About this role
Role Overview
- ensure member receipt of all EPSDT/HealthChek Services
- ensure member receipt of maternal health and postpartum care
- promote family planning services
- promote preventive health strategies
- identify and coordinate assistance for identified member needs specific to maternal/child health and EPSDT
- interface with community partners and pregnancy related services coordinators
- participate in EPSDT, maternal health and child quality performance improvement efforts
Requirements
- Must reside in the state of Ohio
- Unrestricted Registered Nurse in the State of Ohio OR Physician's Assistant OR Master's degree in health services, public health, or health care administration or another related field OR Certified Professional in Health Care Quality (CPHQ) OR Certified Health Care Quality Management (CHCQM)
- At least 3 years of experience in either delivering EPSDT services OR Health Care Quality Improvement
- Prior experience in a fast paced insurance or health care setting
- Knowledge of EPSDT and Child Health Services
- Knowledge of Maternal and Pregnancy related services
- Understanding of healthcare quality measures (example HEDIS)
- Advanced Excel experience (pivot tables, charts, formulas)
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance