About this 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.
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 based on the CMSA national standards for case management practice.

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

Nurse Case Manager – NICU

Key skills