Now is the time to join us! 

In this role you will wear many hats, but your knowledge will be essential in the following:  

• Work in conjunction with the management to establish work procedures and processes that support Company and departmental standards, procedures, and strategic directives.
• Use appropriate judgment in upward communication regarding department or employee concerns
• Monitor, audit and analyze employee performance; identify and resolve problems; prepare and complete action plans; assist in managing system and process improvement.
• Meet periodically with staff as directed by manager to review performance.
• Plan, organize and distribute work; keep team informed of updates and changes in policy or procedure; instruct employees regarding procedures and methods; resolve difficult or non-routine situations or problems.
• Telephonically manage cases on a long or short term basis per established Company guidelines, policies and procedures, as well as other standardized criteria in the healthcare industry.
• Contact patient and complete a thorough assessment, including physical, psychosocial, emotional, spiritual, environmental, and financial needs.
• Develop treatment plan in collaboration with the patient, caregivers or family, community resources and multidisciplinary healthcare providers that include obtainable short and long term goals. Monitor interventions and evaluate the effectiveness of the treatment plan in a timely manner; report measurable outcomes that record effectiveness of interventions.
• Advocate for the patient by facilitating the delivery of quality patient care, and by assisting in reducing overall costs; provide patient/family with emotional support and guidance.
• Negotiate and implement cost management strategies to affect quality outcomes and reflect this data in monthly case management reviews and cost avoidance reports.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

What you bring to the Personify Health team:

In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:

• RN or SW California Licensure required for RN.
• Minimum of 3-5 years medical/surgical or acute care experience, including prior supervisory experience, or an equivalent combination of education and experience.
• 1 plus years’ experience in chronic disease or case management preferred.
• Knowledge of medical claims and ICD-10, CPT, HCPCS coding.

You also take pride in offering the following Core Skills, Competencies, and Characteristics:

• Ability to critically evaluate claims data and determine treatment plan; discharge planning experience.

   

• Ability to work independently making decisions and problem solving

   

• Knowledge of community resources and alternate funding programs.

   

• Computer proficiency or working knowledge of Microsoft Office Suite.

   

• Excellent interpersonal, communication and negotiation skills.

   

• Strong customer orientation.

   

• Good time management skills and highly organized.

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 $85,000 to $92,000 annually. Note that salary may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.

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