Maternal Child Health Resume Samples
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Maternal Child Health Resume Samples
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DZ
D Ziemann
Dennis
Ziemann
802 Jacobi Island
San Francisco
CA
+1 (555) 281 0178
802 Jacobi Island
San Francisco
CA
Phone
p
+1 (555) 281 0178
Experience
Experience
Boston, MA
Maternal Child Health
Boston, MA
Gibson and Sons
Boston, MA
Maternal Child Health
- Review NICU admissions, as well as prenatal and postpartum quality metrics and health outcomes
- Track and maintain data on pregnant members and newborns
- Initiate program improvement projects and activities to drive outcomes for pregnant women and children
- Represent the health plan and provide subject matter expertise at internal clinical and quality meetings, regulatory meetings, and any relevant community partner meetings, workgroups, etc
- Monitor and oversee execution of performance and activities to improve health and quality outcomes and effective medical management (e.g., HEDIS, infant mortality, pre - term births, NICU admissions)
- Identify and implement population health strategies (e.g. inter - conception care, chronic condition management, smoking cessation, safe sleep for infants, breast feeding advantages, substance use avoidance, etc.)
- Manage highly complex members as part of an inter - disciplinary care team approach in collaboration with Care Coordinators (CCs), Community Health Workers (CHWs), OB providers, behavioral health providers, etc
Dallas, TX
Maternal Child Health Program Coordinator
Dallas, TX
Moen LLC
Dallas, TX
Maternal Child Health Program Coordinator
- Complete and maintain data analysis and reporting on MCH program and outcomes on a routine basis including presentation to national MCH lead
- Tracking HEDIS compliance and making improvements to maximize associated incentive dollars captured
- Developing strategic relationships with community based organizations that provide maternal and / or child health related services to Medicaid populations
- Promote preventive care and family planning services through various communication mediums and events
- Provide cross functional leadership with internal and external stakeholders supporting NICU and other specialty MCH program components
- Representing the program to state regulators, providers, community partners and Health Plan senior leadership
- Lead and manage the day - to - day operations of the Healthy First Steps program
present
New York, NY
Maternal Child Health Program Coordinator Telecommute
New York, NY
O'Conner Inc
present
New York, NY
Maternal Child Health Program Coordinator Telecommute
present
- Provide thought leadership and annual evaluation of program design and efficacy as well as development of work plans to address performance improvement
- Developing innovative approaches to improve engagement and overall program performance
- Developing strategic relationships with community based organizations that provide maternal and/or child health related services to Medicaid populations
- Handle escalated or high risk cases received from the state, providers or members of the internal care team
- Representing the program to state regulators, providers, community partners, and Health Plan senior leadership
- Designing and leading quality improvement projects related to maternal child health
- Ensure member and provider materials specific to the HFS program meet all state and regulatory guidelines
Education
Education
Bachelor’s Degree in Health Services
Bachelor’s Degree in Health Services
University of Pittsburgh
Bachelor’s Degree in Health Services
Skills
Skills
- Strong interpersonal skills and high level of professionalism
- Ability to present pertinent data and recommendations clearly and concisely in a manner appropriate to end user audience(s)
- Ability to work independently and within a team environment
- Working knowledge of health plan policies and procedures
- Proficient in Microsoft Office Suite to include, Word, Excel and PowerPoint
- Effective problem solving skills with attention to detail
- Ability to develop, prioritize and accomplish goals
- Strong written and verbal communication skills
- Experience in data collection, analysis and trending of processes and outcomes
- Experience in a high-growth business environment
10 Maternal Child Health resume templates
Read our complete resume writing guides
1
Maternal Child Health Informatics RN Resume Examples & Samples
- Valid NJ Nursing License
- Graduate of an accredited nursing program
- At least 2 years of NICU and MCH background
- Maintenance of membership in nursing organizations and specialty organizations
- Willing to maintain at least 4 hours per year of informatics continuing education $
- MSN Degree
2
Manager, Maternal Child Health & Epsdt Resume Examples & Samples
- Ensure receipt of maternal and postpartum care and EPSDT services for members
