Job Summary

ProgenyHealth specializes in care management solutions for infants in intensive care nurseries. We partner with health plans and their neonatal providers to work collaboratively in developing a plan of care specific to the needs of each child - from admission to the intensive care nursery until they are safely transitioned from the hospital, through the first year of life.

The Social Worker will work in conjunction with the nurse case managers, coordinating care of the high-risk newborn population served by ProgenyHealth based on the CMSA national standards for case management practice. The Social Worker will demonstrate strengths in working independently as well as collaboratively within a team environment. An understanding of ProgenyHealth goals and outcome measures is important to the accountability of the Social Worker and the success of the member-focused Specialty Care Management Programs.

Responsibilities:
Focus on empowering the caregiver and family to support optimal wellness while advocating for the necessary services and community resources across the health care continuum.
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care
Build and maintain relationships with caregivers and healthcare providers to develop an individualized plan of care that is member focused and addresses physical and psycho-social barriers to optimal outcomes
Identify any impediments to member progress and advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team

Requirements:
Licensed Social Worker in Missouri with a current, unrestricted license is required; and agree to obtain licensure in other state(s) when applicable for client contracts.
Must reside in the state of Missouri
Five or more years of managed care experience in a health plan in a case management role is required.
Minimum of 2 years background working in Pediatrics/NICU managed care or clinical environment
Experience working with a Medicaid population is preferred.
A background in effecting change to overcome social determinants of health, including mental health and substance abuse.
CCM certification preferred upon hire. CCM certification must be obtained within the timeframe specified according to the company policy.
Basic level of proficiency in PC-based word processing and database documentation (Word, Excel, Internet, Outlook) as well as managed care systems or EMRs.
Excellent communication skills and organizational ability are 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.