Job description
Category: Health Care
Location:
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
DetailsOriginally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.