Maternal Child Resume Samples

4.9 (87 votes) for Maternal Child Resume Samples

The Guide To Resume Tailoring

Guide the recruiter to the conclusion that you are the best candidate for the maternal child job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

Craft your perfect resume by picking job responsibilities written by professional recruiters

Pick from the thousands of curated job responsibilities used by the leading companies

Tailor your resume & cover letter with wording that best fits for each job you apply

Resume Builder

Create a Resume in Minutes with Professional Resume Templates

Resume Builder
CHOOSE THE BEST TEMPLATE - Choose from 15 Leading Templates. No need to think about design details.
USE PRE-WRITTEN BULLET POINTS - Select from thousands of pre-written bullet points.
SAVE YOUR DOCUMENTS IN PDF FILES - Instantly download in PDF format or share a custom link.

Resume Builder

Create a Resume in Minutes with Professional Resume Templates

Create a Resume in Minutes
FL
F Lynch
Fritz
Lynch
7232 Bianka Isle
Phoenix
AZ
+1 (555) 764 4282
7232 Bianka Isle
Phoenix
AZ
Phone
p +1 (555) 764 4282
Experience Experience
Chicago, IL
Maternal Child Regional Coordinator
Chicago, IL
Reynolds, Grimes and Simonis
Chicago, IL
Maternal Child Regional Coordinator
  • Engage community of maternity care providers (Obstetricians, family medicine physicians, certified nurse midwives, nurse practitioners, FQHCs) through education and outreach to participate in the development of a maternal child home that mirrors the medical home model with regards to adoption of evidence-based practices, use of risk screening, coordination of care, and integration of case management for members at risk for poor outcomes
  • Develop and implement quality improvement activities, using data from the MCMH and Maternal Child Case Management programs
  • Identify populations within CareSource membership that would benefit from focused maternal child case management and associated high risk and medical management programs
  • Assure that local case management/care coordination entities develop and implement processes to achieve program goals
  • Ensure the new MCMHs are connected to CareSource maternal child case management program and that maternal child case manager is assigned
  • Monitor performance and processes of MCMHs, community partnerships within the CareSource network using reports generated from administrative, case management and chart audit data to identify and disseminate best practices and to identify and address outlier practices whose performance does not meet program standards
  • Identify provider coding opportunities to optimize both traditional and value-based reimbursement, reduce claims denials and integrate CareSource business partners in outreach efforts to increase provider satisfaction and drive improvement in HEDIS administration rates
Chicago, IL
Maternal Child Lpn-southwest Medical
Chicago, IL
McCullough, Fritsch and Eichmann
Chicago, IL
Maternal Child Lpn-southwest Medical
  • Assist co - workers / team members with other duties, to include, but not limited to, floating between Pediatrics and OB / GYN, as requested
  • Assist co-workers / team members with other duties, to include, but not limited to, floating between Pediatrics and OB / GYN, as requested
  • Perform all other job related duties in Pediatrics and OB / GYN, as assigned
  • Participate in the training of new employees, to include completion of orientation checklists, and assist with competency training
  • Responsible for collection and documentation of patient information to include vital signs, chief complaint, medications (including current pharmacy information), allergies, health risk screens, immunization status and other pertinent health information
  • Responsible for collection and documentation of patient information to include vital signs, chief complaint, medications (including current pharmacy information), allergies, health risk screens, immunization status and other pertinent health information. Respects privacy and confidentiality at all times
  • Coordinate patient care as directed by physicians, mid-level practitioners, LPN Supervisor, RN Program Manager and SMA company standards and policies
present
Philadelphia, PA
Maternal Child Program Manager
Philadelphia, PA
Littel, Rogahn and Lind
present
Philadelphia, PA
Maternal Child Program Manager
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 Nursing
Bachelor’s Degree in Nursing
Adelphi University
Bachelor’s Degree in Nursing
Skills Skills
  • Employment in this position is conditional pending successful clearance of a criminal background check. If the criminal background results are unacceptable, the offer will be withdrawn or, if employee has started in position, employment in position will be terminated
  • Ability to manage and meet workloads and deadlines
  • Able to provide timely feedback to CareSource team members and business partners and prioritize provider and member engagement initiatives
  • Intermediate proficiency level with Microsoft Office, Outlook, Word and Excel
  • Ability to communicate effectively with diverse population
  • Ability to multi-task and work independently within a team environment
  • Ability to collaborate with other internal team members to optimize birth and health outcomes for pregnant members
  • Strong organizational and time management skills
  • Employment in this position is conditional pending successful clearance of a driver’s license record check. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated
  • Knowledge of community and state support and advocacy resources for population served
Create a Resume in Minutes

