Nurse Case Manager - NICU (must reside/be licensed in South Carolina)

• Assesses the physical, functional, psychological, environmental, educational, and financial needs of members referred to the Case Management program.

• Completes needs assessments for all members in CM and develops care plans individualized to the needs of each member as per ProgenyHealth policies and procedures.

• Assigns risk stratification based on complexity of medical and social needs and determines ongoing frequency of calls to continually assess plan of care.

• Monitors the care plan to ensure effective, appropriate provision of services and adequacy of benefits.

• Interfaces with providers to assist with care coordination activities, which can include appointments, transportation, DME, etc.

• Provides education to members regarding condition, treatment plan, benefits, services, and how to access needed care.

• Monitors ongoing progress towards goal achievement and reassess changes in health status throughout continuum of care.

• Provides referrals to appropriate community resources; facilitates access and communication when multiple services are involved; monitors activities to ensure that services are actually being delivered and meeting the needs of the member.

• Participates in interdisciplinary and client rounds with pertinent health care team members to identify, clarify, and/or prevent risk, quality, or plan of care variances.

Qualifications

• Registered Nurse (RN) with a current, unrestricted license in South Carolina is required.

• Must reside in South Carolina.

• Bilingual in Spanish is strongly preferred.

• College degree is preferred.

• Experience in a Case Management role is preferred.

• Three (3) or more years of clinical experience in a Level III or above NICU is 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 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.

• Demonstrated strength in working independently as well as collaboratively within a team.

• Must have excellent interpersonal skills, telephone etiquette, and maintain positive communication at all times.

• Must have commitment to excellence in customer service.

Benefits

Some of the benefits we offer our team are

• 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

ProgenyHealth positively recruits people from diverse backgrounds, including individuals with disabilities. Equal Opportunity Employer, including individuals with disabilities and veterans.