NHC Position Type
The member will serve with the Family Practice & Counseling Network (FPCN) prenatal program. Our team, comprising providers from the University of Pennsylvania, a prenatal nurse, and a medical assistant, aims to provide comprehensive trauma-informed care to FPCN’s OB patients based on current clinical data.
Pregnancy requires substantially greater engagement in care than in most other periods of life. Thus, existing barriers to accessing care are compounded, putting patients at greater risk for complications that affect both themselves and their babies. Because we serve a population greatly affected by race, poverty, and other social determinants of health, we engage in extensive efforts to encourage and support compliance with care.
As a Federally Qualified Health Center (FQHC), our program is evaluated based on this ability to engage patients in care – from the first trimester through the postpartum period. In addition, we are evaluated on our ability to support pregnancy to at least 37 weeks, with the goal of infant birth weights >= 2500 grams.
The NHC member will assist with providing individualized support to our patients in order to promote healthy pregnancies. Major duties will include enrolling patients in Medicaid or Pennie and providing related financial counseling; following up on missed appointments and identifying potential barriers to accessing care; coordinating testing and specialist visits with outside institutions; enrolling patients in community benefit programs (e.g., WIC, Nurse-Family Partnership, etc.); engaging in wellness education related to nutrition, exercise, and mental health; and monitoring patient panel to track progress and outcomes, including identifying patients at risk of being lost to care.
Major Duties and Responsibilities
- Identifying patients who are at-risk to assess eligibility for various services
- Referring patients to other programs and community services
- Tracking patients to confirm program enrollment and engagement
- Providing follow-up and case management to deliver assistance and information
- Implementing patient engagement strategies to improve outcomes