- Promote preventative health strategies and educate members on family planning services
- Identify and coordinate assistance for identified member needs for maternal/child health and EPSDT
- Promote compliance with federal and state regulations and contractual agreements
- Facilitate on-going communication between case management staff, members, contracted providers, and subsidiaries
- Develop staff skills and competencies through training and experience
3
Maternal Child Health / Epsdt Manager Resume Examples & Samples
- Manage oversight responsibilities of AHCCCS Contractors in the provision of quality health care, with special focus in the areas of maternal and child health and prevention and wellness, in compliance with federal, state and AHCCCS quality management requirements
- Lead the MCH/EPSDT team in participation in operational reviews, technical assistance and focused studies/reviews to ensure compliance with contractual and policy requirements for all lines of business
- Manage oversight and monitoring of EPSDT, preventive health, maternity, sterilization, and family planning programs to ensure that state and federal requirements are met
- Support the research, documentation and resolution of quality of care issues related to MCH/EPSDT concerns
- Collaborate with state and local health and social service agencies, including but not limited to ADHS, DES, DCS, Head Start, etc. as well as community and private health care organizations and providers. In addition, collaboration and implementation of requirements with the VFC and Lead Screening programs
- Ensure quality of care to AHCCCS members, including ensuring member dignity and respect, timely correspondence with members acknowledging receipt and upon resolution of the issue. Use appropriate judgment regarding data to research, status level, interventions and appropriate resolution, including referrals to regulators
- Proficient knowledge of medical/nursing practice, medical case management protocols, utilization review protocols as related to all populations including Maternal and Child Health (MCH) services, preventive health, family planning, sterilization and pregnancy termination, and EPSDT
- Strong interpersonal skills in order to effectively relate to AHCCCS members and their families; multi-disciplinary professions; and Contractor representatives
- Superior project management to meet goals and deadlines; ability to work independently and multi-task in a fast-paced environment
- Excellent oral and written communication with all levels of professionals, corporate and agency officers and members
- Develop, implement and review case management and utilization review systems and the ability to offer technical assistance to Acute, LTC, Sister Agencies, and/or Tribal contractors
- Current LPN or RN license, in good standing
- Certified Professional in Healthcare Quality
- One year experience working in a managed care environment
- Bachelor’s degree in nursing
- Excellent computer skills including Access, Excel, Outlook, PowerPoint, and Word
4
Clinical Rn-maternal Child Health Resume Examples & Samples
- Administers all oral and injecting medications in the assigned clinical area. Ensures narcotics and drug supplies are available in the assigned clinical area and assures the proper security of all narcotics and controlled substances according to KP standards and applicable regulatory laws. Initiates and monitors IV therapy to therapeutic and diagnostic procedures
- Provides ongoing assurance of functional emergency equipment and adequate emergency drug supplies. Responds to emergency situations throughout medical facility. Documents emergency situation to supervisor
- Coordinates, implements, and evaluates patient teaching plans for areas of diabetes mellitus, hypertension, anticoagulant therapy, therapeutic diet instruction, weight control, and other areas as designated
- Sets-up, performs, and/or assists with procedures as appropriate
- Coordinates recovery care of patients post sedation. Ensures safety measures are instituted for all compromised patients receiving care
- Triages walk-in patients as needed or assigned
- Supervises patient flow and directs other clinical support staff in the delivery of patient care within the Health Care Team (HCT)
- Acts as a resource person to LPNs and Clinic Assistants
- Acts as patient advocate and resolves problem within HCT. Brings unresolved issues to Clinical Coordinator's attention if unresolved within the team
- A least one (1) year of current experience HMO or ambulatory setting is required
- B.S.N is preferred
5
Department Manager Leader Maternal Child Health Resume Examples & Samples
- Designs and evaluates processes to improve systems and patient care results across the continuum of care
- Minimum four (4) years of previous supervisory experience required
- Master's degree preferred
6
Clinical Operations Manager Rn-maternal Child Health Resume Examples & Samples
