Maternity Case Management Leader (RN, CCM)

ProgenyHealth, LLC; Harmonville (PA); On-site; USD 85,000 - 110,000; Full time

Job summary

ProgenyHealth, LLC in Harmonville, PA is seeking a Case Management Supervisor for Maternity to lead the CM staff in daily operations, balance workloads and ensure adherence to metrics and quality standards.

Reporting to Maternity CM management, you will train staff, oversee caseloads, and drive continuous improvement in outcomes and service delivery, in alignment with our mission and culture.

Qualifications

• Registered Nurse (RN) with a current, unrestricted license is required.
• BSN is strongly 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 within company policy timeframe is required.
• Must be available to stay late to manage staff and caseloads.
• Experience with NCQA standards preferred.
• Demonstrated problem-solving, tact, diplomacy, and strategic thinking in addressing policy changes.
• Self-motivated and able to learn multiple tasks and stay organized.

Responsibilities

• Supports CM staff and clients in day-to-day Maternity CM operations.
• Meets with staff regularly to address concerns and provide feedback.
• Oversees team caseload in the medical management system and adjusts as needed.
• Provides coverage for CM caseload during emergencies.

Skills

Team leadership

Problem solving

Communication

Organization

Customer service

Education

RN license

BSN preferred

CCM certification

Tools

Microsoft Office

Job description

ProgenyHealth, LLC in Harmonville, PA is seeking a Case Management Supervisor for Maternity to lead the CM staff in daily operations, balance workloads and ensure adherence to metrics and quality standards.

Reporting to Maternity CM management, you will train staff, oversee caseloads, and drive continuous improvement in outcomes and service delivery, in alignment with our mission and culture.