Nurse Case Manager – NICU

🔥 16 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 12%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 26 days.
• No salary listed.

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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

• 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 monitor care plans • Ensure effective and appropriate provision of services and adequacy of benefits • Interface with providers to coordinate appointments, transportation, DME, and other services • Educate members about conditions, treatment plans, benefits, services, and accessing care • Monitor progress toward goals and reassess changes in health status • Refer members to community resources and facilitate access and communication among multiple services • Monitor service delivery and whether services meet member needs • Participate in interdisciplinary and client rounds to identify, clarify, and prevent risk, quality, or care-plan variances • Work in a telephonic managed care setting to facilitate quality care for high-risk members

🎯 Requirements

• RN licensure in Texas or Compact licensure • Registered Nurse (RN) with a current, unrestricted 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 • 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 • Excellent interpersonal skills and telephone etiquette • Commitment to excellence in customer service • College degree is preferred • Experience in a Case Management role is preferred • Previous experience in a maternity management program 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

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