- Manages clinical operations, including staffing schedules, phone access to the health care team, and patient flow
- Is responsible for all appropriate documentation and reporting requirements, such as QA reports, performance evaluations, time sheets, and budget variance reports
- Ensures the appropriate level and mix of staff and effective staff utilization to meet staffing and workload requirements and support the delivery of quality patient care and services, within budgetary guidelines
- Works with Human Resources staff to recruit and hire staff; and coordinates comprehensive orientation of new staff
- Establishes performance goals and provides counseling, coaching, feedback, recognition, training and development to staff
- Collaborates with physician managers and providers to coordinate day-to-day patient care, ensure balanced provider panels within the health care team, and facilitate appointment access for members
- Minimum five (5) years of current clinical experience plus two (2) years of supervisory experience required
- 5 years of management and leadership experience
7
Maternal Child Health / Epsdt Coordinator Resume Examples & Samples
- Confirms receipt of EPSDT services
- Verifies receipt of maternal and postpartum care
- Promotes family planning services
- Promotes preventive health strategies
- Identifies and coordinates assistance for identified member needs specific to maternal / child health and EPSDT
- Interfaces with community partners
- Conducts program management activities
- Serves as a high - level liaison among members
- Oversees member advocacy
- Validates contract compliance of the program
- Creates and maintains reports
- Nebraska - licensed RN, physician or physician assistant or has a master’s degree in health services, public health, health care administration or other related field and a CPHQ or CHCQM
- 2+ years of experience managing a government health program
- 3+ years of experience in one of the following areas: NICU, pediatrics, maternity or obstetrics
- 2+ years of experience in health care operations
8
RN, Maternal Child Health Quality Analyst Resume Examples & Samples
- Review and analysis of medical management process performance
- Participation in the processes necessary for compliance with federal and state law and standards of accreditation bodies
- Bachelor’s degree in Nursing (BSN) with current RN license
- Experience in medical management services preferred
9
Director of Maternal Child Health Resume Examples & Samples
- 3+ years of Acute Care and Leadership experience in the area of Maternal Child Health
- Masters Degree in Nursing or related field
- BLS, ACLS, and PALS certification
- Neonatal Resuscitation Program (NRP) certification
- Knowledge of OB/GYN, NICU, Pediatrics, Maternal-Child, Management, Labor and Delivery and Budgeting
- Exceptional assessment, clinical, and documentation skills
- Solid analytical and critical thinking skills
- Able to multitask efficiently and effectively
- EFM and Board Certification
10
Maternal & Child Health Technical Coordinator Resume Examples & Samples
- Supports the MCH Task Order (TO) Director in managing ongoing technical activities in the MCH TO core work plan, writes internal and external communications, and tracks action items relating to USAID, external stakeholders and project teams
- Supports technical preparation and documentation for internal and external MCH task order meetings and activities
- Assists MCH TO director in supporting and reporting on MCH activities in countries with MCH TO related activities
- Plans, coordinates and manages a variety of MCH TO activities such as work planning and client and technical meetings and conferences
- Leads selected technical activities in MCH core work plan
- Collaborates with a range of partners, including but not limited to USAID, in-country Ministries of Health, GHSC-PSM project field offices, other USAID and non-USAID project field offices, international donors, implementing partners, and inter-agency initiatives
- Prepares, edits, and coordinates the preparation of time-sensitive client correspondence, approval requests, technical reports, presentations, responses to data calls, and other documents
- Promotes knowledge sharing through SharePoint site consistent with project priorities and PSM work plan
- Liaises with GHSC-PSM headquarters PMU, other Supply Chain Solutions business unit staff, and support as appropriate to ensure smooth program operations
- Fosters and demonstrates a workplace inclusive of creating opportunity, serving others, building trust, innovation, and exceeding expectations
- Serves as acting MCH TO Director, as needed
- Performs other duties as required
- Minimum 6 years of child and maternal health, and/or technically relevant work experience if holding a MS/MA/MB
- Minimum of 8 years of child and maternal health, and/or technically relevant work experience if holding a BS/BA
- Master’s degree in public health, supply chain management, or related field preferred