12 Maternal Child resume templates

1

Maternal Child Nurse Resume Examples & Samples

  • 1+ year of Maternal-Child experience
  • Extensive Home Care experience
  • Previous Intake experience
2

Maternal / Child Nurse Educator Resume Examples & Samples

  • Maternal/child experience
  • Level 2 Nursery/NICU experience $
  • Education experience
3

Maternal Child Nurse Resume Examples & Samples

  • 2+ years of recent Maternal Child experience in a Hospital setting
  • Active NJ Registered Nurse (RN) license
  • Labor and Development, Mother/Baby and circulating experience
4

Maternal / Child Nurse Resume Examples & Samples

  • Assessing, planning, implementing and evaluating the care for a group of patients
  • Collaborating with health care professionals
  • Coordinating ancillary staff
  • Demonstrating professional growth and development
  • 1+ year of Maternity Nursing experience
  • NYS Registered Nurse (RN) license
  • Able to provide appropriate care for patients served according to the unit's scope of practice
  • Excellent communication skills (written and verbal)
5

Maternal Child Director Resume Examples & Samples

  • Active New Jersey State Registered Nurse license
  • 5+ years of management experience in a Maternal Child function
  • MSN
6

Maternal Child Lpn-southwest Medical Resume Examples & Samples

  • Responsible for collection and documentation of patient information to include vital signs, chief complaint, medications (including current pharmacy information), allergies, health risk screens, immunization status and other pertinent health information
  • Respects privacy and confidentiality at all times
  • Coordinate patient care as directed by physicians, mid-level practitioners, LPN Supervisor, RN Program Manager and SMA company standards and policies
  • Assist co-workers / team members with other duties, to include, but not limited to, floating between Pediatrics and OB / GYN, as requested
  • Document all patient interactions in a timely manner within the medical record
  • Participate in the training of new employees, to include completion of orientation checklists, and assist with competency training
  • Responsible for maintaining compliance related to laboratory QC management and waive testing, maintenance of E-Kits (as applicable), clinic supply and PAR orders / levels and pediatric vaccine supplies and storage designations
  • Perform all other job related duties in Pediatrics and OB / GYN, as assigned
  • 1+ years of clinical experience
  • CPR / BLS / PALS or willing to obtain upon hire
  • Reliable transportation, proof of insurance and valid NV drivers license (needed for floating to other clinic locations)
  • Pediatric and / or OB / GYN experience
7

Department Manager Leader, Maternal & Child Resume Examples & Samples

  • Manages the operations of 24-hour departments that may be at multiple locations. Ensures Assistants and staff provide the highest quality of care and are in compliance with the Nursing Practice Act, The Joint Commission, federal, state, and local requirements
  • Establishes, implements, and maintains patient care and service standards to meet members and internal clients expectations
  • Develops and monitors budgets for the appropriate use of human and material resources. Monitors financial performance and identifies and implements strategies to reduce costs and improve quality of care/service
  • Determines the appropriate staff mix for department and develops processes to screen, interview, hire, train, and maintain the competency of all department staff. Ensures on going staff development. Manages and resolves human resource, employee and department safety, and risk management issues
  • Develops, implements, and monitors departmental policy and procedures which support the organizations goals and business objectives and ensures they are met
  • Oversees and develops standards of care and standards of practice, directs fiscal management, and quality improvement activities
  • Minimum five (5) years of nursing experience in both patient care and management/leadership roles required
  • BSN OR BA in health care related field strongly preferred
8

