Lactation Care Manager

Ensures patients receive the best care available to them by guiding patients through all the various complexities of the healthcare system. Provides field-based case management services. Serves as the main point of contact for clients for complex cases. Builds strong relationships with clients in order to help clients stay engaged in medical care and adhere to their care plan. Identifies critical resources, helps navigate through health care services and systems, and promotes client health. Works closely with the care team, which may include doctors, nurses, and other clinical staff to support positive client health outcomes. Responsible for educating patients about their rights, insurance coverage, and payment options, as well as addressing any queries or complaints. May review the work of team members. Identifies gaps in resource availability and works with leadership to ensure resources are reviewed and included for team.

Responsibilities

Ensures patients receive the best care available to them by guiding patients through all the various complexities of the healthcare system; Provides field-based case management services; Serves as the main point of contact for clients for complex cases; Builds strong relationships with clients in order to help clients stay engaged in medical care and adhere to their care plan; Identifies critical resources, helps navigate through health care services and systems, and promotes client health; Works closely with the care team, which may include doctors, nurses, and other clinical staff to support positive client health outcomes; Responsible for educating patients about their rights, insurance coverage, and payment options, as well as addressing any queries or complaints; May review the work of team members; Identifies gaps in resource availability and works with leadership to ensure resources are reviewed and included for team; Interacts with patients and healthcare providers to ensure ongoing care of patients; Leads provider/patient conversations regarding compliance to treatment plan and access to care; Presents educational in-service and training to providers and staff on covered services and processes; Communicates with providers regarding enrollment status of patients; Interprets physician notes and enters findings into database; Reviews and assesses the completeness, accuracy and timeliness of exam reports from providers; Submits exam results to state databases; Maintains responsibility for case management related to patient's medical screenings, diagnoses and treatments; Gathers critical information from patients; Examines patient's need for diagnostic treatment and essential support services, including discussion of obtaining critical medical forms and assurance of confidentiality; Assesses and addresses any barriers that could prevent or delay patients seeking care; Provides support and education to assist patients with abnormal screening results; Collaborates with patient's healthcare team to assist with patient's compliance with care plans; Keeps records of all patient contacts; Works with patients to identify and overcome barriers to screening and follow-up care; Contacts patient immediately to begin follow up regimen upon abnormal finding or diagnosis; Obtains required documentation for the application, conducts face-to-face meeting to determine eligibility for patient aid programs, and coordinates with doctors and State on new and recertification applications to ensure acceptance for treatment; Contacts the patient and treatment center to discuss problems or issues that may be occurring during the course of treatment; Other duties as assigned

Requirements

Bachelor's degree and 3 years of relevant experience required; Or equivalent combination of education and experience; Driver License, Valid and in State upon hire required

Nice to have

BCPA-Board Certified Patient Advocate upon hire preferred