ProgenyHealth empowers our health plan and employer partners to change the trajectory of maternal and infant health outcomes across America. Informed by more than 20 years of experience and patient data, our end-to-end maternal and infant care management solution helps ensure the best possible outcomes for every expecting mother we touch. Our wholly integrated solution builds a network of support for an uninterrupted continuum of care from prenatal health, through any resultant NICU stay, and all the way to one full year of life. From the very beginning, we unite early health risk assessment data with self-directed digital tools and dedicated Case Managers who work tirelessly to connect at-risk moms-to-be with the resources, care, and support they need for a healthy, full-term delivery. By promoting predictable, equitable, and standardized high quality care journeys, we ensure healthier outcomes—and lower costs— across your entire at-risk population. In so doing, we help overcome systemic barriers to support healthier pregnancies and healthier starts to life for all moms and babies, one family at a time.

Job location:  This position may be performed remotely – candidates outside of the Eastern PA area will be considered.

Job Role

The Case Management (CM) Supervisor, Maternity team is primarily responsible for managing the Maternity CM staff in the day-to-day operations of the department. This includes oversight and adjustment of work queues to maintain workflow balance; monitoring and facilitating adherence to department and company metrics; training of new hires and current staff; and various other duties to support the case management staff and the company program.  The Supervisor also assesses the CM Maternity program for opportunities to improve efficiencies and/or improve outcomes.

Responsibilities Include:

• Supports team members and clients in the day-to-day operations of CM Maternity Department.
• Meets with staff regularly to touch base, get feedback and to hear and address their concerns or issues.
• Oversees team caseload in the medical management system and consults with staff to adjust as needed. This includes regular case review (in addition to staff assessments).
• Provides coverage for CM caseload as needed for emergency coverage.

Qualifications

• Registered Nurse (RN) with a current, unrestricted license is required.
• College degree is preferred.
• Three or more years of experience in a Case Management role is required.
• Previous experience in a Maternity case management program preferred.
• Experience in a team lead or supervisory role managing nursing staff is desired.
• CCM certification required within the timeframe specified by company policy.
• Must be available to stay late, as needed, to manage staff and caseloads.
• Experience with NCQA standards preferred.
• Must have demonstrated strong problem-solving skills.
• Must have proven track record of utilizing tact, diplomacy, and strategic thinking in addressing issues and changes in company policy, etc.
• Must be self-motivated and willing to learn multiple tasks.
• Must be well organized and able to prioritize tasks.
• Must have good computer skills and be familiar with using Microsoft Office (Word, Outlook etc)
• Must demonstrate accuracy in spelling and documentation.
• Must have commitment to excellence in customer service.

Benefits/Culture

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

ProgenyHealth positively recruits people from diverse backgrounds, including individuals with disabilities - if you need an accommodation to interview, please contact us by email: careers@progenyhealth.com