Pregnancy Case Manager III

Medica

. Provide member-centered, evidence-based pregnancy case management across multiple products .

Posted 9/24/2026full-timeRemote • United StatesMid-LevelSenior💰 $72,100 - $97,850 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in pregnancy case management, including comprehensive assessments, individualized care plans, and coordination of services across the healthcare continuum. Possesses strong clinical knowledge in maternal health and effective communication skills to advocate for and educate diverse patient populations.

Highest-signal resume keywords

Registered Nurse (RN) LicenseClinical Experience in Maternal HealthCertified Case Manager (CCM)Care CoordinationCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pregnancy Care ManagementComprehensive AssessmentsIndividualized Care PlansClinical/Acute Care ExperienceKnowledge of PreeclampsiaKnowledge of Gestational DiabetesKnowledge of Preterm LaborPostpartum Recovery KnowledgeManaging Multiple Computer SystemsMeeting Department Benchmarks

Soft Skills

AdvocacyDecision-Making Under StressAbility to Work in Fast-Paced EnvironmentsGroup Presentation SkillsAbility to Manage Complex Issues

Certifications & Qualifications

Certified Case Manager (CCM)

Industry Keywords

Maternal HealthHealthcare ContinuumDiverse Ethnic BackgroundsSocioeconomic BackgroundsCare Coordination

About the role

Key responsibilities & impact

Provide member-centered, evidence-based pregnancy case management across multiple products
Conduct comprehensive assessments
Develop, implement, and monitor individualized care plans
Coordinate services across the healthcare continuum
Deliver education and care coordination
Identify gaps in care and advocate for maternal members
Help reduce pregnancy- and birth-related complications and healthcare costs
Communicate with physicians and healthcare providers
Negotiate and access resources
Support organizational mission, vision, goals, and strategy
Make decisions under stress while managing multiple complex issues

Requirements

What you’ll need

Associate or bachelor’s degree in nursing
3+ years of clinical/acute care experience including direct maternal patient care
Current, unrestricted RN license in the state of residence
Certified Case Manager (CCM) preferred, or ability and commitment to obtain within two years of hire
Experience working with the pregnancy population in a clinical or home care setting
Experience working with multiple age groups and diverse ethnic and socioeconomic backgrounds
Experience managing multiple computer systems and tools
General working knowledge of the healthcare continuum
Sound clinical foundation in maternal health, including pregnancy care and management of preeclampsia, gestational diabetes, and preterm labor
Knowledge of postpartum recovery, including physical and mental health considerations
Excellent verbal and written communication skills and ability to present in a group setting
Ability to work efficiently toward department benchmarks
Ability to work in a fast-paced, fluid, ever-changing environment and manage multiple complex issues
Must be legally authorized to work in the United States at the time of application
No work visa sponsorship available

Benefits

Comp & perks

Competitive medical, dental, and vision benefits
Paid time off (PTO)
Paid holidays
Paid volunteer time off
401(k) contributions
Caregiver services
Total rewards package