Assistant Department Manager, Maternal Child Resume Examples & Samples

  • Manages the units day to day clinical operations including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement
  • Develops and implements action plans to improve staff development
  • Supervises a single unit (8 to 24 hours) of approximately 20 - 60+ employees
  • Ensures the highest quality of care is provided and is in compliance with federal, state, and local regulatory requirements and established departmental policies and procedures
  • Utilization of services
  • Monitors the quality of service and utilization standards and assumes specific responsibility for patient care at the unit level
  • Ensures coordinated plans of treatment, customer focused care and cost effective utilization of services
  • Monitors the allocation and utilization of personnel based on continual changes in patient population/ needs and provides the best level of patient care while identifying savings opportunities
  • 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
  • BSN or bachelor's degree in health care related field preferred
  • ACLS certification strongly preferred
9

Maternal Child LPN, Sunrise Market Resume Examples & Samples

  • Room patients in OB / GYN and Pediatrics, as assigned, within the scope of a Licensed Practical Nurse and SMA company standards
  • Consistently utilize departmental standing orders to satisfy HEDIS requirements during each patient encounter
  • Assist co - workers / team members with other duties, to include, but not limited to, floating between Pediatrics and OB / GYN, as requested
  • Must also be willing and able to travel to alternate clinic locations
  • Organize and standardize exam and treatment rooms, stock and clean rooms daily and sterilize necessary instruments
  • Respond to telephones messages and patient care tasks daily as per SMA policy
  • Current unrestricted LPN license in the state of Nevada
  • IV certification or willing to obtain upon hire
  • Access to reliable transportation (needed for floating to other clinic locations)
  • Extensive familiarity of all aspects of pediatric vaccine requirements
  • Electronic Medical Records experience
10

Cna-maternal Child Resume Examples & Samples

  • Work tasks are fully defined
  • Refers more difficult issues to RN
  • Uses judgment to perform tasks
  • Accepts accountability for own actions
  • Demonstrates effective written/verbal communication
  • Documents and relays messages or instructions accurately
  • Reports patient information on a timely basis
  • Verifies understanding of information and asks for clarification when necessary
  • Documents accurately to reflect understanding of assigned tasks
  • Confronts difficult or conflict situations constructively
  • Demonstrates a commitment to service
  • Contributes to a positive patient care experience
  • Anticipates the customer's desires and takes proactive steps to meet those needs
  • Recognizes the diversity and cultural norms of the individual
  • Seeks assistance when needed in culturally sensitive situations
  • Obtains vital signs and collects data; reports values outside given parameters
  • Reports observations
  • Reports outcomes of assigned nursing care tasks
  • Demonstrates the ability to problem solve
  • Identifies resources and uses them when confronted with a problem
  • Prioritizes assigned tasks and work or seeks assistance appropriately
  • Demonstrates understanding of how Kaiser Permanente key systems affect services and quality of care
  • Demonstrates technological literacy in using computerized information systems related to assignments
  • Demonstrates technical knowledge of clinical procedures and use of special equipment as assigned
  • Attends mandatory in-services related to patient care and others as appropriate
  • Displays clinical knowledge appropriate to education/training and assigned tasks
  • Assists in identifying own learning needs
  • Seeks assistance when doing an unfamiliar task/activity, or when unable to perform an assigned task/activity
  • Takes responsibility to keep informed of organizational policies and current information in policy and procedure manuals and unit communications
  • Provides care and assists patients within the limits of the authorized duties for CNA 2 Acute Care consistent with those defined by the state
  • Demonstrates knowledge of the legal responsibilities, limitations and implications of their actions
  • Provides care in compliance with government, state or regulatory agencies (e.g. Medicare)
  • Adheres to and supports KP policies and Principles of Responsibility
  • Adheres to HIPAA and confidentiality policies
  • Demonstrate accepted ethical practices with respect to cultural, social and ethnic differences, within the health care environment (e.g. CLAS standards)
  • Interacts effectively and sensitively with all members of the healthcare team
  • Demonstrates flexibility as a team member
  • Collaborates with team members and supports the goals of the team
  • Supports a collaborative LMP environment
  • Assists others with patient care activities when own assignment is completed
  • Maintains an acceptable attendance record
  • Participates in unit-based activities, including staff meetings
  • One (1) year of experience as a CNA 1
  • High School Diploma or related medical assistant experience
  • Completion of an OSBN approved CNA 1 Program
  • If hired prior to 11/17/08, must have current Oregon certification as a Nursing Assistant and must obtain CNA2 Acute Care Certification by 11/17/08. If hired after 11/17/08 must have current Oregon CNA2 Acute Care Certification
  • Must obtain BLS with AED certification within thirty (30) days of hire
  • Previous experience as a CNA 2 Acute Care preferred
  • Computer keyboarding skills preferred
11

