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Zufall Talent Team
Plainsboro, NJ | Full Time
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Prenatal Case Manager
Zufall Talent Team Plainsboro, NJ
$93k-113k (estimate)
Full Time 2 Months Ago
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Zufall Talent Team is Hiring a Prenatal Case Manager Near Plainsboro, NJ

Position Description Reporting to the SVP of Nursing and Clinical Operations (SVPNCO) in conjunction with the Director of Prenatal Program and the Prenatal and Post Partum Care Nurse, 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 ResponsibilitiesWorks as part of the Care Team to identify prenatal patients in need of services and communicates with provider as to progressMeets initially with each prenatal patient and follow up visits as required by patient needs or referralsKeeps 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 neededFollows up on missed appointments and reschedules as appropriate. Contacts prenatal patients that are overdue for visitsEnters interventions and follow up plans in electronic medical record-eCWAssists prenatal patients with arrangements for transportation, translation, and other barriers to attending appointmentsAssists prenatal patients with completion of medical, prescription, service forms and with requests to other providers and agenciesAssists 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 appropriateCompletes PRAspect initial file entry for every patient required by the State of NJUpdates PRAspect file as insurance changes from PEPW, Medicaid, HMO, 3rd trimester, and final birth data required for Birth Certificate productionFacilitates 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 ProvidersIdentify community resources and services that address barriers encountered by prenatal patients and their families and assist patients in accessing such servicesActs as advocate for patients and their families with community organizations and other agenciesConducts 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 WICKnowledge, Skills and AbilitiesWorking knowledge of medical terminologyProficient, accurate and detailed documentationExcellent knowledge of available community services and resourcesA working knowledge of prenatal care needs and possible barriersExcellent communication and interpersonal skillsAbility to assist patients through adverse pregnancy outcomes with empathyAbility to work as part of a care teamBilingual English/Spanish requiredAbility to communicate well with patients, staff and outside providers and agenciesAbility to maintain high level of confidentialityAssist supervising/training AmeriCorp members/volunteersWorking knowledge of Zufall Health Center policies and procedures, mission and valuesSome travel may be required between sites. Valid NJ State Driver’s license in good standingLearn and apply the trauma informed care principles with the scope of my position Education, Training and ExperienceMinimum Bachelor’s Degree with appropriate health and/or social services related experienceMinimum two years experience in a clinical settingExperience working with Medical Insurance- Medicaid, HMO, ACAExperience with PRAspect for Medicaid payments and GEMS AuthorizationsExperience working with community service agenciesKnowledge of Microsoft Office, Excel and use of electronic medical records

Job Summary

JOB TYPE

Full Time

SALARY

$93k-113k (estimate)

POST DATE

02/18/2024

EXPIRATION DATE

04/08/2024

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