Prenatal Case Manager

Prenatal Case ManagerWest Orange, NJ 07052, USA Req #10924 Thursday, August 1, 2024Welcome to Zufall Health! Position Description Reporting to the Program Coordinator of the Prenatal Program and in conjunction with the SVP of Nursing and Clinical Operations (SVPNCO), the Prenatal Case Manager assists prenatal patients and their families in accessing appropriate clinical and social services. The Prenatal Case Manager is a key member of the Care Team and focuses on needs and barriers (such as financial, cultural, language, insurance) that prevent patients from achieving healthy outcomes. Travel is expected to be local with required attendance at some community meetings. Essential Functions, Duties and Responsibilities

Works as part of the Care Team to identify prenatal patients in need of services and communicates with provider as to progress

Meets initially with each prenatal patient and follow up visits as required by patient needs or referrals

Keeps an active problem list and tracks patients that have been referred. Documents level of services provided and discuss with MCHI PC on a weekly basis. Updates Plan of Care as needed

Follows up on missed appointments and reschedules as appropriate. Contacts prenatal patients that are overdue for visits

Enters interventions and follow up plans in electronic medical record-eCW

Assists prenatal patients with arrangements for transportation, translation, and other barriers to attending appointments

Assists prenatal patients with completion of medical, prescription, service forms and with requests to other providers and agencies

Assists patients with applications to charity care at Clara Maas Medical Center, Emergency Medicaid and PW Medicaid, NJ Family Care, WIC and other benefits or insurances as appropriate

Completes PRAspect initial file entry for every patient required by the State of NJ

Updates PRAspect file as insurance changes from PEPW, Medicaid, HMO, 3rdtrimester, and final birth data required for Birth Certificate production

Facilitates referrals for Zufall Health Center providers to refer prenatal patients into behavioral health and enabling services, including referrals to outside agencies and programs. Facilitates interchange of pertinent clinical information as per HIPAA guidelines to the Care Team and outside providers involved in the care of the patient.

Facilitates first Newborn visit with Zufall Health Providers

Identify community resources and services that address barriers encountered by prenatal patients and their families and assist patients in accessing such services

Acts as advocate for patients and their families with community organizations and other agencies

Conducts Spanish speaking classes relative to Prenatal patients as trained/directed by Prenatal Coordinator. (Breastfeeding, Labor & Delivery)

Educates patients on acquiring a Breast pump through Insurance or WIC

Knowledge, Skills and Abilities

Working knowledge of medical terminology

Proficient, accurate and detailed documentation

Excellent knowledge of available community services and resources

A working knowledge of prenatal care needs and possible barriers

Excellent communication and interpersonal skills

Ability to assist patients through adverse pregnancy outcomes with empathy

Ability to work as part of a care team

Bilingual English/Spanish required

Ability to communicate well with patients, staff and outside providers and agencies

Ability to maintain high level of confidentiality

Assist supervising/training AmeriCorp members/volunteers

Working knowledge of Zufall Health Center policies and procedures, mission and values

Some travel may be required between sites. Valid NJ State Driver’s license in good standing

Learn and apply the trauma informed care principles with the scope of my position

Education, Training and Experience

Minimum Bachelor’s Degree with appropriate health and/or social services related experience

Minimum two years experience in a clinical setting

Experience working with Medical Insurance- Medicaid, HMO, ACA

Experience with PRAspect for Medicaid payments and GEMS Authorizations

Experience working with community service agencies

Knowledge of Microsoft Office, Excel and use of electronic medical records

As a condition of employment, we require that all staff are fully vaccinated against flu. Therefore, if hired during flu season (typically between September-May), all new employees need to be fully vaccinated against flu and are required to provide documentation of receiving flu vaccines upon hire.

Zufall Health an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability status, medical conditions related to pregnancy or childbirth, protected veteran status, or any other characteristic protected by law. Thank you for taking the time to apply! Other details

Job Family Clinical

Pay Type Hourly

Min Hiring Rate $23.00

Max Hiring Rate $25.39

West Orange, NJ 07052, USA

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