Maternal Child Lpn-southwest Medical Resume Examples & Samples

  • Coordinate patient care as directed by physicians, mid - level practitioners, LPN Supervisor, RN Program Manager and SMA company standards and policies
  • Responsible for maintaining compliance related to laboratory QC management and waive testing, maintenance of E - Kits (as applicable), clinic supply and PAR orders / levels and pediatric vaccine supplies and storage designations
  • Access to reliable transportation, needed for floating to other clinic locations
12

Maternal Child Lpn-southwest Medical Resume Examples & Samples

  • Room patients in OB / GYN and Pediatrics, as assigned, within the scope of a Licensed Practical Nurse and SMA company standards. Consistently utilize departmental standing orders to satisfy HEDIS requirements during each patient encounter
  • Responsible for collection and documentation of patient information to include vital signs, chief complaint, medications (including current pharmacy information), allergies, health risk screens, immunization status and other pertinent health information. Respects privacy and confidentiality at all times
  • Assist co-workers / team members with other duties, to include, but not limited to, floating between Pediatrics and OB / GYN, as requested. Must also be willing and able to travel to alternate clinic locations
  • Respond to telephones messages and patient care tasks daily as per SMA policy Documents all patient interactions in a timely manner within the medical record
  • Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area
  • Extensive familiarity of all aspects of pediatric vaccine requirements highly recommended
13

Nurse Manager Maternal Child Services Resume Examples & Samples

  • Current State of Florida Nursing License
  • Current BLS, ACLS & NRP Certification
  • AWOHNN approved Advanced Fetal Monitoring Course every two years
  • Graduate of an approved school of nursing
  • BSN degree strongly recommended
  • Three or more years of clinical experience, including assistant nurse manager or charge nurse experience in maternity care
  • Effective oral and written communication skills in the English language; visual and hearing senses must be adequate to/assess/detect changes in human physiological condition, and assist with varied operative procedures and surgeon’s verbal directives, ability to perform effectively in fast paced, stressful environment
14

Maternal Child Resume Examples & Samples

  • Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patient's response to treatment. Participates in unit quality assurance activities
  • Minimum three (3) years of postpartum experience
  • Bachelor's degree in nursing or related field
15

Director Maternal Child Svcs Resume Examples & Samples

  • State of Florida Board of Nursing License required
  • Certification in Specialty Area preferred
  • Bachelors Degree required or equivalent years of work experience, Masters Degree preferred
  • Current BLS & ACLS Certification at time of hire
  • NRP certified within 3 months of hire
  • Completion of an AWOHNN approved Basic Fetal Monitoring Course within 3 months of hire
  • 3 years of nursing Management experience highly preferred
16

Asst Dept Mgr Rn-eves Maternal Child Resume Examples & Samples

  • Develops and implements action plans to improve staff development. Supervises a single unit (8 to 24 hours) of approximately 20 - 60+ employees
  • BSN or bachelor's degree in a health care related field preferred
  • ALCS certification strongly preferred
17