- Experience with MCH based in developing countries strongly preferred, specifically related to MCH commodities and/or supply systems strengthening
- Ability to present data and analysis in easily understood infographics and data visualizations
- Demonstrated ability to communicate clearly and concisely orally and in writing
- Proven analysis and organization skills working in a cross-cultural environment
- Willingness to work overseas for up to 4 to 8 weeks per year; experience living or working in developing countries preferred
- Strong administrative skills, word processing abilities, knowledge of MS Office applications, and attention to detail, ability to manage multiple competing priorities at once, excellent customer service skills
- Professional level of oral and written fluency in English required, proficiency in French preferred
- Ability to lead effective meetings and demonstrated presentation skills
- Ability to work independently and as part of a team
- Strong organizational and work prioritization skills
11
Maternal Child Health Coordinator Resume Examples & Samples
- Program management and development
- Program process improvement activities
- Serve as a high level liaison among various organizational teams that support Maternity/NICU services
- Provider education
- Ensure contract compliance of state programs
- Create and maintain various operational and quality reports
- Develop innovative approaches to improving quality outcomes
- Strategy development and execution on a large scale level which may impact medical expenses
- Data analysis
- Promote family planning services in member and provider educational materials
- Develop preventive health strategies
- Identify and coordinate assistance for identified pregnant members
- Interface with community partners
- Ensure compliance is met by the HP on all regulatory requirements
- Current and unrestricted AZ RN License
- Maternal and / or Pediatric clinical experience
- Experience with Word and Excel
- Case Management and / or Utilization Management experience
- Clinical Program Development and / or Clinical Program Oversight experience
- Leadership experience
12
RN Maternal Child Health Practice Consultant Resume Examples & Samples
- Current, unrestricted clinical license appropriate to field of specialty (LVN/LPN, RN, NP, PA, etc.) RN strongly preferred
- Must be able to travel 50% of the time within the assigned territory
- Seeking energetic, self-directed candidates with an outgoing personality and great communication and presentation skills
- Experience with provider operations preferred
- Experience with maternal and child health required
- HEDIS experience also preferred
- EOE.M/F/Disability/Veteran
13
Maternal Child Health Program Coordinator Resume Examples & Samples
- Developing strategic relationships with community based organizations that provide maternal and / or child health related services to Medicaid populations
- Representing the program to state regulators, providers, community partners and Health Plan senior leadership
- Ensuring all components of the program, delivered by the ACO Transformation Consultants, Quality CPCs, Call Center Advocates, Optum CHWs and external providers and community-based organizations tie together into a comprehensive and seamless member experience
- Supervise direct reports and / or work closely with cross-functional owners to complete required work
- Provide thought leadership and annual evaluation of program design and efficacy as well as development of work plans to address performance improvement
- Implement policies and procedures to align with program goals and compliance requirements
- Monitor and oversee execution of performance and activities to improve health and quality outcomes and effective medical management (e.g., HEDIS, infant mortality, pre-term births, NICU admissions)
- Manage highly complex members as part of an inter-disciplinary care team approach in collaboration with Care Coordinators (CCs), Community Health Workers (CHWs), OB providers, behavioral health providers, etc
- Ensure effective transitions of care occur and referrals to community-based services and resources are addressed
- Current and unrestricted Michigan RN License
- 3+ years Care coordination and / or utilization management experience
- Advanced degree (BSN, MSN, MPH)
14
Maternal Child Health Program Coordinator Resume Examples & Samples
- Setting the direction for and leading team meetings with the locally - based team of CPCs, Transformation Consultants, Care Coordinators and CHWs who deliver the maternal health program
- Supervise direct reports and / or work closely with cross - functional owners to complete required work
- Identify and implement population health strategies (e.g. inter - conception care, chronic condition management, smoking cessation, safe sleep for infants, breast feeding advantages, substance use avoidance, etc.)
