02 Dec
Case Manager - Social Worker - NICU Program (Remote)
South Carolina, Greenville / upstate , 29601 Greenville / upstate USA

ProgenyHealth is a leading provider of care management solutions for maternal and infant populations. We partner with health plans and their obstetric, perinatal, and neonatal providers to work collaboratively in developing a plan of care specific to the needs of each member/family – from prenatal care to delivery to admission to the intensive care nursery until they are safely transitioned from the hospital, up to the first year of an infant’s life. Our program promotes appropriate utilization, improves access, educates members and their families, addresses social determinants of health, reduces costs, and improves outcomes. Job Location: Position is remote. Job Role The Social Worker will work in conjunction with the nurse case managers, coordinating care of the neonatal population served by ProgenyHealth based on the CMSA national standards for case management practice. The Social Worker will demonstrate strengths in working independently as well as collaboratively within a team environment. An understanding of ProgenyHealth goals and outcome measures is important to the accountability of the Social Worker and the success of the member-focused Specialty Care Management Programs. Job Responsibilities:

Focus on empowering caregivers and family to support optimal wellness while advocating for the necessary services and community resources across the health care continuum.

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care.

Build and maintain relationships with caregivers and healthcare providers to develop an individualized plan of care that is member focused and addresses physical and psycho-social barriers to optimal outcomes.

Identify any impediments to member progress and advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team.


Minimum of 2 years background working in managed care or relevant clinical environment, with neonatal population. (Please be sure to indicate population experience on resume)

A valid unrestricted LCSW Social Worker license in SC, FL or TX is preferred. Willingness to obtain licensure in other state(s) when applicable for client contracts is required.

Experience working with a Medicaid population is preferred.

Spanish speaking highly desirable.

A background in effecting change to overcome social determinants of health, including mental health and substance abuse.

CCM certification preferred upon hire. CCM certification must be obtained within the timeframe specified according to the company policy.

Basic level of proficiency in PC-based word processing and database documentation (Word, Excel, Internet, Outlook) as well as managed care systems or EMRs.

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.


Our team is our most important asset. Some of the benefits we offer our team are:

401K with company match

Paid Parental Leave

Medical and dental benefits

Short & Long Term Disability

Generous Paid Time Off

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

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