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**Schedule will include one weekend day, weekdays can be flexible per week with ability to work additional hours as needed.
ProgenyHealth is a leading provider of care management solutions for premature and medically complex newborns. Our program promotes appropriate utilization, improves access, educates family members and reduces costs. Our team of neonatologists, pediatricians, and NICU nurses provide continuity of care in collaboration with providers from hospital to home and throughout the first year of life.
Job Role
Clinical care nurses coordinate overall member care, from pre-admission, continued stay (concurrent review) and any outpatient services utilizing a pro-active, evidence-based decision-making process that is physician sensitive and attaining quality outcomes for the members. The clinical care nurse serves as a nurse reviewer for admissions, lengths of stay and a facilitator for discharge planning. This position functions as a liaison between the providers, hospitals and health plans. Responsible for the implementation of client-specific contracted polices, managed care policies and must be very knowledgeable about benefits, criteria and guidelines used for reviews. Must be adept at identifying and referring potential quality of care issues to the Medical Director, client and/or appropriate staff.
Job Responsibilities:
Qualifications
Benefits/Culture
Some of the benefits we offer our team are:
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
Part Time
Ancillary Healthcare
$134k-157k (estimate)
08/13/2023
06/08/2024
progenyhealth.com
PLYMOUTH MEETING, PA
100 - 200
2003
Private
ELLEN L STANG
$5M - $10M
Ancillary Healthcare
ProgenyHealth is a provider of NICU based care management solutions for premature and medically complex newborns.