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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
Other
Ancillary Healthcare
$75k-91k (estimate)
11/24/2023
07/01/2024
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.
The job skills required for Utilization Management Nurse (Remote) include Collaboration, Decision Making, etc. Having related job skills and expertise will give you an advantage when applying to be an Utilization Management Nurse (Remote). That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Utilization Management Nurse (Remote). Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Utilization Management Nurse (Remote) positions, which can be used as a reference in future career path planning. As an Utilization Management Nurse (Remote), it can be promoted into senior positions as a Head Nurse - CCU that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Utilization Management Nurse (Remote). You can explore the career advancement for an Utilization Management Nurse (Remote) below and select your interested title to get hiring information.