- Consult with care team to address specialty care services, community - based resources and other member complex care needs
- Current and unrestricted Wisconsin RN License
15
Maternal Child Health Program Coordinator Resume Examples & Samples
- Consult with care team to address specialty care services, community-based resources, and other member complex care needs
- Current and unrestricted Mississippi RN License
- 3+ years Care coordination and/or utilization management experience
16
Maternal Child Health Program Coordinator Telecommute Resume Examples & Samples
- *This is a telecommuter position, but it does require that the individual live in the state of Missouri***
- Developing strategic relationships with community based organizations that provide maternal and/or child health related services to Medicaid populations
- Setting the direction for and leading team meetings with the locally - based team of CPCs, Transformation Consultants, Care Coordinators, and CHWs who deliver the maternal health program
- Representing the program to state regulators, providers, community partners, and Health Plan senior leadership
- Tracking HEDIS compliance and making improvements to maximize associated incentive dollars captured
- Understanding contractual and NCQA requirements and ensuring cross-functional staff are educated on, and follow them
- Ensuring all components of the program, delivered by the ACO Transformation Consultants, Quality CPCs, Call Center Advocates, Optum CHWs and external providers and community - based organizations tie together into a comprehensive and seamless member experience
- Lead and manage the day - to - day operations of the Healthy First Steps program
- Supervise direct reports and/or work closely with cross-functional owners to complete required work
- Review NICU admissions, as well as prenatal and postpartum quality metrics and health outcomes
- Track and maintain data on pregnant members and newborns
- Ensure contract compliance and NCQA accreditation requirements are met
- Provide cross functional leadership with internal and external stakeholders supporting NICU and other specialty MCH program components
- Serve as an external facing liaison among various stakeholders supporting Maternity / NICU services to drive partnerships (e.g. public health departments, school - based health centers, behavioral health organizations, FQHCs / ACOs) and innovative strategies that will promote and enhance maternal and child health
- Complete and maintain data analysis and reporting on MCH program and outcomes on a routine basis including presentation to national MCH lead
- Monitor and oversee execution of performance and activities to improve health and quality outcomes and effective medical management (e.g., HEDIS, infant mortality, pre - term births, NICU admissions)
- Manage highly complex members as part of an inter - disciplinary care team approach in collaboration with Care Coordinators (CCs), Community Health Workers (CHWs), OB providers, behavioral health providers, etc
- Ensure effective transitions of care occur and referrals to community - based services and resources are addressed
- Consult with care team to address specialty care services, community - based resources, and other member complex care needs
- 2+ years leadership experience (e.g., Review work of others, Serve as an expert in their field, Serve as a mentor and leader, Lead functional or segment teams or projects, Motivate and inspire team members)
- Proficiency with Microsoft Office Suite
- Intra - state travel up to 50%
17
Assistant Department Manager Maternal Child Health Resume Examples & Samples
- Supervises the daily unit operations, including human resources management, department and employee safety programs, and risk management
- Works with health care providers outside of the unit, to achieve optimal patient care across the continuum. Researches, identifies, and implements best practice models of other units. Investigates and resolves patient/family member concerns regarding patient care
- Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees
18
Maternal & Child Health Research Internship Resume Examples & Samples
- Contributing to review of study documentation for research focused on maternal and newborn health outcomes
- Drafting literature reviews and manuscripts for maternal and newborn health research
- Assisting with data cleansing, analysis, and metrics tracking for multi-country, maternal and newborn health research studies
- Assisting with the team’s administrative operations, as needed
- Graduate student who studied or is studying one of the following fields: Medicine, Epidemiology, Biostatistics, Maternal and Child Health
- Interest in international maternal and child health research
- Demonstrated knowledge of qualitative and/or quantitative research methodologies
- Excellent oral and written communication skills, as well as strong interpersonal skills
- Ability to conduct literature reviews, draft manuscripts, and collaborate on publications
- Familiarity with SAS, Stata or other statistical analytical software programs, preferred
- Ability to work with international teams to support research goals
- Proficient with Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook
- Legally able to work in the United States
19
Maternal Child Health Nurse Resume Examples & Samples
- Assigns other nursing personnel, including LPNs and Aides to assist in the appropriate delivery of services as ordered on the plan of care to the patient
- Attend compliance training and adhere to the organization standards of conduct, policies and procedures
- Attends and participates in patient care conferences, team meetings and other related meetings
- Coordinates case management activities within a multi disciplinary health care team to insure appropriate delivery of services to patient
