Mom and Baby Care Manager - RN - Must reside in Nevada
WFA Digital Insight
The demand for skilled care managers has increased significantly, with a focus on culturally competent care. As the healthcare industry continues to evolve, companies like CareSource are at the forefront of innovation. With the rise of remote work, the need for talented professionals who can manage care plans, services, and communication has never been more pressing. In 2025, the healthcare industry saw a 25% growth in remote care management roles, highlighting the need for skilled professionals in this field. To succeed in this role, candidates should possess strong communication skills, the ability to work independently, and a deep understanding of healthcare systems. Before applying, candidates should be aware of the importance of cultural competence, person-centered care, and effective communication in this role.
Job Description
About the Role
As a Mom and Baby Care Manager - RN at CareSource, you will play a vital role in collaborating with interdisciplinary care teams, providers, and community organizations to deliver high-quality, culturally competent care to members. Your primary focus will be on managing care plans, coordinating services, and facilitating communication between members, their natural support systems, and healthcare providers. You will work closely with the care team to assess member needs, develop personalized care plans, and implement effective interventions to improve health outcomes.The Mom and Baby Care Manager role is critical in addressing the complex needs of members, particularly those with high-risk pregnancies, newborns, or other specialized care requirements. Your expertise as a registered nurse will be essential in navigating the healthcare system, identifying barriers to care, and developing creative solutions to address these challenges.
You will be part of a dynamic team that prioritizes person-centered care, health equity, and trauma-informed approaches. Your role will involve regular communication with members, caregivers, and healthcare providers via telephonic or electronic means. You will also participate in interdisciplinary care team meetings to ensure comprehensive care planning and coordination.
What You Will Do
- Engage members and their natural support systems through strength-based assessments and trauma-informed care approaches
- Develop and regularly update person-centered, individualized care plans in collaboration with the care team
- Identify and manage barriers to care plan goals, implementing effective interventions based on clinical standards and best practices
- Facilitate coordination, communication, and collaboration with members, care teams, and healthcare providers to achieve care plan goals
- Educate members and their natural support systems about treatment options, community resources, insurance benefits, and other relevant information
- Employ ongoing assessment and documentation to evaluate member response to care plans and progress
- Monitor and promote effective utilization of healthcare resources through clinical variance and benefits management
- Verify eligibility, enrollment history, demographics, and current health status of members
- Complete psychosocial and behavioral assessments by gathering information from members, families, providers, and other stakeholders
- Oversee timely psychosocial and behavioral assessments, care planning, and execution of member needs
- Participate in meetings with providers to inform them of Care Management services and benefits available to members
- Assist with ICDS model of care orientation and training for facility and community providers
- Identify and address gaps in care and access, collaborating with healthcare professionals and providers to plan post-discharge care needs or facilitate transitions to appropriate levels of care
What We Are Looking For
- Current RN licensure in the state of Nevada
- 2+ years of experience in care management, preferably in a managed care or healthcare setting
- Strong understanding of healthcare systems, including Medicaid and Medicare
- Excellent communication, interpersonal, and problem-solving skills
- Ability to work independently and as part of an interdisciplinary team
- Proficiency in Microsoft Office, particularly Excel
- Experience with programmatic interventions and care planning
- Knowledge of cultural competence, health equity, and trauma-informed care principles
- Strong analytical and critical thinking skills
Nice to Have
- Experience with adjust, programmatic, and Excel
- Certification in care management (CCM) or a related field
- Bilingual or multilingual skills
- Experience working with diverse populations, including those with limited English proficiency
Benefits and Perks
- Competitive salary and benefits package
- Opportunities for professional growth and development
- Collaborative and dynamic work environment
- Flexible remote work arrangements
- Access to cutting-edge technology and resources
- Comprehensive health insurance and wellness programs
- Generous paid time off and holidays
- Remote stipend and home office setup support
How to Stand Out
- Tips for success in this role include developing strong relationships with members, care teams, and healthcare providers, and being able to navigate complex healthcare systems.
- When applying, be sure to highlight your experience with care planning, programmatic interventions, and cultural competence.
- To stand out, emphasize your ability to work independently, think critically, and communicate effectively with diverse stakeholders.
- Be prepared to discuss your experience with adjust, programmatic, and Excel, and how you have applied these skills in previous care management roles.
- During the interview process, ask questions about the care team's approach to person-centered care, health equity, and trauma-informed practices to demonstrate your knowledge and interest in the field.
- Consider creating a portfolio of your care plans, assessments, and interventions to showcase your skills and experience.
- When negotiating salary, be sure to research industry standards and highlight your unique qualifications and experience.
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