Maternity Case Management Supervisor

🔥 13 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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ProgenyHealth, LLC

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

ProgenyHealth, LLC is a company focused on transforming healthcare for women, infants, and families through its integrated Maternity and NICU Care Management solutions. With over 20 years of experience, ProgenyHealth provides a comprehensive care management solution to address the maternity and NICU challenges faced by modern health plans. By identifying risks early, the company aims to prevent preterm births, NICU stays, and complications during pregnancy and after delivery. ProgenyHealth operates as a trusted partner for health plans, overseeing a full maternal and infant care continuum, creating lasting relationships, and optimizing maternal and infant healthcare economics. The company also helps solve non-clinical social drivers impacting maternal and infant health, ensuring equitable, standardized, and predictable family care.

📋 Description

• Manage Case Management staff in the day-to-day operations of the Maternity Case Management department • Oversee and adjust work queues to maintain workflow balance • Monitor and facilitate adherence to department and company metrics • Train new hires and current staff • Support case management staff and the company program • Assess the Maternity Case Management program for opportunities to improve efficiencies and outcomes • Support team members and clients in daily department operations • Meet regularly with staff to gather feedback and address concerns or issues • Oversee team caseload in the medical management system and adjust assignments as needed • Conduct regular case reviews in addition to staff assessments • Provide emergency coverage for Case Management caseloads as needed • Report to the Manager of Maternity Case Management • Work closely with management staff to implement a culture and work environment promoting continuous improvement

🎯 Requirements

• Registered Nurse (RN) with a current, unrestricted license is required • BSN is strongly preferred • Three or more years of experience in a Case Management role is required • Previous experience in a Maternity case management program preferred • Experience in a team lead or supervisory role managing nursing staff is desired • CCM certification required within the timeframe specified by company policy • Must be available to stay late, as needed, to manage staff and caseloads • Experience with NCQA standards preferred • Must have demonstrated strong problem-solving skills • Must have proven track record of utilizing tact, diplomacy, and strategic thinking in addressing issues and changes in company policy, etc. • Must be self-motivated and willing to learn multiple tasks • Must be well organized and able to prioritize tasks • Must have good computer skills and be familiar with using Microsoft Office (Word, Outlook etc.) • Must demonstrate accuracy in spelling and documentation • Must have commitment to excellence in customer service

🏖️ Benefits

• Accommodation to interview available for individuals with disabilities • Equal employment opportunity consideration regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status