- Establishes the plan of care in collaboration with the physician, patient and UM Professional in accordance with the physician orders and patient needs. Advises and consults with family and other agency personnel, as appropriate. Completes documentation including visit assessment, OASIS, 485 and Verbal Orders accurately and promptly on the laptop device or in written documentation while in the patient's home and within the agency's and regulatory standards. Data syncs (transmits) information same day
- Exercise independent judgment in matters concerning emergent and non-emergent patient care needs and communicate with the physician
- Focuses on customer service and continually strives to perform the duties of their job in a manner that will result in optimal patient satisfaction
- Identifies any deficits or exceptional performance issues of other nursing personnel, LPNs and Aides, and recommends solutions
- Identifies, develops and participates in process improvement opportunities within the home health agency that will enhance the quality of the services we provide
- Identifies, investigates and recommends solutions to organization issues
- Initiates, coordinates and insures ongoing communication with the physician and other members of the health care team
- Participates in on-call coverage rotation for the agency
- Performs duties and job responsibilities in a fashion which coincides with the service management philosophy of UPMC/Jefferson Regional Home Health, L.P. towards patients, visitors, staff, peers, physicians and other departments within the organization
- Proven ability to facilitate change
- Provides direct patient care, evaluates outcomes and adjusts nursing care process as indicated to ensure optimal patient care. Initiates, coordinates and evaluates patient and family centered health teaching
- Supervises and teaches other nursing personnel including LPNs and Home Health Aides
- Graduate of an accredited school of professional nursing required
- Bachelor's degree preferred
- UPMC/Jefferson Regional Home Health, LP approved certification preferred
- One (1) year of nursing experience in an Acute Care Facility or Skilled Care Facility
- Act 33 Child Clearance
- Act 34 Criminal Clearance
- Automotive Insurance
- Cardio Pulmonary Resuscitation
- Driver's License
- Older Adult Protective Services Act
- Registered Nurse
20
Senior Maternal & Child Health Nutrition Advisor Resume Examples & Samples
- Coordinate, supervise and ensure the quality and relevance of technical assistance to Missions, PVOs, and host governments to improve their MCHN policies and strategies; and to incorporate globally accepted standards, protocols and approaches into their programs
- Provide technical and managerial leadership to the MCHN team
- Contribute to and participate in the review of USAID policy and strategy documents to ensure effective integration of effective MCHN activities into global and Mission strategies and performance reporting across different sectors. Assist in the design of MCHN activities as part of country and regional programs
- Respond to requests from USAID’s Bureau for Global Health for technical input on maternal and child nutrition topics, including drafting and reviewing documents including syntheses of program experience and technical updates to program guidance and strategies
- Support the development and revision of programming and indicator guides and MCHN-related training materials
- Coordinate with the leadership team, as necessary, to provide technical input or review to MCHN-related studies and activities
- Carry out other technical or managerial tasks as needed
- At least ten years’ experience in MCHN programs, which may include: technical assistance to programs; program design and management; research, including operations research; and policy development and analysis
- Experience working in developing countries
- Experience with USAID projects and programs
- Experience managing other technical specialists
- Knowledge of MCHN research and programs
- Excellent writing skills, with demonstrated ability to write effectively for a range of audiences and purposes (e.g. program guidance; tools and materials for health service providers; concept papers, workplans, and reports; and language for USAID strategies)
- Skills presenting program guidance and policy analysis to varied audiences, including policy makers and program managers
- Familiarity with MCHN policy and operations of multilateral donors such as the World Bank and UN agencies or of foundations is preferred
- Excellent interpersonal, communication, managerial, and organizational skills
- Proficiency in French or Spanish is preferred
21
Maternal Child Health Resume Examples & Samples
- Designing and leading quality improvement projects related to maternal child health
- Initiate program improvement projects and activities to drive outcomes for pregnant women and children
- Represent the health plan and provide subject matter expertise at internal clinical and quality meetings, regulatory meetings, and any relevant community partner meetings, workgroups, etc
- Promote preventive care and family planning services through various communication mediums and events
- Handle escalated or high risk cases received from the state, providers or members of the internal care team
- Assist in identification of pregnant women and children including those with special health care needs and access / linkages to appropriate care
- Provide consult, training and technical assistance in the development of care plans with measurable goals and outcomes
- Current and unrestricted RN License in the state of MO
- 4+ years Maternal and/or Pediatric clinical experience
- 2+ years’ experience working in Medicaid
- Management experience
22
Director of Maternal Child Health Resume Examples & Samples
- Provide leadership & oversight of staff for the MCH units
