Case Manager Nurse - LPN/LVN

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.

Case Manager Nurse LVN/LPN will provide telephonic case management between providers, patients and caregivers to help ensure cost-effective, high-quality healthcare for health insurance plan participants. . This position offers flexibility and is ideal for candidates looking for reduced hours while making an impact within the team. Evening and weekend availability may be required.

Manage cases on a short- and long-term basis over the phone Perform basic questionnaires and assessments to determine a patient’s diagnosis, treatments, barriers to care, and healthcare needs Works with RN Case Manager to create and implement individualized plans Educate patients on treatment and services options, navigating their health plan, benefits utilization, coordinating referrals, etc. Initiate and maintain contact with the patient/family, provider, employer, and multidisciplinary team as needed throughout the continuum of care Monitor interventions, evaluate the effectiveness of the treatment plan, report measurable outcomes Establish working relationships with healthcare providers, client/group, and patients to provide emotional support, guidance, and information Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health and identify for participation in appropriate programs Be able to meet productivity, quality, and turnaround time requirements on a daily, weekly, and monthly basis