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Maternity Nurse Care Manager
Included Health. Deliver coordinated, patient-centered virtual Care Management by telephone and/or messaging to improve members’ health outcomes.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Care Management, including the development of patient-centered care plans and navigation of complex medical conditions. Proficient in collaborating with multidisciplinary teams and utilizing technology to enhance remote care delivery.
Highest-signal resume keywords
Bachelor Of Science In Nursing (BSN)Active Compact RN LicenseCCM Certification5+ Years Of Nursing Experience2+ Years Experience In Care Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care ManagementCase ManagementDisease ManagementLabor And Delivery ExperienceClinical History GatheringMedical Record Systems ProficiencyPatient-Centric CommunicationHealth Benefits NavigationCompassionate Patient AdvocacyFertility Planning Support
Soft Skills
EmpathyStrong Verbal CommunicationAttention To DetailFlexibilityGood Judgment
Tools & Technologies
Remote Care TechnologyComputer SystemsMedical Record Systems
Certifications & Qualifications
Active Compact RN LicenseCCM Certification
Industry Keywords
Patient-Centered CareHealthcare System NavigationHIPAA ComplianceMultidisciplinary Team CollaborationCultural Competence
About the role
Key responsibilities & impact- Deliver coordinated, patient-centered virtual Care Management by telephone and/or messaging to improve members’ health outcomes.
- Generate impactful care plans with members and the multidisciplinary care team, helping members achieve their goals.
- Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system.
- Partner with members’ local providers to ensure coordinated care.
- Provide compassionate, longitudinal follow-up care and build supportive relationships.
- Guide members through routine and high-risk pregnancy experiences from preconception through postpartum.
- Connect directly with members, listen to concerns, answer questions, and serve as a trusted advocate.
- Support fertility planning, prenatal care, delivery preparation, and postpartum recovery.
- Help members navigate health benefits and connect them with appropriate resources.
- Work closely with providers, care coordinators, and support staff to deliver integrated remote care.
Requirements
What you’ll need- Bachelor of Science in Nursing (BSN)
- Must reside in a compact NLC state.
- Active Compact RN license (in state of residence) in good standing with the nursing board of their state
- Additional active Licensure a plus (IL, CA, MN, NY)
- CCM Certification preferred
- 5+ years of nursing experience
- 2+ years experience working in care, case and disease management, preferably in a health plan, health navigator or third party administrator (TPA) environment
- 2+ years experience working in labor and delivery
- Be comfortable discussing a wide variety of medical conditions
- Experience working remotely preferred; Comfortable with technology.
- Be highly empathetic.
- Must be able to work efficiently and meet volume goals without sacrificing quality.
- Good judgment for balancing priorities.
- Be flexible and comfortable with working in a rapidly-changing environment.
- Strictly follow security and HIPAA regulations.
- Be pleasant, responsive, and willing to work with and learn from the team.
- Strong verbal and written communication skills.
- Ability to gather a clinical history, answer questions at a patient level, and succinctly summarize findings.
- Strong competence and ability to use multiple computer/medical record systems.
- Collaborate well across multidisciplinary teams.
- Ability to understand cultural and socioeconomic issues affecting members and coordinate available resources.
- Excellent grammar, attention to detail, and ability to write medical information in easy-to-understand, patient-centric language.
- Prompt and regular attendance at assigned work location.
- Capability to remain seated in a stationary position for prolonged periods.
- Eye-hand coordination and manual dexterity to operate keyboard, computer and other office-related equipment.
- Occasional exertion of about 20 lbs of force may be required.
- Capability to work with leadership, employees, and members in an appropriate manner.
Benefits
Comp & perks- Remote-first culture
- 401(k) savings plan through Fidelity
- Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
- Paid Time Off ("PTO") and Discretionary Time Off ("DTO")
- 12 weeks of 100% Paid Parental leave
- Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.
- Work-From-Home reimbursement to support team collaboration home office work
- Equity