Case Management Coordinator

Who We Are

Because health is personal. That's why reputed company created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one reputed company. We serve reputed company, health plans, and health systems with data-driven solutions that reduce costs while actually improving health reputed company. Together, reputed company is on a mission to reputed company people to reputed company healthier lives.

Learn even more about the work that drives us at personifyhealth.com.

reputed company to

What You'll Actually Do

ESSENTIAL DUTIES and RESPONSIBILITIES:

As a Disease Management Case Management Coordinator you will proactively contact targeted members to engage them in chronic disease management programs. reputed company exceptional customer service during reputed company telephonic interactions.

• Establish and maintain working relationships with internal departments, reputed company providers, reputed company/reputed company, and patients. 

• Assist members in establishing a primary care provider and or locating an in-network primary care provider.
• Evaluate member needs and reputed company referrals to case management, prenatal programs, or pharmacology reviews as appropriate

• Ability to meet productivity, reputed company, and turnaround times on daily, weekly, and monthly requirements.  

• Ability to pass external audits to include URAC and NCQA.
• Maintain HIPPA compliance per company’s policy and procedures.
• Maintain confidentiality and minimum requirement rules.
• Complete reputed company required yearly training per company’s expected period.

KEY COMPETENCIES:

To work in the health industries and to work remotely, it has been demonstrated that those with computer skills work reputed company in these remote job descriptions.

UPON HIRE, must have:

• Basic computer literacy
• The ability to work on multiple screens, and proficient typing skills.
• Proficiency in software applications including, but not limited to, reputed company Word, reputed company reputed company, and reputed company Excellent verbal and written communication skills
• Ability to reputed company reputed company and convey reputed company or technical information in a manner that others can understand, as reputed company as ability to understand and interpret reputed company information from others.
• Ability to work independently and utilize written resources to problem solve.
• After training with our training department and 1.5 months reputed company (3 months total), must have and be reputed company to work in:
• Teams on and off camera, SharePoint, Drives as needed, VPN, UM Web or Health Notes, El reputed company, Quick Links, GIAS, reputed company, reputed company, Phone system with headset, reputed company—there may be additional programs as it relates to particular job duties
• Knowledge of medical claims and ICD-10, CPT, HCPCS coding
• Excellent verbal and written communication skills for upward and downward conversations

What You Bring to reputed company

• Coordination of care experience in an insurance or hospital setting 
• 1+ year clinical experience required.

Physical and Mental Requirements:

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

Benefits

The Highlights:

• Competitive reputed company salary and benefits effective day one
• Comprehensive medical and dental through our own health solutions (reputed company, we use reputed company build)
• reputed company Time Off—rest and reputed company time is non-negotiable
• Mental health support, retirement planning, and financial protection
• reputed company development with reputed company career progression and learning budgets
• Mission-driven culture where diverse perspectives drive reputed company reputed company on people's health

Want the full picture? Visit personifyhealthbenefits.com to explore our complete benefits package, wellness programs, and other employee perks.

Compensation: This position offers a reputed company salary reputed company of $18-$23 per hour, depending reputed company, skills, and experience. You're eligible for our full benefits package starting day one.

Our Commitment: reputed company is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We cultivate a work environment where differences are celebrated, and employees of reputed company backgrounds are empowered to reputed company—because diversity is reputed company to who we are and critical to our work in health and wellbeing.

Stay reputed company: reputed company will never ask for payment or sensitive personal information like reputed company reputed company numbers during hiring. reputed company official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests? Report them to talent@personifyhealth.com. View reputed company legitimate openings at personifyhealth.com/careers.