process to make the members experience with CareSource easier and shares with leadership to make it a standard, repeatable process
• Work closely with a members' assigned case manager to coordinate care and programs
• Understand and implement Person-Centered Thinking
• Facilitate the Person-Centered planning process
• Participate in person-centered care training in order to maximize the development of the Person-Centered plan
• Coordinate services and health benefits for members who meet criteria
• Consult and collaborate with other professionals and community members to coordinate care and develop Person-Centered plans
• Ongoing communication with the internal complex clinical team
• Monitor service delivery to ensure appropriateness of care and compliance with waiver
• Assist Providers with technical questions regarding process
• Monitor and evaluate Person-Centered care plan on an ongoing basis through member, family, provider and stakeholder contact by modifying the plan as needed based on member choice
• Assist with internal care coordination activities to support member outcomes
• Maintain current and accurate documentation of contacts, treatment plans, case notes, referrals, and assessments in the electronic record according to current accreditation and compliance guidelines
• Participate in meetings with providers to inform them of services and benefits available to members
• May precept and/or mentor new staff
• Perform any other job duties as requested

Skills

Microsoft Office

Outlook

Word

Excel

Effective communication

Multi-tasking

Regulatory knowledge

CMSA standards

Member advocacy

Cultural competence

Research literacy

Community resources

Active listening

Decision making

Time management

Trauma-informed

Education

Diploma or Associates in healthcare

Bachelor's degree in healthcare

Job description

Job Summary

The Maternity Care Coordinator is the member concierge and is the single point of contact for assessment, person centered planning, and service coordination for the Mom and Baby Beginnings program

Essential Functions

• Telephonically engage and enroll members in Mom and Baby Beginnings program


• Engage the member and complete a health and psychosocial survey, taking into account the cultural and linguistic needs of each member


• Educate members on the Mom & Baby Beginnings program


• Conduct initial screening and needs assessments


• Verify eligibility, previous enrollment history, demographics, and current health status of each member


• Provide timely and accurate documentation


• Build and strengthen member relationships by providing quality customer service


• Establish positive, consultative relationships with assigned Physician offices


• Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation


• Look for ways to improve the process to make the members experience with CareSource easier and shares with leadership to make it a standard, repeatable process


• Work closely with a members' assigned case manager to coordinate care and programs


• Understand and implement Person-Centered Thinking


• Facilitate the Person-Centered planning process


• Participate in person-centered care training in order to maximize the development of the Person-Centered plan


• Coordinate services and health benefits for members who meet criteria


• Consult and collaborate with other professionals and community members to coordinate care and develop Person-Centered plans


• Ongoing communication with the internal complex clinical team


• Monitor service delivery to ensure appropriateness of care and compliance with waiver


• Assist Providers with technical questions regarding process


• Monitor and evaluate Person-Centered care plan on an ongoing basis through member, family, provider and stakeholder contact by modifying the plan as needed based on member choice


• Assist with internal care coordination activities to support member outcomes


• Maintain current and accurate documentation of contacts, treatment plans, case notes, referrals, and assessments in the electronic record according to current accreditation and compliance guidelines


• Participate in meetings with providers to inform them of services and benefits available to members


• May precept and/or mentor new staff


• Perform any other job duties as requested

Education and Experience

• Diploma or Associates in a healthcare related field or equivalent years of relevant work experience is required


• Bachelor's degree in a healthcare related field is preferred


• A minimum of three (3) years of experience in a healthcare field (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required

Competencies, Knowledge and Skills

• Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel


• Ability to communicate effectively with a diverse group of individuals


• Ability to multi-task and work independently within a team environment


• Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices


• Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice


• Strong advocate for members at all levels of care


• Strong understanding and respect of all cultures and demographic diversity


• Ability to interpret and implement current research findings


• Awareness of community & state support resources


• Critical listening and thinking skills


• Decision making and problem-solving skills


• Strong organizational and time management skills


• Trauma informed training

Licensure and Certification

None

Working Conditions

General office environment; may be required to sit or stand for extended periods of time

Compensation Range

$47,400.00 - $76,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary)

Hourly

Organization Level Competencies

• Fostering a Collaborative Workplace Culture


• Cultivate Partnerships


• Develop Self and Others


• Drive Execution


• Influence Others


• Pursue Personal Excellence


• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individu