Maternal Infant Health Program Coordinator

Job Summary

The System Maternal Infant Health Program Coordinator will function to fulfill all aspects of Michigan Department of Health and Human Services (MDHHS) singularly designated MIHP Coordinator requirement. The MIHP Coordinator will closely collaborate with MDHHS MIHP administrators as well as the Corewell Health Maternal Infant Health program leaders to ensure fidelity of the MIHP model of care compliance with MDHHS and Medicaid programmatic requirements and quality of service delivery.

Essential Functions

• Understands the complex faucets of the certification requirements policies and protocols of MIHP service delivery and ensures their implementation.
• Validates Medicaid Health Plan (MHP) Contracts are in place prior to claims processing for eligible MIHP billable services.
• Works closely with both contracting and billing to ensure alignment on claims processing and reimbursement for services billed.
• Collaborates with MHPs in requesting extension of services as needed.
• Actively participates in the interviewing selection hiring and onboarding process of MIHP personnel inclusive of MIHP Supervisors MIHP care managers MIHP community health workers and MIHP Support Staff such as administrative support coordinators patient service representatives and billers.
• Oversees beneficiary referral process to ensure compliance and identify issues with low program uptake.
• Trains and oversees region/catchment area MIHP Supervisors on state required Medicaid Policy and MDHHS MIHP Operations to ensure frontline team members of MIHP Care Managers Community Health Workers and Support Staff are knowledgeable of these requirements and are in active compliance with them.
• Collaborates with region/catchment area MIHP Supervisors/Managers on monitoring workloads and assessing when additional or fewer FTEs are needed.
• Provides expert understanding of the use of Corewell Healths EMR in operationalizing the daily workflows of the MIHP care team.
• Facilitates case/care consultation across disciplines.
• Provides reflective supervision for MIHP Care Managers and MIHP Community Health Workers.
• Ensures entry of MIHP data into the MIHP database.
• Communicates with partners such as MHPs medical care providers and community agencies as necessary to ensure continuity of care and to help identify gaps in care.
• Manages and/or oversees the transfer of MIHP beneficiaries as needed.
• Downloads and compiles MIHP CHAMPS reports to provide a comprehensive view of the demographic and risk profiles of MIHP served beneficiaries.
• Prepares for and participates in MIHP Certification Reviews and Office of Inspector General audits.
• Conducts quality assurance activities such as chart audits. Plans and implements quality improvement strategies based on audit findings.
• Provides direct billable services via telehealth or in person when deemed appropriate.

Qualifications

Required

• Bachelors Degree or equivalent business healthcare administration nursing social work or related field
• 3 years of relevant experience Community-based programs a Maternal Infant Health Program (MIHP) maternal and infant health programs
• LIC-Registered Nurse (RN) - STATEMI State of Michigan Upon Hire Or
• LIC-Master Social Worker (MSW-Master) - STATEMI State of Michigan Upon Hire rAnd
• CRT-Basic Life Support (BLS) - AHA American Heart Association System Maternal Infant Health Program Coordinator 90 Days Or
• CRT-Basic Life Support (BLS) - ARC American Red Cross System Maternal Infant Health Program Coordinator 90 Days
• LIC-Drivers License - STATEMI State of Michigan System Maternal Infant Health Program Coordinator Upon Hire

Preferred

• Masters Degree business healthcare administration nursing social work or related field
• 5 years of relevant experience Proven leadership in managing high-impact programs and achieving goals in complex matrixed organizational structures
• 5 years of relevant experience Experience working in a complex healthcare environment

About Corewell Health

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.

How Corewell Health cares for you

• 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

Primary Location

Department Name

Employment Type

Shift

Weekly Scheduled Hours

Hours of Work

Days Worked

Weekend Frequency

CURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.

An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.