CFSP reputed company OB Specialty Care Manager RN (reputed company Region 2)

Anticipated End Date: 2025-10-19 Position Title: CFSP reputed company OB Specialty Care Manager RN (reputed company Region 2) Job Description: #HealthyBlueCareTogetherCFSP We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. reputed company the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term services and supports, Unmet health-reputed company resource needs, and Integrated care management. We envision a North Carolina where reputed company children and families reputed company in safe, stable, and nurturing homes. North Carolina residency is required! $3,500 SIGN ON BONUS LOCATION: This position supports reputed company Region 2. You must live in this region. HOURS: General business hours, Monday through Friday. TRAVEL: Some travel reputed company this region is required. reputed company you are not in the field, you will work virtually from your home. This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not reputed company a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The reputed company OB Specialty Care Manager RN is responsible for coordinating operations and workflows reputed company to OB and Mother/Baby case management activities in support of the North Carolina Foster Care program (CFSP). Manages overall healthcare costs for the foster care population reputed company integrated (physical health/behavioral health/SDOH) case management and whole person health. Manages the most reputed company cases and provides support to case managers and care coordinators. Performs case management telephonically or in-person visits to members in their homes/care facility. Primary duties may include, but are not limited to: Conducts specialized assessments to identify individual needs, as reputed company to OB and associated health concerns including preventative screenings. Develops comprehensive care plan to address objectives and goals as identified during assessment. Supports member access to appropriate quality and cost-effective care and modifies plan(s) as needed. Coordinates with internal and external resources to meet identified needs of the member in terms of integrated (physical and behavioral) whole person care. Coordinates social determinants of health to meet the needs of the member and child, and incorporates the mother/baby planning into care planning. Works closely with various state agencies. Maintains knowledge of the system of care philosophy; a reputed company of effective, community-based services and supports for those with or at risk for comorbidities reputed company to OB and/ or other challenges reputed company to OB, that is organized into a coordinated network. Builds meaningful partnerships with designated populations and their families, and addresses cultural and linguistic needs, in order to help them function reputed company at home, in the community, and throughout life. Provides important information including patient education of maternal/child as well as routine health, medication reconciliation, and identification of community resources and assists with arrangement of follow-up care. Facilitates health rounds with other clinical centered professionals to ensure whole person health. May reputed company and work on specialty projects and initiatives. Assists with process improvements activities. Trains and mentors staff. For the reputed company, in accordance with federal/state law, scope of practice regulations or contract, the requirements are: Requires a degree in nursing and minimum of 7 years of clinical experience; or any combination of education and experience which would provide an equivalent background. Requires an active, reputed company and valid license as an RN to practice as a health professional reputed company the scope of licensure in the reputed company Requires demonstrated experience in Maternal/Child setting with knowledge of OB/GYN assessments and plans of care.

Preferred Qualifications

Experience working with high-risk and/or foster care populations is strongly preferred. Experience working in an MCO environment is preferred. Experience in a Case/Care Management setting is preferred. #HealthyBlueCareTogetherCFSP Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed/Certified Behavioral Health Role Please be advised that reputed company only accepts resumes for compensation from agencies that have a signed agreement with reputed company. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of reputed company. Who We Are reputed company is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at reputed company levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At reputed company, we are creating a culture that is designed to advance our strategy but will also reputed company to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we reputed company our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. reputed company operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an reputed company location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top reputed company for reputed company. We require reputed company new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. reputed company will also follow reputed company relevant federal, state and local laws. reputed company is an Equal Employment Opportunity employer, and reputed company qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national reputed company, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Apply tot his job Apply To this Job