Nurse Case Manager – NICU

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

📋 Description

• Evaluate the physical, functional, psychological, environmental, educational, and financial needs of members.

• Conduct needs assessments and create personalized care plans.

• Assign risk levels based on medical and social complexities.

• Establish ongoing call frequency and oversee care plans.

• Ensure the effective and appropriate delivery of services and the adequacy of benefits.

• Collaborate with providers to schedule appointments, arrange transportation, DME, and other essential services.

• Inform members about their conditions, treatment plans, benefits, services, and how to access care.

• Track progress towards goals and reassess any changes in health status.

• Connect members with community resources and facilitate communication among various services.

• Oversee service delivery to ensure it meets the needs of members.

• Engage in interdisciplinary and client rounds to identify, clarify, and mitigate risks, quality issues, or deviations in care plans.

• Operate within a telephonic managed care environment to promote quality care for high-risk members.

⛳️ Requirements

• RN licensure in Texas or Compact licensure is required.

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

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

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

• Experience with data entry into databases or EHR systems is necessary.

• Computer literacy is a must.

• Strong communication skills and organizational abilities are essential.

• Must be self-driven and eager to learn a variety of tasks.

• Excellent organizational skills with the ability to prioritize tasks effectively.

• Accuracy in spelling and documentation is required.

• Proven ability to work independently as well as collaboratively within a team setting.

• Exceptional interpersonal skills and telephone etiquette are necessary.

• A commitment to providing excellent customer service is essential.

• A college degree is preferred.

• Experience in a Case Management role is an advantage.

• Prior experience in a maternity management program is preferred.

🏝️ Benefits

• Paid Time Off.

• Paid Parental Leave.

• Medical, dental, and vision benefits.

• 401K with company match.

• Short- and Long-Term Disability.

• Group Life Insurance.

• Tuition reimbursement.

• Opportunities for professional development.

• Business Casual work environment.