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.
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
Registered Nurse (RN) with an active, unrestricted PA license
Resides in the Philadelphia area
3–5 years of nursing experience in:
High-risk maternity care
Labor & Delivery, Mother-Baby, or NICU
Office, hospital, clinic, or home care settings
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
TopClosers
CertiDeal
IQVIA
Quest Software
INFLOR