Maternal / Infant Health Care Coordinator, RN
New Today
At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, tools and resources to commit to a healthy lifestyle.
The Maternal / Infant Health Care Coordinator, RN is responsible for the research, analysis and documentation of clinical best practice guidelines and related quality measures as it relates to Maternal / Infant healthcare, to include identification and care for high risk members. The incumbent collaborates with Network Hospitals and Providers to develop and implement quality initiatives based on evidence-based best practices in alignment with the Company's Maternity Quality Model. The incumbent also is responsible for working with the Provider and Member for the management of members with care coordination of health care needs related to maternal and infant care. The Care Coordinator, RN is accountable for providing clinical support to members by facilitating an appropriate Plan of Care for optimal health outcomes and facilitating the provider and member relationship for quality and cost-effective care. The incumbent is responsible for working with the Provider and supporting the member with discharge planning, education, coordination of care needs and ensuring desired outcomes are achieved in collaboration with Care Management and Wellness Coaching. The Maternal / Infant Health Care Coordinator, RN follows member cases through the continuum of care ensuring services and treatment are appropriate. The incumbent is responsible for identification of high-risk members and those that meet criteria for referral to Case Management.
Job-Specific Requirements:
- Bachelor's degree in Nursing and RN licensure that is unrestricted in the state of
Mississippi required. Master degree in Nursing preferred.
- Minimum two years of clinical experience required.
- Background in Utilization Review in the health care field is preferred.
- Excellent clinical thinking skills required.
- Excellent oral/written communication skills are required.
- Must have excellent organizational skills in order to successfully prioritize tasks and to ensure deadlines and benchmarks are consistently met.
- Must be able to work a flexible schedule when required.
- Must have above average PC skills and intermediate knowledge of Microsoft
Office.
Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.
- Location:
- Flowood
- Job Type:
- PartTime