Nurse Case Manager – NICU

🕒 4 dias atrás

🤠 Texas – Remoto

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⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 12%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of ProgenyHealth, LLC

ProgenyHealth, LLC

201 - 500 funcionários

🏥 Saúde

⚕️ Seguro de Saúde

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

A ProgenyHealth, LLC é uma empresa focada em transformar a saúde de mulheres, bebês e famílias por meio de suas soluções integradas de Gestão de Cuidados de Maternidade e UTI Neonatal (NICU). Com mais de 20 anos de experiência, a ProgenyHealth oferece uma solução abrangente de gestão de cuidados para enfrentar os desafios de maternidade e UTI neonatal enfrentados pelos planos de saúde modernos. Ao identificar riscos precocemente, a empresa busca prevenir nascimentos prematuros, estadias no NICU e complicações durante a gravidez e após o parto. ProgenyHealth atua como um parceiro confiável para planos de saúde, supervisionando todo o contínuo de cuidados maternos e infantis, criando relacionamentos duradouros e otimizando a economia dos cuidados de saúde maternos e infantis. A empresa também ajuda a resolver os fatores sociais não clínicos que impactam a saúde materna e infantil, garantindo um cuidado familiar equitativo, padronizado e previsível.

Descrição

• Empower members’ families to support optimal wellness • Advocate for necessary medical services across the health care continuum • Work in a telephonic managed care setting • Apply clinical knowledge and critical thinking to facilitate individualized plans of care • Assess members’ physical, functional, psychological, environmental, educational, and financial needs • Complete needs assessments and develop individualized care plans • Assign risk stratification based on medical and social complexity • Determine ongoing call frequency and continually assess the plan of care • Monitor care plans, service provision, and benefit adequacy • Interface with providers on care coordination, including appointments, transportation, and DME • Educate members about conditions, treatment plans, benefits, services, and accessing care • Monitor progress toward goals and reassess health-status changes • Refer members to community resources and facilitate access and communication among services • Participate in interdisciplinary and client rounds to identify, clarify, or prevent risks, quality issues, or care-plan variances

🎯 Requisitos

• RN licensure in Texas or Compact licensure • Current, unrestricted Registered Nurse (RN) license • Three (3) or more years of clinical experience in a Level III or above NICU • CCM certification required within the timeframe specified by company policy • Experience with data entry into a database or EHR • Must be computer literate • Excellent communication skills and organizational ability • Self-motivated and willing to learn multiple tasks • Well organized and able to prioritize tasks • Accuracy in spelling and documentation • Ability to work independently and collaboratively within a team • Excellent interpersonal skills and telephone etiquette • Positive communication at all times • Commitment to excellence in customer service • College degree preferred • Experience in a Case Management role preferred • Previous experience in a maternity management program preferred

🏖️ Benefícios

• Paid Time Off • Paid Parental Leave • Medical, dental, vision benefits • 401K with company match • Short- and Long-Term Disability • Group Life Insurance • Tuition reimbursement • Professional development opportunities • Business Casual work environment

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