Clinical Services Director, Maternal Child Resume Examples & Samples

  • Collaborates w/CNO & other medical center Mgmt in identifying & implementing innovative models & best practices w/an emphasis on quality of care, srv improvements & cost reduction
  • W/TPMG partner, directs development & implementation of quality & utilization standards across the continuum of care to ensure coordinated plans of treatment, patient focused delivery of srvs & cost effective utilization of necessary srvs. Builds trust w/ the nursing team through visibility
  • Coordinates w/TPMG to provide for the seamless transition of patients across the continuum of care. Establishes partnerships w/facility leadership groups. In collaboration w/medical staff & facility leadership ensures a superior care experience & a safe environment w/patients & staff. Ensures policies, practices, & procedures comply w/administrative, legal & regulatory requirements of the Health Plan contract & governmental & accrediting agencies
  • Provides clinical & professional oversight for areas of accountability
  • Assures successful implementation of organizational strategies such as Hospital Efficiency, Work Place Safety, Supply Cost Initiative including OR Back-log, Patient satisfaction
  • Through the hiring, retention, & development of internal staff in areas of accountability, achieves staffing ratios & optimal patient outcomes w/minimal dependence on premium pay (overtime & registry/traveler staff)
  • Mentors nursing Mrgs in development of leadership skills, fiscally accountable staffing/scheduling practices, professional development of staff, & outcomes based practice
  • Oversees the development of Dept standards as identified by regulatory agencies including policies & procedures
  • Develops srvs that achieve a high level of customer satisfaction w/emphasis on customer srv, highest standards of quality & innovation
  • Maintains a state of continuous regulatory readiness
  • Manages & resolves human resource, labor relations, employee & Dept safety & risk Mgmt issues
  • Enhances nursing practice & patient outcomes through the effective use of clinical practice & GRASP committees
  • Participates in developing the hospital's plan for the recruitment & retention of nursing resources to ensure that a sufficient number of qualified staff members are available to meet the needs of the patients
  • Utilizes research data to implement clinical changes & the delivery of patient care & member srvs
  • Accesses KP Health Connect to evaluate the quality of care provided. Uses KP Health Connect to manage clinical operations
  • This job description is not all encompassing
  • Minimum eight (8) years of nursing experience in patient care
  • Minimum five (5) years of management experience required
  • Master's degree in nursing, health care, public administration, or business administration preferred
18

Maternal Child Program Manager 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
  • Monitoring, measuring and managing performance against state compliance, quality and affordability goals
  • Developing innovative approaches to improve engagement and overall program performance
  • The MCH-PC must have a current and unrestricted Washington RN License. This position is responsible for ensuring the efficacy of the HFS program through various management, oversight, and program development activities. The MCH-PC works closely with the Health Plan clinical leaders including the CMO, Health Services director and the Quality Director to achieve the goals and objectives of the HFS program. However, it is ultimately the responsibility of the MCH-PC to manage the maternal child health activities and ensure compliance, quality, health outcomes and medical expense objectives for the Health Plan are achieved
  • Lead and manage the day-to-day operations of the Healthy First Steps program
  • 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
  • Ensure member and provider materials specific to the HFS program meet all state and regulatory guidelines
  • 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
  • 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 Washington RN License
  • 4+ years Maternal and / or Pediatric clinical experience
  • 2+ years experience working in Medicaid
  • Clinical program development and / or program oversight experience
  • Intra-state travel up to 50%
  • Community and / or Public Health experience
  • Excellent Communication and Writing skills
19

Maternal Child Tract Rn-nights Resume Examples & Samples

  • Responsible for compliance with overall nursing practice standards of the specialty area (Reports to Department Patient Care Manager)
  • Responsible for compliance with standards during assigned shift (Reports to Administrative Supervisor)
  • Uses established principles of delegation and supervision to direct the activities of all licensed and non-licensed care givers and support staff in the delivery of patient care during their assigned shift
  • Uses independent judgment to ensure optimal delivery of patient care and appropriate use of available resources
20

Nursing Maternal Child Faculty Resume Examples & Samples

  • As a faculty member you’ll be challenged with adding your professional expertise to instruct a curriculum which is centrally developed with specific learning objectives
  • Provide timely and detailed feedback on a weekly basis and offer student support via classroom, phone, and email
  • Utilize classroom learning system technology (provided by university), the Internet, and Microsoft Office software
  • Perform other duties as assigned or apparent
  • Doctorate of Nursing Science, Doctor of Nursing Practice, or a PhD in Nursing
  • Doctorate degree in any area and a Master’s degree in Nursing
  • All faculty must hold an active unencumbered or unrestricted RN license
21

Per Diem Rn Maternal Child Services Resume Examples & Samples

  • Current and valid New Jersey Nursing license is required
  • BLS/CPR certification is required. NRP and ACLS certifications are also required
  • 2 years Labor and Delivery nursing experience is required
  • Bachelor's of Science degree in Nursing is strongly preferred
  • The ability to learn quickly and adapt to changing patient needs, a strong sense of accountability for improving the lives of our patients and their caregivers, an exceptional focus on teamwork, dedication to ongoing education and the ability and passion to deliver the highest quality of care based on a strong sense of patient focus are all required
22

