Case Manager Nurse – LPN/LVN

Personify Health; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An innovative health platform is seeking a dedicated Case Manager LVN/LPN to coordinate care for patients over the phone. In this dynamic role, you will manage cases, perform assessments, and collaborate with healthcare providers to ensure high-quality, cost-effective care. You will educate patients on their treatment options and navigate their health plans, making a significant impact on their health journey. Join a forward-thinking company that values diversity and inclusion, and offers a supportive environment for professional growth and development.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Mental Health Benefits

Qualifications

• Graduation from an accredited LPN/LVN program and a current compact LPN/LVN license.
• Experience in medical, surgical, and/or acute care setting.

Responsibilities

• Manage cases and coordinate patient care over the phone.
• Educate patients on treatment options and navigate their health plans.

Skills

Case Management

Communication Skills

Collaboration Skills

Patient Education

Education

LPN/LVN License

Accredited LPN/LVN Program Graduation

Job description

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.

Who are you?

The Case Manager LVN/LPN will coordinate patient care over the phone between providers and caregivers to help ensure cost-effective, high-quality healthcare for health insurance plan participants.

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

• 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

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:

• Graduation from an accredited LPN/LVN program and a current compact LPN/LVN license
• Experience in medical, surgical, and/or acute care setting
• Strong understanding of how to manage cases and coordinate health programs
• Clear communication style and strong collaboration skills

Physical and Mental Requirements:

• Ability to safely and successfully perform the essential job functions with or without a reasonable accommodation, including meeting qualitative and/or quantitative productivity standards.
• Ability to maintain regular, punctual attendance.
• Ability to sit for 6-8 hours.
• Use of computer keyboard and mouse; repetitive use of both hands.
• Occasional to frequent twisting of neck; occasional bending of neck and at waist.

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 $25.00 to $27.50 hourly. Note that salary may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.

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.

#WeAreHiring #PersonifyHealth

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 [e-mail] . All of our legitimate openings can be found on the Personify Health Career Site .