Job Summary

Company Description

ProgenyHealth is a company specializing in care management solutions for infants in intensive care nurseries. We partner with health plans and employer groups and their neonatal providers to work collaboratively in developing a plan of care specific to the needs of each child. We work with the plans' neonatal providers and families from the moment an infant is admitted to the intensive care nursery, until they are safely transitioned from the hospital through the first year of life.

Our culture and work environment promotes and inspires an active, continuous improvement philosophy in regard to products and services in line with our company mission statement which is as follows:

With passion and a singular focus, we improve the health outcomes of premature and medically complex newborns through provider collaboration and parental engagement.

Job Description

The Case Manager is a registered nurse managing the continuum of care for infants and their families. The Case Manager works from Plymouth Meeting, PA in a telephonic managed care setting combining strong clinical knowledge and critical thinking to facilitate a care plan that will ensure quality medical care for the high risk member population serviced by ProgenyHealth based on national standards for case management practice. The Case Manager will focus on empowering the family to support optimal wellness while advocating for necessary medical services. With management approval, Case Managers may work virtually 50% of the time after 6 months of service.

Job Responsibilities:

Making introductory calls to families to provide them with an overview of our services
Completing needs assessments for all infants in case management and developing care plans individualized to the needs of each infant and their family
Stratifying infants based on their needs at the appropriate case management level and providing frequent outreach calls to manage ongoing needs
Interfacing with the infant's PCP and other neonatal providers to assist with activities which can include coordinating appointments, transportation, medical equipment etc
Provides ongoing case management services to assist families after discharge as the primary contact to assist with care coordination needs throughout the first year of life
Qualifications

Required Skills:
Registered Nurse (RN) with a current, unrestricted license is required
Five or more years of managed care experience in a health plan in a case management and/or discharge planning role is required.
Three or more years of clinical experience in a pediatric environment is required
CCM preferred
Data entry skills required. Must be computer literate
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
Must demonstrate accuracy in spelling and documentation
Ability to perform job functions with autonomy and be a self-starter
Demonstrated strength in working independently as well as collaboratively within a team environment
Must possess excellent interpersonal skills, telephone etiquette and maintain positive communication at all times
Must have commitment to excellence in customer service
Additional information

We offer: competitive pay, generous benefits, flexible scheduling, and a business casual work environment.

ProgenyHealth is an Equal Opportunity Employer.

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