Part Time Case Manager, RN

4 days ago

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Logo of Personify Health

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

1001 - 5000 employees

Founded 2023

⚕️ Healthcare Insurance

🤝 B2B

☁️ SaaS

📋 Description

• Offer telephonic case management for members with severe or chronic health conditions • Coordinate care and develop patient treatment plans • Telephonically manage cases per established guidelines • Complete thorough assessments of patients' needs • Develop treatment plans with patients and caregivers • Monitor interventions and report effectiveness • Maintain contact with patients and multidisciplinary teams • Advocate for quality patient care and support • Meet daily productivity requirements • Negotiate and implement cost management strategies • Ensure confidentiality according to company policy

🎯 Requirements

• Current unrestricted RN license • California license (preferred) • 1+ years of case management experience required • Computer proficiency (Microsoft Office) • Knowledge of medical claims and coding preferred • Knowledge of utilization management case philosophies preferred

🏖️ Benefits

• Health benefits • Dental benefits • Vision benefits • Mental health benefits • Other benefits

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