Personify Health
Personify Health is the first and only personalized health platform company dedicated to empowering individuals and organizations through innovative health solutions. The company provides a comprehensive platform that integrates health plan administration, wellbeing services, and care navigation to enhance the healthcare experience for employers, health systems, and brokers. By offering tailored solutions designed to improve member engagement and manage health costs, Personify Health aims to enable healthier lives and healthier businesses.
Health Plan Administration • Wellbeing • Navigation & Advocacy • Payment Integrity • Care and Condition Management
Case Manager, RN
March 26
Personify Health
Personify Health is the first and only personalized health platform company dedicated to empowering individuals and organizations through innovative health solutions. The company provides a comprehensive platform that integrates health plan administration, wellbeing services, and care navigation to enhance the healthcare experience for employers, health systems, and brokers. By offering tailored solutions designed to improve member engagement and manage health costs, Personify Health aims to enable healthier lives and healthier businesses.
Health Plan Administration • Wellbeing • Navigation & Advocacy • Payment Integrity • Care and Condition Management
📋 Description
• Offer telephonic case management for members experiencing severe or chronic health conditions • Provide patient education, emotional support, and assistance with care coordination • Coordinate care and services and develop patient treatment plans for catastrophic cases • Telephonically manage cases on a long or short-term basis per established company guidelines, policies and procedures • Complete thorough assessments and develop treatment plans in collaboration with patients, caregivers or family • Monitor interventions and evaluate the effectiveness of the treatment plan in a timely manner • Advocate for the patient by facilitating delivery of quality patient care and providing emotional support
🎯 Requirements
• Current unrestricted RN license • California license (preferred) • 1+ years of case management experience required • 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
🏖️ Benefits
• health • dental • vision • mental health • other benefits
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🇺🇸 United States – Remote
💰 $28M Venture Round on 2013-02
⏰ Full Time
🟢 Junior
👔 Manager
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