• Graduation from accredited college with degree in Social Work required
• License in Social Work preferred
• Must apply for certification in case management after one year at Personify Health
• Minimum 2 years acute healthcare experience including 2 years case management experience, or equivalent combination of education and experience

• Basic computer literacy with ability to work on multiple screens and proficient typing skills
• Proficiency in Microsoft Word, Microsoft Excel, and Outlook
• Knowledge of medical claims and ICD-10, CPT, HCPCS coding
• Ability to work independently and utilize written resources to problem-solve

• Excellent verbal and written communication skills for upward and downward conversations
• Ability to speak clearly and convey complex or technical information in understandable manner
• Capability to understand and interpret complex information from others
• Ability to meet productivity, quality, and turnaround time requirements daily, weekly, and monthly
• Evidence of innovative thinking with ability to assist with department operations and implementations

• Ability to pass external audits including URAC and NCQA
• Maintain HIPAA compliance per company policies and procedures
• Maintain confidentiality and minimum requirement rules
• Complete all required yearly training per company's expected timeframe
• Additional training, certification, or degree outside of company preferred

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 $23-$29. Note that compensation may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other 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.

Application Deadline: Open until position is filled.