Who We Are
Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. 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.
We're seeking a detail-oriented professional who can provide essential administrative assistance to nurse case managers while ensuring timely identification of high-dollar concerns and case management needs. As our Triage Specialist, you'll play a vital role in monitoring referrals, maintaining accurate documentation, and supporting case managers in delivering quality care coordination. This flexible position is ideal for candidates seeking reduced hours while making meaningful impact.
This is a part-time position up to 29 hours a week. Employees may be required to work evening and weekend shifts.
What makes this role different:
✓ Flexible schedule: Reduced hours with evening and weekend availability as needed to support healthcare operations
✓ Critical triage role: Review referrals to identify high-dollar concerns and case management needs requiring immediate attention
✓ Stop Loss coordination: Provide accurate Stop Loss notification for potential high-dollar claims supporting financial risk management
✓ Technology proficiency: Work with multiple software systems including UM Web and El Dorado for comprehensive case tracking
What You'll Actually Do
Manage referral triage: Review referrals to identify possible high-dollar concerns and case management needs while uploading case referrals for potential case management intervention.
Create and maintain cases: Establish cases in computer software program while performing accurate data entry and maintaining complete, detailed documentation in software systems.
Coordinate Stop Loss notifications: Provide accurate Stop Loss notification for potential high-dollar claims ensuring timely communication of financial concerns.
Support nurse case managers: Deliver administrative support to assigned nurses while monitoring cases under high-dollar case type and closing cases when no further needs are identified.
Meet performance standards: Achieve productivity, quality, and turnaround time requirements on daily, weekly, and monthly basis while meeting established metrics consistently.
Maintain operational excellence: Demonstrate regular and predictable attendance and punctuality while adapting to changing priorities in fast-paced environment.
What You Bring to Our Mission
The foundational experience:
The technical competencies:
The professional qualities:
Why You'll Love It Here
We believe in total rewards that actually matter—not just competitive packages, but benefits that support how you want to live and work.
Your wellbeing comes first:
Financial security that makes sense:
Growth without limits:
A culture that energizes:
The practical stuff:
Ready to create a healthier world? We're ready for you.
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 from $17 to $20 per hour. Note that compensation may vary based on location, skills, and experience. This position is part-time and therefore not eligible for benefits.
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.
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