Now is the time to join us! 

We’re Personify Health. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.

Who are you?

We are seeking Case Manager LVN/LPN to join our team on a part-time basis, working up to 29 hours per week. In this role, you will provide telephonic case management between providers, patients and caregivers to help ensure cost-effective, high-quality healthcare for health insurance plan participants. This position offers flexibility and is ideal for candidates looking for reduced hours while making an impact within the team.

In this role you will wear many hats, but your knowledge will be essential in the following:  

• Manage cases on a short- and long-term basis over the phone
• Perform basic questionnaires and assessments to determine a patient’s diagnosis, treatments, barriers to care, and healthcare needs
• Works with RN Case Manager to create and implement individualized plans
• Educate patients on treatment and services options, navigating their health plan, benefits utilization, coordinating referrals, etc.
• Initiate and maintain contact with the patient/family, provider, employer, and multidisciplinary team as needed throughout the continuum of care
• Monitor interventions, evaluate the effectiveness of the treatment plan, report measurable outcomes
• Establish working relationships with healthcare providers, client/group, and patients to provide emotional support, guidance, and information
• Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health and identify for participation in appropriate programs
• Be able to meet productivity, quality, and turnaround time requirements on a daily, weekly, and monthly basis

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

What you bring to the Personify Health team:

In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:

• Graduation from an accredited LVN/LPN program and a current LVN/LPN license
• Prior experience in case management, coordinating wellness programs, or an equivalent combination of education and experience.
• Experience in medical, surgical, and/or acute care setting
• Strong understanding of how to manage cases and coordinate health programs
• Clear communication style and strong collaboration skills

You also take pride in offering the following Core Skills, Competencies, and Characteristics:

• Computer proficiency and working knowledge of Microsoft Office Suite and Microsoft Outlook required.
• Knowledge of medical claims and ICD-10, CPT, HCPCS coding preferred.
• Knowledge of utilization management/quality management case philosophies and reporting requirements; quality improvement methodologies preferred.
• Ability to critically evaluate claims data and provide accurate patient assessment; ability to establish nursing treatment plans.
• Excellent interpersonal and communication skills; strong customer orientation; good time management skills; highly organized.

No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.

In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges up $25.00 to $30.00 per hour. Note that compensation may vary based on location, skills, and experience.

We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.

#WeAreHiring #PersonifyHealth #TPA #HPA #Selffunded

Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to talent@personifyhealth.com. All of our legitimate openings can be found on the Personify Health Career Site.

Application Deadline: Open until position is filled.