Ob Technician Maternal Child Services Resume Examples & Samples

  • High School Diploma or Equivalent is required
  • BLS/CPR certification is required
  • Applicant must be a certified surgical technician
  • Previous or Active OB Technician work experiences in the Acute Care Setting is desired
  • Scrub Technician work experiences in the Acute Care Setting is preferred
  • One year of hospital PCA experience highly preferred
  • The ability to learn quickly and adapt to changing patient needs, a strong sense of accountability for improving the lives of our patients and their caregivers, an exceptional focus on teamwork, dedication to ongoing education and the ability and passion to deliver the highest quality of care and service based on a strong sense of patient focus are all required
23

Maternal / Child RN Care Coordinator Resume Examples & Samples

  • Acts as the primary point of contact for members and the ICT; Leads ICT process and meetings; facilitates communications among relevant parties
  • Monitors the provision of services as outlined in the ICP and achievement of desired outcomes
  • Provides communication and education regarding available services and community resources in a mode and manner that is culturally and developmentally appropriate and considers the member’s physical and cognitive abilities and level of literacy; assists member in developing self-management skills to effectively access and use services
  • Manages assigned case load
  • Participates in the HRA process
  • Assesses for appropriate changes or additions to services, facilitates referrals for the members, and ensure the ICP is updated as necessary
  • Ensure that appropriate mechanisms are in place to receive enrollee input
  • Ensures member complaints and grievances are submitted according to the policies and procedures
  • Actively participates during care transitions
24

Maternal Child Regional Coordinator Resume Examples & Samples

  • Lead regional partnerships with OB providers to ensure at-risk pregnant members receive enhanced maternal care to drive improved birth outcomes
  • Engage community of maternity care providers (Obstetricians, family medicine physicians, certified nurse midwives, nurse practitioners, FQHCs) through education and outreach to participate in the development of a maternal child home that mirrors the medical home model with regards to adoption of evidence-based practices, use of risk screening, coordination of care, and integration of case management for members at risk for poor outcomes
  • Facilitate execution of agreements with practices interested in becoming maternal child medical homes (MCMH)
  • Assure that local case management/care coordination entities develop and implement processes to achieve program goals
  • Ensure the new MCMHs are connected to CareSource maternal child case management program and that maternal child case manager is assigned
  • Monitor performance and processes of MCMHs, community partnerships within the CareSource network using reports generated from administrative, case management and chart audit data to identify and disseminate best practices and to identify and address outlier practices whose performance does not meet program standards
  • Develop and implement quality improvement activities, using data from the MCMH and Maternal Child Case Management programs
  • Identify populations within CareSource membership that would benefit from focused maternal child case management and associated high risk and medical management programs
  • Identify barriers to care completion and opportunities to improve quality of care and communicate barriers with CareSource business units to facilitate ongoing collaboration efforts
  • Identify and partner with local community agencies, advocacy groups, etc. to develop relationships, enhance care coordination and improve health outcomes of pregnant members and infants and drive improved birth outcomes
  • Collaborate with Center for Analytics to use data to facilitate identification of gaps in clinical care, screenings, to implement best practices to optimize HEDIS rates, increase provider satisfaction and drive HEDIS rate improvements
  • Partner with providers to identify, prioritize and implement initiatives to engage members in completion of needed health care services and screenings
  • Monitor and demonstrate impact of initiatives on HEDIS rate attainment by evaluating pre- and post-intervention data with providers; collaborate with providers to identify and prioritize subsequent targeted initiatives
  • Utilize and expand Peer-to-Peer relationships between CareSource Medical Directors and providers to improve compliance with current evidence-based clinical practice guidelines
  • Ensure alignment of all interventions with current evidence-based Clinical Practice Guidelines and the HEDIS Strategic Plan
  • Identify provider coding opportunities to optimize both traditional and value-based reimbursement, reduce claims denials and integrate CareSource business partners in outreach efforts to increase provider satisfaction and drive improvement in HEDIS administration rates
  • Regular travel to conduct member visits, provider visits and community based visits as needed to ensure effective administration of the program
  • RN Associate degree required; Bachelor of Science in Nursing (BSN) or related field or equivalent work experience required
  • Minimum of five (5) years of experience in nursing, social management, case management, discharge planning, care coordination and or community/home health environment required
  • Minimum of five (5) years of clinical experience is required; 3 or more years of clinical experience in pediatrics/maternity care preferred
  • Minimum of three (3) years of Medicaid/Medicare preferred
  • Minimum of two (2) years of supervisory/preceptor experience preferred
  • Data analysis and trending skills
  • Ability to manage and meet workloads and deadlines
  • Able to provide timely feedback to CareSource team members and business partners and prioritize provider and member engagement initiatives
  • Intermediate proficiency level with Microsoft Office, Outlook, Word and Excel
  • Ability to communicate effectively with diverse population
  • Ability to multi-task and work independently within a team environment
  • Ability to collaborate with other internal team members to optimize birth and health outcomes for pregnant members
  • Knowledge of community and state support and advocacy resources for population served
  • Familiarity of state and federal healthcare regulations and environment
  • Critical listening and thinking skills and willingness to be flexible
  • Decision making and problem solving skills
  • Proper grammar use and phone etiquette
  • Strong organizational and time management skills
  • Ability to work within autonomous role, adapting and modifying plan of care of member as required
25

