Lactation Visit Registered Nurse with an IBCLC Certification International Board of Lactation Consultant Job Summary The Registered Nurse Lactation 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. Essential Functions A. The MIHP Care Manager will comply with guidelines outlined in the MIHP Operations Guide forthe State of Michigan. The Care Manager will complete all required MIHP paperwork includingintake 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 MIHPservices or not. If a client chooses to not participate in on-going MIHP services, the CareManager will:1. Complete the Risk Identifier in the MIHP database.2. Complete Plan of Care, Part 13. 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 theMIHP database. It is recommended the Risk Identifier be entered into the MIHP database within1 week of the enrollment visit, as all enrollment paperwork must be completed within 14 days ofthe enrollment visit. Entering the Risk Identifier into the MIHP database can be completed duringthe enrollment visit by use of a laptop and internet hot-spot or can be entered using an officecomputer after the completion of the enrollment visit.D. The Care Manager designs a Plan of Care utilizing their MIHP team based on identified clientrisks and clinical judgment of client needs.E Professional visits must be at least 30 minutes in duration to comply with MIHP expectations. Thebeginning and ending time of each professional visit will be documented on the Professional VisitProgress Note. II. Team AssignmentA. Care Managers are assigned based on availability, caseload size and geographic area of thecity/county.B. The Care Manager is to ensure their client is receiving the services deemed appropriate andoutlined on the Plan of Care. Interdisciplinary intervention must support the clinical determinationof risk screen and assessment.For example, a client with mental health concerns should be seen by the social workerassigned to her case. The Case Manager delegates to the social worker and directs themon how many visits should be completed, follows up with the team to evaluate the impacton the case and assess any further need. III. Productivity/BillingA. 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 ahome/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 andcollaborative 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. CollaborationA. 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 ProtectiveServices.B. Documentation of this collaboration, if done outside of a client visit, is to be documented in aTelephone 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 thecare of the mother, the Care Manager will collaborate with the social worker as to theinvolvement of the MIHP staff with the family or make any recommendations as to acourse of action.D. Major decisions involving each case must be discussed with and evaluated by the CareManager, including updating the Plan of Care.E. Care Managers are to utilize Community Health Worker (CHW) support for eligible programparticipants – African American and Latina clients. Upon enrollment, or when a client agrees tothis additional support, the Care Manager will assign a CHW. Notification of this is done througha 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) workersb. Scheduling doctor appointmentsc. Acquiring a primary care physiciand. Completing Medicaid applicationse. Obtaining family planning servicesf. Applying for subsidized housing Removing any barriers to services including:a. Lack of transportationb. Lack of telephone servicec. Language/educational barriers The CHW role is intended to support the Plan of Care and interventions outlined by the CareManager. This would include referrals to the MIHP multidisciplinary team and other communitysupport services, such as domestic violence counseling or drug treatment. The CHW assists theclient in maintaining a connection to these services by eliminating barriers and encouraging theclient to participate and comply. Additional Support on high-risk cases:• Mental health• CPS involvement• Substance Abuse• Domestic Violence• First-time/teen mothers V. Chart ReviewsCare 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 needsmodification.3. Whether appropriate referrals have been made and followed up on.4. Whether the service delivery is meeting the beneficiary’s needs. VI. Case ClosureCare Managers are to provide ongoing evaluation of cases and determine the appropriate time forcase closure. MIHP requires a discharge summary to be completed, and entered into the state MIHPdatabase 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 longerdesires 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. Qualifications 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 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. #CorewellHealthCareers How Corewell Health cares for you + Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here (https://careers.corewellhealth.org/us/en/benefits-new) . + 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 SITE - Widdicomb South - 665 Seward Ave - Grand Rapids Department Name Maternal Infant Health Program - GR Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 36 Hours of Work Variable Days Worked Monday - Friday Weekend Frequency N/A 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.