Women & Children's Health Specialist

Job Summary

A company is looking for a Women & Children's Health Outcomes Specialist I.

Key Responsibilities

• Execute quality monitoring reviews to ensure at-risk pregnant members receive enhanced maternal care
• Conduct telephonic outreach and coordinate care for pregnant members, minimizing barriers to access
• Analyze Pregnancy Risk Assessments and collaborate with health partners to improve health outcomes

Required Qualifications, Training, and Education

• Associate's Degree or higher in a health care related field
• Minimum of three (3) years of maternal child/pediatric/discharge planning experience
• Preferred experience in utilization review and/or case management
• Medicare/Medicaid experience is preferred
• Successful clearance of a driver's license record check and a criminal background check is required