Job Description
Job DescriptionThe Case Manager plays a vital role in providing culturally responsive case management and care coordination to Black mothers, birthing people, and infants. This position supports participants through individualized care plans, health education, outreach, medical billing, and program administration. The ideal candidate is passionate about advancing birth equity, has strong billing and documentation experience, and is skilled in community engagement and group facilitation.
Benefits:
- Free Medical, Dental & Vision
- 13 Paid Holidays + PTO
- 403 (B) retirement match
- Life Insurance, EAP
- Tuition Reimbursement
- SEIU Union
- Flexible Spending Account
- Continued workforce development & training
- Succession plans & growth within
QUALIFICATIONS
Education and Experience
- Bachelor’s Degree in Social Work, Public Health, Health Administration, Human Services, or a related field.
- Minimum 2 years of experience in case management, care coordination, or maternal child health services.
- Demonstrated 3+ years of experience in medical billing and claims management within healthcare or public health settings
- Skilled in data entry, EHR systems, and reporting software such as Microsoft Office, Excel, and client databases.
- Strong interpersonal, communication, and organizational skills.
- Understanding of Black maternal health disparities and commitment to racial and birth equity.
Preferred Qualifications:
- Certified Doula, Community Health Worker, or Lactation Counselor.
- Experience working in nonprofit, community based, or public health settings.
- Bilingual preferred, especially Spanish or African languages.
- Familiarity with San Bernardino and Los Angeles County resources
ESSENTIAL DUTIES AND RESPONSIBILITIES
Performs a combination, but not necessarily all, of the following duties:
Case Management and Client Support
- Conduct comprehensive client intakes, needs assessments, and develop individualized care plans.
- Provide ongoing case management, follow up, and support throughout the prenatal and postpartum periods.
- Connect clients to prenatal and postnatal care, housing, food, WIC, mental health, and other community resources.
- Conduct home visits and virtual check ins to ensure client success and retention.
- Advocate for clients to reduce barriers to care and improve outcomes.
Medical Billing and Administrative Duties
- Perform full cycle medical billing for maternal and infant health services including Medi Cal and other insurers, such as claim submission, tracking, and reconciliation.
- Ensure accuracy of billing codes, service documentation, and compliance with payer and program requirements.
- Maintain accurate, timely, and confidential documentation in client records per HIPAA and agency standards.
- Assist with grant reporting, audits, and administrative duties related to program compliance.
- Support the Program Director with data tracking and monthly billing summaries Group Education and Facilitation.
- Plan and lead culturally affirming group sessions on topics such as prenatal care, breastfeeding, parenting, mental health, and postpartum wellness.
- Foster a safe, inclusive, and supportive space for participants to learn and connect.
- Collaborate with doulas, lactation counselors, and health educators to enhance program offerings.
Data Collection and Reporting
- Accurately collect and enter client data including demographics, service utilization, and outcomes.
- Support evaluation activities, quality improvement efforts, and data validation audits
- Contribute to program performance reports and continuous improvement initiatives
Community Outreach and Engagement
- Represent the program at outreach events, community meetings, and collaborative partnerships.
- Recruit and enroll new participants through referrals and community relationships.
- Participate in staff meetings, trainings, and events that promote Black maternal and infant health.
St. John’s Community Health is an Equal Employment Opportunity Employer