ProgenyHealth is a leading provider of care management solutions for premature and medically complex newborns. Our program promotes appropriate utilization, improves access, educates family members and reduces costs.

　　Our team of neonatologists, pediatricians, and NICU nurses provide continuity of care in collaboration with providers from hospital to home and throughout the first year of life.

　　Job Role

　　The Case Manager will focus on empowering the members’ family to support optimal wellness while advocating for the necessary medical services across the health care continuum. The Case Manager works in a telephonic managed care setting combining strong clinical knowledge and critical thinking to facilitate a plan of care that will ensure quality medical care for the high-risk member population serviced by ProgenyHealth Inc. based on the CMSA national standards for case management practice.

　　Utilizes the case management process of engaging, assessing, planning, implementing, monitoring, and, evaluating the needs of the high-risk neonatal population

　　Initiating engagement with member’s caregiver during inpatient stay in order to support the treatment plan and discharge planning process

　　Acting as a member advocate by the appropriate selection of services, based upon member’s benefits, for appropriate utilization of resources, and providing an ongoing evaluation of member outcomes

　　Referring members’ caregivers to community resources when appropriate and based upon client specific requirements

　　Working in a telephonic managed care setting, combining strong clinical knowledge and critical thinking to facilitate a plan of care that will ensure quality medical care for the high-risk member population serviced by ProgenyHealth Inc.

　　Developing care plans individualized to the needs of each infant and his/her family

　　Participating in case management rounds with ProgenyHealth and client teams to discuss barriers and opportunities to improve health outcomes

　　Collaborating with other ProgenyHealth staff, families, facility staff, community agencies, primary care and specialist offices to ensure that evidence-based protocols are utilized in treatment plan

　　Utilizing motivational interview skills to maintain caregiver engagement through the first year of member’s life.

　　Qualifications

　　Registered Nurse (RN) with a current, unrestricted license.

　　Three or more years of clinical experience as a Pediatric/NICU nurse.

　　Experience with case management in a health plan or home care setting is preferred.

　　Experience with data entry into a database or EHR required. Must have strong computer skills.

　　Excellent communication skills and organizational ability is required. Must be self-motivated and willing to learn multiple tasks. Must be well organized and able to prioritize tasks

　　CCM certification highly desirable; and is required after two years of employment

　　Ability to perform job functions with autonomy and be a self-starter

　　Must possess excellent interpersonal skills, telephone etiquette and maintain positive communication at all times

　　Must have commitment to excellence in customer service

　　Benefits/Culture

　　Our team is our most important asset . some of the benefits we offer our team are:

　　Paid Parental Leave 401K with company match

　　Medical and dental benefits

　　Long Term Disability

　　Paid Time Off

　　Team orientated events throughout the year