Care Manager for High-Risk Pregnancies

Major Duties and Responsibilities Pregnancy Care Managers provide a variety of services in the form of population management and direct care management, as integral members of the prenatal care team. Once identified and engaged, members must have clear documentation of Comprehensive Needs Assessment-OB, interactions, care plan and goal(s), and other Care Management for High-Risk Pregnancies activities. Specifically, CMHRP activities done with or on behalf of members are recorded as interactions, including outreach to members to engage them in care management. Facilitate communication and coordination between members of the prenatal care team, and involve the member in the decision-making process, to coordinate needed care and services. Educate the member and members of her prenatal care team about options, community resources, and psychosocial concerns related to her clinical and social needs. Provide referrals to community resources, as needed, and ensure that appropriate follow-up with each referral takes place. Empower the member to participate in the decision-making process related to her health care. Encourage the appropriate use of health care services and strive to improve the quality of care and maintain cost effectiveness on a case-based basis. Assist the member in any care transitions. Strive to promote member self-advocacy and self-determination. 

Knowledge, Skills & Abilities Considerable knowledge of, and skill in, the application of nursing theory, practice, principles, and techniques employed in the field of public health and related programs or social work competencies; considerable knowledge of and ability to apply the principles and practices of public health; knowledge of available resources and organizations and the ability to coordinate these as needed; general knowledge of current social and economic problems relating to public health, including health disparities; ability to plan, coordinate, and oversee the work of others; ability to deal tactfully with others and to exercise good judgment in appraising situations and making decisions; ability to work in partnership with patients and with other service providers to elicit needed information and to maintain effective working relationships; ability to record accurately services rendered and to interpret and explain records, reports, and medical instructions; adequate computer skills to allow communication, patient record documentation, and accessing information. Understanding of Care Management for High-Risk Pregnancies guiding principles, interventions, and strategies are targeted at the achievement of member stability, wellness, and autonomy through advocacy, assessment, prioritization, planning, communication, education, resource management, care coordination, collaboration, service facilitation, follow-up, and evaluation. They are based on the needs and values of the member and they are accomplished in collaboration with all service providers, including the pregnancy medical program. This accomplishes prenatal and postpartum care that is appropriate, effective, member-centered, timely, efficient, and equitable. 

Minimum Education & Experience (Public Health Nurse) Graduation from an accredited school of professional nursing and one year of professional nursing experience (Social Worker) Bachelor's degree in social work from an appropriately accredited institution; bachelor's degree in a human services field from an appropriately accredited institution and institution and two years directly related experience; or an equivalent combination of education and experience. 

About Appalachian District Health Department

AppHealthCare is a fully accredited district health department serving Alleghany, Ashe, Watauga counties and a Federally Qualified Health Center (FQHC) serving Alleghany and Ashe counties. Our mission is to promote safe and healthy living, prevent disease, and protect the environment. The Appalachian District Health Department was established in 1933 and covers Alleghany, Ashe and Watauga Counties. The health department provides many services such as high quality clinical care, nutrition services, Women Infants and Children (WIC), community health services and environmental health services. The rebranding initiative represents our ability to continue to provide high quality patient care and essential services that are critical for the health of the public. We are committed to serving our patients and clients and ensuring the fulfillment of our mission to promote safe and healthy living, prevent disease and protect the environment. We provide a variety of high quality services to meet the needs of our communities: Clinical Services Environmental Health Services Nutrition Services Community Health Services AppHealthCare accepts private insurances, Medicaid, a...nd Medicare, as well as patients without health insurance. We offer a sliding fee discount program for patients. AppHealthCare is governed by a Board of Health and an FQHC Board, Partners in Public Health.

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Connections working at Appalachian District Health Department