Nurse Case Manager – NICU

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Enable families of members to promote optimal wellness.

• Advocate for essential medical services throughout the healthcare continuum.

• Operate in a telephonic managed care environment for high-risk member demographics.

• Evaluate members’ physical, functional, psychological, environmental, educational, and financial requirements.

• Conduct needs assessments and create personalized care plans.

• Assign risk stratification based on medical and social complexities.

• Establish ongoing call frequencies to evaluate care plans.

• Oversee care plans, service delivery, and benefit sufficiency.

• Collaborate with providers on care coordination, including appointments, transportation, and durable medical equipment (DME).

• Educate members on their conditions, treatment plans, benefits, services, and how to access care.

• Track progress towards objectives and reassess changes in health status.

• Provide referrals to community resources and facilitate access and communication among services.

• Engage in interdisciplinary and client rounds to identify, clarify, or avert risks, quality concerns, and care plan discrepancies.

⛳️ Requirements

• Residency in South Carolina is mandatory.

• Must be a Registered Nurse (RN) with a current, unrestricted license in South Carolina.

• A minimum of three (3) years of clinical experience in a Level III or higher NICU is required.

• CCM certification must be obtained within the timeframe outlined by company policy.

• Experience with data entry into a database or electronic health record (EHR) is essential.

• Proficiency in computer use is required.

• Strong communication skills and organizational abilities are necessary.

• Self-motivation and a willingness to learn various tasks are essential.

• Must be well-organized and capable of prioritizing tasks effectively.

• Accuracy in spelling and documentation is a must.

• Proven ability to work independently and collaboratively within a team is required.

• Excellent interpersonal skills and telephone etiquette are necessary.

• Must maintain positive communication at all times.

• A commitment to providing exceptional customer service is essential.

• Bilingual proficiency in Spanish is strongly preferred.

• A college degree is preferred.

• Prior experience in a Case Management role is preferred.

🏝️ Benefits

• Paid Time Off.

• Paid Parental Leave.

• Medical, dental, and vision benefits.

• 401K plan with company matching.

• Short- and Long-Term Disability coverage.

• Group Life Insurance.

• Tuition reimbursement.

• Opportunities for professional development.

• Business Casual work environment.