We’re Personify Health. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. 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.
Responsibilities:
As a Disease Management Nurse, you will telephonically coordinate wellness and disease management, with a primary focus on conditions such as diabetes, asthma, COPD, CAD, CHF, atrial fibrillation, hypertension, and hyperlipidemia but not limited to this list.
In this role you will wear many hats, but your knowledge will be essential in the following:
- Contact targeted member for health promotion and restoration by the use of national care guidelines to compare patient’s current level of care with industry standards.
- Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health; create an individual care plan for each patient; provide close follow-up with patients actively managed.
- Work with patients to ensure they have a primary care provider; assist in referrals to specialists if needed; assist in obtaining durable medical equipment, review pricing for high-cost drugs.
- Evaluate and make referrals for case management, prenatal program or pharmacology review as indicated.
- Document interventions and patient contact; maintain privacy of member’s records and assist in providing quarterly reports to clients.
- Track groups of high-risk members and interventions to show overall health improvement within the organization.
- Be able to meet productivity, quality and turnaround time requirements on a daily, weekly and monthly basis.
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.
Qualifications:
In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:
- Graduation from an accredited RN program and possession of a current United States RN license. May require additional licensing as business needs change.
- Prior experience in case management, coordinating wellness programs, or an equivalent combination of education and experience.
You also take pride in offering the following Core Skills, Competencies, and Characteristics:
- Strong written and verbal communication skills
- Proficient in Microsoft Excel, Word, PowerPoint and Outlook
- Demonstrate ability to work independently with excellent judgment
- Excellent interpersonal and communication skills including able to give presentations to groups and individuals as needed.
- Good time management skills, 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 $31.00 to $38.00 per hour. Note that compensation may vary based on location, skills, and experience.
We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.
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Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to [email protected]. All of our legitimate openings can be found on the Personify Health Career Site.
Application Deadline: Open until position is filled.