RN, Maternal Child / Womens Health Float Pool Resume Examples & Samples

  • Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment
  • Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patient's condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients
  • One (1) year of labor and delivery experience within the last three (3) years
  • One (1) year of postpartum experience within the last three (3) years. Will consider cross-training to postpartum with one (1) year labor and delivery experience within the last twelve (12) months
  • Three (3) years of labor and delivery experience
  • Three (3) years of postpartum experience
  • One (1) year of medical/surgical nursing experience
26

Maternal Child Data Analyst Resume Examples & Samples

  • Minimum 1 year experience with data base input, data based management, medical records, & Meditech. Minimum 1 year labor & delivery experience. CPN systems management preferred. Computer experience related to data collection and entry and related tasks
  • Working knowledge of Outlook, Microsoft Word and Excel
  • Requires advanced computers skills. Data Entry. Microsoft Office software programs. Data base management and general medical records. Basic autonomy. Medical terminology. Detail Oriented
  • Good Communication and coordination skills
27

Unit Secretary Maternal Child Services Resume Examples & Samples

  • High School Diploma or GED is required
  • Completion of a Secretarial Course and/or a Medical Terminology Course is preferred
  • Previous experience as a Nursing Unit Secretary in a hospital setting is strongly preferred
  • Must work required shift including weekends
  • Knowledge, Skills, and Abilities: Proficiency with medical vocabulary and general understanding of hospital policy & procedures
  • General computer skills, including order entry and basic proficiency with Microsoft Office, are required. Excellent written and verbal communication skills are required. You must enjoy working with patients and their families, and be both flexible and adaptable in adjusting to changes in patient population and volume
28

Manager Maternal Child Support Operations Resume Examples & Samples

  • Develops and manages all components of Lactation Center operations and Child Birth education programs
  • Supervises all Maternal Child Health staff and provides leadership that promotes a professional work environment to lactation consultants, OB educators, perinatal nursing, and medical staff
  • Promotes Performance Improvement by monitoring and evaluating quality and appropriateness of Lactation Services and Childbirth Education Programs
  • Practices sound fiscal management for department
  • Participates in marketing activities related to childbirth education and the Lactation Center
  • Contributes to achievement of divisional and organizational goals
  • Assumes responsibility for own professional development
29

Registered Nurse Maternal Child Svces Various Positions Resume Examples & Samples

  • Assesses, plans, implements and evaluates the nursing care of the assigned patients
  • Bachelor's Degree in Nursing, preferred
  • NRP, ACLS, EFM certifications
  • Labor and delivery experience, required
30

HCS Maternal / Child Dept Coordinator Resume Examples & Samples

  • Provides telephone, clerical and data entry support for the Care Review team
  • Provides computer entries of authorization request/provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of benefits status determination, hospital census information regarding admissions and discharges, and billing codes
  • Responds to requests for authorization of services submitted via phone, fax and mail according to Molina operational timeframes
  • Contacts physician offices according to Department guidelines to request missing information from authorization requests or for additional information as requested by the Medical Director
  • 1-3 years experience in an administrative support role in healthcare
  • 3+ years experience in an administrative support role in healthcare, Medical Assistant preferred