Job Summary:
The Lactation Consultant, RN works collaboratively with a multidisciplinary specialized maternity team, including obstetricians, pediatricians, nurses, behavioral specialists and social workers, to ensure a comprehensive approach to maternal and infant care.
Essential Functions:
Conduct assessments to identify the unique needs of breastfeeding mothers engaged in the Mom and Baby Beginnings or NICU CM programs.
Provide individualized education and support and develop tailored care plans to address challenges related to breastfeeding using evidenced-based information on breastfeeding techniques, milk-production, nutrition, maternal and infant wellbeing.
Engage members and their support systems using strength-based assessments and a trauma-informed care approach.
Utilize motivational interviewing techniques to conduct health and psychosocial assessments through a health equity lens, addressing cultural, linguistic, social, and environmental factors that impact health and access.
Facilitate regular interdisciplinary care team (ICT) meetings to address member needs.
Establish effective, professional relationships with members through phone or electronic communication.
Develop and regularly update a person-centered individualized care plan (ICP) in collaboration with the ICT, reflecting the member's desires and preferences.
Identify and manage barriers to achieving care plan goals and implement effective interventions based on clinical standards and best practices.
Educate members and their support systems about treatment options, community resources, and insurance benefits to enable informed decision-making.
Conduct ongoing assessments and documentation to evaluate member progress on the ICP and ensure satisfaction through open communication.
Monitor and promote effective use of healthcare resources, ensuring compliance with clinical variance and benefits management.
Verify member eligibility, enrollment history, demographics, and health status.
Collaborate to ensure timely psychosocial and behavioral assessments, gathering information from members, families, providers, and stakeholders.
Coordinate with community organizations and state agencies to ensure service coordination and avoid duplication.
Adjust program interventions based on guidelines and member preferences, as well as changes in healthcare needs
Conclude care coordination services according to established guidelines for members not enrolled in ongoing care.
Provide clinical oversight to unlicensed team members as appropriate
Document care coordination activities and member responses promptly, adhering to CareSource policies.
Continuously assess and improve processes to enhance the member experience and share insights with leadership.
Ensure adherence to NCQA and CMSA standards
Perform any other job related duties as requested.
Education and Experience:
Associates degree required
Bachelor's degree in nursing or related field preferred
Equivalent years of relevant work experience may be accepted in lieu of required education
Three (3) years of clinical experience in maternal/child nursing required
Affiliation with professional nursing and lactation organizations highly desirable required Competencies, Knowledge and Skills:
Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence
Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
Ability to communicate effectively with a diverse group of individuals
Ability to multi-task and work independently within a team environment
Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
Adhere to code of ethics that aligns with professional practice
Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
Strong advocate for members at all levels of care
Strong understanding and sensitivity of all cultures and demographic diversity
Ability to interpret and implement current research findings
Awareness of community & state support resources
Critical listening and thinking skills
Decision making and problem-solving skills
Strong organizational and time management skillsLicensure and Certification:
Current, unrestricted RN licensure in state of practice required
Certification with the International Board of Lactation Consultant Examiners or Certified Lactation Counselor required Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members.
Travel is not typically required
Compensation Range:
$62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary
Competencies:
- Fostering a Collaborative Workplace Culture
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business
This job description is not all... For full info follow application link.
CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law.
