$Not specified
Serve as a high-risk case manager for Medicaid maternity members and deliver care coordination, health education, and community resource support. Collaborate with a team to conduct member assessments, develop care plans, and report on member cases.
The ideal candidate must be a Registered Nurse with an active PA license and 3-5 years of nursing experience in high-risk maternity care. A strong background in Medicaid and managed care is preferred, along with excellent communication skills.
This is a remote position. We are seeking a passionate and experienced HSS Clinical Coordinator RN to join our remote care coordination team. This is a high-impact, contract-to-hire opportunity supporting high-risk maternity Medicaid members. You will play a vital role in promoting better outcomes for expectant mothers and newborns, with visibility to key state stakeholders. Hours: Monday – Friday | 8:00 AM – 4:30 PM | 40 hrs/week Fully Remote – Resides in South Eastern PA (Bucks, Montgomery, Chester, Philadelphia, or Delaware County) Key Responsibilities: Serve as a high-risk case manager for Medicaid maternity members Deliver care coordination, health education, and community resource support Conduct member assessments and develop care plans Report on member cases in team rounds with the Medical Director Prepare documentation for state reporting and attend related meetings Provide culturally competent education and resources (e.g., doula programs, family visiting) Collaborate with a team of 2 RNs, 1 LPN, and 1 Community Health Worker Ideal Candidate Profile: Registered Nurse (RN) with an active, unrestricted PA license Resides in the Resides in South Eastern PA (Bucks, Montgomery, Chester, Philadelphia, or Delaware County) 3–5 years of nursing experience in: High-risk maternity care: Labor & Delivery or Antepartum Hospital Setting Obstetric or Maternal-Fetal Medicine outpatient clinic/office Strong background in Medicaid and managed care/health plan environments (preferred) Excellent verbal and written communication skills Tech-savvy (Microsoft Word, Excel, etc.) Comfortable engaging with members via phone or video
This job posting was last updated on 10/16/2025