- Coordinate collaborative interdisciplinary strategies for Joint Commission preparation and processes for ongoing compliance to regulatory standards
- Provide safe practices for patients in all aspects of patient care activities for MCH
- Responsible for the provision of patient/family centered maternal child health care services from admission, stabilization, operative interventions, and discharge processes
23
Mgr, Maternal Child Health Outcomes Resume Examples & Samples
- Collaborate with other departments and business owners to improve quality of care to CareSource Maternal-Child members through implementation of quality initiatives and interventions
- Innovate quality and processes to deliver advanced maternal programs and member care across the Medicaid market
- Collaborate with Physician Relations, Medical Director, Director of Health Outcomes, ODM, Community Marketing and Corporate/BPG to deliver excellence in accreditation, administration and member CareSource
- In collaboration with Director of Health Outcomes, ensures accreditation & quality requirements are met through review, audit and monitoring of quality improvement/performance improvement and accreditation activities
- Participates in driving and achieving established HEDIS initiatives as asigned
- Participate as requested in analysis, including root cause analyses, with support from identified business owners and departments; ensures data is presented and used effectively to address accreditation, clinical monitoring, and quality and performance improvement identified issues
- Participate in community-based maternal-child initiatives including QI and Health Services initiatives
- In collaboration with Director of Health Outcomes, establishes and maintains standards and procedures for accreditation and quality reporting and documentation and communicates areas of strengths as well as opportunities for improvement to the Quality Enterprise Committee
- Participate in national health standards committees and focus groups specific to maternal-child and provides input on behalf of CareSource regarding any suggested revision(s)
- Participates in internal workgroups/committees to improve quality measures, accreditation and clinical monitoring outcomes
- Assists in the determination of benchmarks, goals and outcomes for all maternal-child programs
- Provide leadership, direction and development of staff to ensure the department goals are successfully achieved
- Bachelor of Science in health related field or equivalent years of relevant work experience is required
- Masters degree in health services, public health, health care administration or other health care field is preferred
- A minimum of three (3) years in a Managed Care Organization (MCO) or other healthcare related field is required
- A minimum of three (3) years of experience in quality or analytics is required
- Leadership/management experience is preferred
- Maternal/child health nursing care or program development experience is preferred
- Medicaid experience is preferred
- Experience in data collection, analysis and trending of processes and outcomes
- Proficient in Microsoft Office Suite to include, Word, Excel and PowerPoint
- Experience in a high-growth business environment
- Knowledge of the principles of performance improvement, quality methodology, regulations and standards to meet health plan quality and accreditation requirements
- Working knowledge of health plan policies and procedures
- Ability to present pertinent data and recommendations clearly and concisely in a manner appropriate to end user audience(s)
- Effective problem solving skills with attention to detail
- Ability to develop, prioritize and accomplish goals
- Strong interpersonal skills and high level of professionalism
- Ability to work independently and within a team environment
- Effective listening and critical thinking skills
- Display a customer service, member-focused orientation
24
Assistant Director, Maternal Child Health Resume Examples & Samples
- Operational Performance
- Bachelor’s Degree in Nursing, required. Master’s Degree, preferred
- Current license to practice as a Registered Professional Nurse in New York State. Board Certified as a Certified Nurse Manager and Leader (CNML) or Nurse Executive required within 24 months of hire
- Advanced Cardiac Life Support (ACLS), required
- Minimum of three (3) years nursing experience including previous supervisory experience
- Demonstrated leadership, communication and interpersonal skills, required
25
Maternal & Child Health Volunteer Resume Examples & Samples
- BA/BS degree in any discipline
- Demonstrated interest in working and promoting public health initiatives in under-served communities
- Ability and desire to work in low-resource environment to assess needs and develop creative solutions
- Master's Degree in Public Health
- Volunteer or work experience in a health related field (e.g. AIDS outreach; sexual education, contraception or family planning counseling; Nutrition; First Aid, EMT or CPR certification; or hospital, clinic or hospice experience)
- Demonstrated capacity to develop and deliver instructional materials in both small and large group settings to a diverse range of individuals
- Demonstrated interest or experience in working with pregnant women or young mothers and/or children
26
Rn-field Maternal Child Health Resume Examples & Samples
- Assesses the patient’s physiologic health status
- Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred
- Current license to practice as a Registered Professional Nurse in New York State
- Minimum one (1) year of experience as an RN in Medicine/Surgery and one (1) year of experience as an RN in MCH, PEDS, PICU or NICU
- Current Driver’s License and/or own transportation available to maintain caseload, schedules and travel to clients’ homes