Maternal Infant Health Nurse Care Manager

Lactation Visit

Registered Nurse with an IBCLC Certification

International Board of Lactation Consultant

The Registered NurseLactation Consultant The focus is assisting mothers and babies to breastfeed successfully.The Lactation Consultant is a licensed health professional who has obtained International Board of Lactation Consultant Examiners certification (IBCLC) and is currently licensed as a Registered Nurse.This position is a Full-Time, benefited position, scheduled 36 hours per week with flexible day work hours. The RN Lactation Consultant functions as a member of a multi-disciplinary team within the Maternal and Infant Health Program team including Social Workers, Nurses, Dietitians and Community Health Worker. Provides direct patient support and teaching to patients, including those experiencing complex lactation problems. Develops, implements, evaluates, and revises an individualized plan of care for the breastfeeding family, while actively involving them in the plan of care.Provides direct patient support for lactating mothers/families. Works with mothers to enhance latch-on-skills and to identify breastfeeding issues. Instructs mothers in pumping and storage procedures. Assists with initiating breastfeeding as is medically appropriate. Participation in community programs to enhance the community's knowledge of support services and to coordinate services. Facilitates and promotes appropriate utilization of community resources.

A. The MIHP Care Manager will comply with guidelines outlined in the MIHP Operations Guide for
the State of Michigan. The Care Manager will complete all required MIHP paperwork including
intake forms (risk identifiers), plan of care, progress notes and discharge forms.
B. At the time of an MIHP Risk Assessment, a client may choose to participate in on-going MIHP
services or not. If a client chooses to not participate in on-going MIHP services, the Care
Manager will:
1. Complete the Risk Identifier in the MIHP database.
2. Complete Plan of Care, Part 1
3. Provide the MIHP Education packet
4. Provide information about how to contact the agency/case manager in the future.
5. Complete the Discharge Summary in the MIHP database'
C. The Care Manager is responsible for entering the Maternal and Infant Risk Identifiers into the
MIHP database. It is recommended the Risk Identifier be entered into the MIHP database within
1 week of the enrollment visit, as all enrollment paperwork must be completed within 14 days of
the enrollment visit. Entering the Risk Identifier into the MIHP database can be completed during
the enrollment visit by use of a laptop and internet hot-spot or can be entered using an office
computer after the completion of the enrollment visit.
D. The Care Manager designs a Plan of Care utilizing their MIHP team based on identified client
risks and clinical judgment of client needs.
E Professional visits must be at least 30 minutes in duration to comply with MIHP expectations. The
beginning and ending time of each professional visit will be documented on the Professional Visit
Progress Note.

II. Team Assignment
A. Care Managers are assigned based on availability, caseload size and geographic area of the
city/county.
B. The Care Manager is to ensure their client is receiving the services deemed appropriate and
outlined on the Plan of Care. Interdisciplinary intervention must support the clinical determination
of risk screen and assessment.
For example, a client with mental health concerns should be seen by the social worker
assigned to her case. The Case Manager delegates to the social worker and directs them
on how many visits should be completed, follows up with the team to evaluate the impact
on the case and assess any further need.

III. Productivity/Billing
A. The productivity goals for all Care Managers will be set by the Manager of Community Programs. Attainment of these productivity goals will be monitored and follow up on by the Supervisor of Community Programs on an ongoing basis.
B. The Level of Service module in Epic must be completed in a timely manner (within 72 hours for a
home/office visit or 14 days for an enrollment visit) for billing purposes.
C. Tracking of caseloads, billing, productivity, and any client related issues is ongoing and
collaborative between all Care Managers and the Program Supervisor.
D. Caseload for a full-time (1.0 FTE) Care Manger is estimated to be 55-65 cases.

IV. Collaboration
A. Care Managers provide collaboration and advocacy, when needed, with medical care providers,
other service providers involved with the family and agencies such as Children's Protective
Services.
B. Documentation of this collaboration, if done outside of a client visit, is to be documented in a
Telephone Encounter or Contact Log in Epic.
C. Crisis management on cases is to be directed by the Care Manager.
For example, if an inpatient social worker is concerned about releasing a baby into the
care of the mother, the Care Manager will collaborate with the social worker as to the
involvement of the MIHP staff with the family or make any recommendations as to a
course of action.
D. Major decisions involving each case must be discussed with and evaluated by the Care
Manager, including updating the Plan of Care.
E. Care Managers are to utilize Community Health Worker (CHW) support for eligible program
participants - African American and Latina clients. Upon enrollment, or when a client agrees to
this additional support, the Care Manager will assign a CHW. Notification of this is done through
a staff message in Epic. CHW support services on MIHP cases include:

Basic Needs deficiencies which impact the client
* Housing issues
* Financial stress
* Lack of transportation
* Food resources
* Language barriers
* Lack of baby supplies

Advocacy such as (but not limited to):
a. Phone calls to Department of Human Services (DHS) workers
b. Scheduling doctor appointments
c. Acquiring a primary care physician
d. Completing Medicaid applications
e. Obtaining family planning services
f. Applying for subsidized housing

Removing any barriers to services including:
a. Lack of transportation
b. Lack of telephone service
c. Language/educational barriers

The CHW role is intended to support the Plan of Care and interventions outlined by the Care
Manager. This would include referrals to the MIHP multidisciplinary team and other community
support services, such as domestic violence counseling or drug treatment. The CHW assists the
client in maintaining a connection to these services by eliminating barriers and encouraging the
client to participate and comply.

Additional Support on high-risk cases:
* Mental health
* CPS involvement
* Substance Abuse
* Domestic Violence
* First-time/teen mothers

V. Chart Reviews
Care managers are responsible for regularly reviewing their charts to determine:
1. Whether the beneficiary has been seen monthly (once in a given month).
2. The extent to which the POC is being implemented as developed and whether it needs
modification.
3. Whether appropriate referrals have been made and followed up on.
4. Whether the service delivery is meeting the beneficiary's needs.

VI. Case Closure
Care Managers are to provide ongoing evaluation of cases and determine the appropriate time for
case closure. MIHP requires a discharge summary to be completed, and entered into the state MIHP
database within 30 days of the following:
A. The month in which a woman is 60 days postpartum.
B. Infant services are completed (i.e., risks have been modified/eliminated, the parent no longer
desires services, or the infant has reached the age of 18 months)
C. There have been 4 months of inactivity on the case.
D. The Care Manager is responsible for informing their team that a case is being closed.

Required

• Associate's Degree nursing

• 2 years of relevant experience related field

• LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire
• CRT-Basic Life Support (BLS) - AHA American Heart Association Healthier Communities and United Lifestyles Only 90 Days Or
• CRT-Basic Life Support (BLS) - ARC American Red Cross Healthier Communities and United Lifestyles Only 90 Days
• LIC-Driver's License - STATE_MI State of Michigan
• IBCLC Certification

Preferred

• Bachelor's Degree related field

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.

• On-demand pay program powered by Payactiv

• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

• Optional identity theft protection, home and auto insurance, pet insurance

• Traditional and Roth retirement options with service contribution and match savings

• Eligibility for benefits is determined by employment type and status

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