Personify Health
Personify Health is the first personalized health platform company, designed to empower individuals and organizations to achieve better health outcomes through tailored solutions and services. They offer a comprehensive range of solutions including wellbeing navigation, care management, and health plan administration, catering to employers, health systems, health plans, and brokers. Their goal is to simplify healthcare experiences and enhance engagement, ultimately helping businesses optimize their investment in employee health and wellbeing.
Health Plan Administration • Wellbeing • Navigation & Advocacy • Payment Integrity • Care and Condition Management
Case Manager, RN
March 10
Personify Health
Personify Health is the first personalized health platform company, designed to empower individuals and organizations to achieve better health outcomes through tailored solutions and services. They offer a comprehensive range of solutions including wellbeing navigation, care management, and health plan administration, catering to employers, health systems, health plans, and brokers. Their goal is to simplify healthcare experiences and enhance engagement, ultimately helping businesses optimize their investment in employee health and wellbeing.
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 • 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 • Contact patient and complete thorough assessment, including physical, psychosocial, emotional, spiritual, environmental, and financial needs • Develop treatment plan in collaboration with patient, caregivers or family, community resources, and multidisciplinary healthcare providers • Monitor interventions and evaluate effectiveness of treatment plan
🎯 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
🏖️ Benefits
• Health • Dental • Vision • Mental health • Other benefits
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