Care Coordinator, Maternal Newborn
Steward Health Care Network
Steward Health Care Network
The Maternal Newborn Health Care Coordinator will telephonically outreach to pregnant members of Steward's ACO to improve outcomes and drive performance.
Essential Duties and Primary Accountabilities:
Conduct telephonic outreach to pregnant members of the Accountable Care Organization. Responsibilities include but are not limited to:
* Connecting the member with prenatal care and address barriers to utilization as needed
* Completing a comprehensive assessment to identify clinical and social needs
* Educating the member about Steward's programmatic offerings
* Enrolling the member in care coordination
Follow-up telephonically with members enrolled in the care coordination program throughout pregnancy and postpartum as needed. Responsibilities include but are not limited to:
* Referring the member to Steward and/or community-based resources for support as needed
* Evaluating progress and communicate with the member's clinical team
* Assisting the member in selecting a pediatrician for the baby
* Educating the member about healthy pregnancy and postpartum behaviors including the importance of prenatal, postpartum, and well-baby visits
* Review members' medical history and document member information in the care management system
* Research policies, procedures, and available resources as needed in order to coordinate patient care and drive performance
* Work collaboratively with the Women's and Family Health Services Program Manager to evaluate and improve the effectiveness of the care coordination program and perform other duties as needed
Education / Experience / Other Requirements
* Bachelor's degree required
* Master's degree in social work, public health, or related field strongly preferred but not required
Years of Experience:
* Minimum of 3 years working in a social or health care services environment with women and children required
Work Related Experience:
* Experience providing resource information and continued support to patients/clients to ensure access to services to address social determinants of health utilizing culturally sensitive practices
* Experience working with women and families to promote healthy behaviors
* Experience in any of the following domains preferred: perinatal mental health, childbirth education, substance use, barriers to health care utilization, family planning, domestic violence, newborn care, electronic medical records
* Basic clinical knowledge of women's health--specifically related to pregnancy, childbirth, and the postpartum period--and newborn health
* Working knowledge of government and community-based resources and delivery systems needed to assist patients and address social determinants of health with a focus on maternal and newborn health
* Proficiency with computer software
* Fluency in Spanish and/or Portuguese preferred but not required
Physical and Mental Demands:
These physical and mental demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Must be able to effectively communicate with internal and external customers via telephone and email.
* Able to accurately receive information through oral communication.
* Able to accurately review data and figures both in hard copy and electronic formats.
* Utilize a computer (including but not limited to a mouse and keyboard) and telephone intermittently throughout entire shift, for periods of up to four (4) hours at a time.
* Able to accurately sort through data and think through issues in a time?pressured environment.
* Able to focus on a specific event or activity for up to four (4) hours at a time without interruption.
* Able to maintain a calm and collected presence while addressing the concerns from an internal and external customer
* Able to accurately learn and retain new information, knowledge and skills.
* Able to efficiently manage multiple tasks, with varying degrees of priority, at the same time.
Job Reference #: 53736