Nurse Case Manager – NICU

🔥 0 minutes ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 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

• Empower members’ families to support optimal wellness • Advocate for necessary medical services across the health care continuum • Work in a telephonic managed care setting for high-risk member populations • 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 to assess plans 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 • Provide referrals to community resources and facilitate access and communication among services • Participate in interdisciplinary and client rounds to identify, clarify, or prevent risks, quality issues, and care-plan variances

🎯 Requirements

• South Carolina residency required • Registered Nurse (RN) with a current, unrestricted license in South Carolina 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 • Demonstrated strength in working independently as well as collaboratively within a team • Must have excellent interpersonal skills and telephone etiquette • Must maintain positive communication at all times • Commitment to excellence in customer service • Bilingual in Spanish is strongly preferred • College degree is preferred • Experience in a Case Management role is 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