Nurse Case Manager – NICU

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🗽 New York – Remote

🗽 New York – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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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

• Empower members’ families to support optimal wellness while advocating for necessary medical services across the health care continuum • Work in a telephonic managed care setting to facilitate individualized plans of care for high-risk members • Assess members’ physical, functional, psychological, environmental, educational, and financial needs • Complete needs assessments and develop individualized care plans • Assign risk stratification and determine ongoing call frequency • Monitor care plans, service provision, benefits adequacy, progress toward goals, and changes in health status • Interface with providers to coordinate appointments, transportation, DME, and other services • Educate members about conditions, treatment plans, benefits, services, and accessing care • Provide community-resource referrals and facilitate access and communication among multiple services • Participate in interdisciplinary and client rounds to identify, clarify, or prevent risk, quality, or care-plan variances

🎯 Requirements

• Preferred EST or CST time zone • Current, unrestricted Registered Nurse (RN) license in NY State required • Three (3) or more years of clinical experience in a Level III or above NICU required • CCM certification required within the timeframe specified by company policy • Experience with data entry into a database or EHR required • Must be computer literate • Excellent communication skills and organizational ability required • Must be self-motivated and willing to learn multiple tasks • Must be well organized and able to prioritize tasks • Must demonstrate accuracy in spelling and documentation • Strength working independently and collaboratively within a team • Excellent interpersonal skills and telephone etiquette • Commitment to excellence in customer service • College degree preferred

🏖️ Benefits

• 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