Personify Health

Provide telephonic case management to health insurance plan participants, including assessments, treatment planning, monitoring interventions, and utilization review. | Current California RN license, minimum 5 years medical/surgical or acute care experience, 2 years case management experience, knowledge of medical claims coding and utilization review. | Overview Who We Are 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. Responsibilities We are seeking a Part Time Case Manager Nurse, RN to join our team on a part-time basis, working up to 29 hours per week. In this role, you 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. What You'll Actually Do • Contact patient and complete a thorough assessment, including physical, psychosocial, emotional, spiritual, environmental, and financial needs. • 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. • Develop treatment plan for standard and catastrophic cases in collaboration with the patient, caregivers or family, community resources and multi-disciplinary 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. • Initiate and maintain contact with the patient/family, provider, employer, and multidisciplinary team as needed throughout the continuum of care. • 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. • Be able to meet productivity, quality and turnaround time requirements on a daily, weekly and monthly basis. • Negotiate and implement cost management strategies to affect quality outcomes and reflect this data in monthly case management reviews and cost avoidance reports. • Establish and maintain working relationships with healthcare providers, client/group, and patients to provide emotional support, guidance and information. • Evaluate and make referrals for wellness programs. • Maintain complete and detailed documentation of case managed patients in Eldorado and UM Web; maintain site specific files ensuring confidentiality; prepare reports and updates at 30-day intervals for high-risk cases and 90 days interval for low risk cases ensuring confidentiality according to Company policy and HIPAA • Perform Utilization Review for assigned members. • Serve as mentors to LVNs and provide guidance on complicated cases as it relates to clinical issues. Qualifications What You Bring to Our Mission • Graduation from an accredited RN program and possession of a current California RN license. • Minimum of five (5) years medical/surgical or acute care experience, including two years' experience in case management, or an equivalent combination of education and experience. • Prefer case management experience, emergency room, critical care background or some other area of clinical care that is pertinent to case management. • Knowledge of medical claims and ICD-10, CPT, HCPCS coding. • Ability to critically evaluate claims data and determine treatment plan; discharge planning experience. Why You'll Love It Here We believe in creating meaningful work experiences that fit your life-whether you're building your career, balancing other commitments, or seeking purposeful part-time opportunities. Flexibility that actually works: • Part-time schedule designed around your availability and life priorities • Remote work that eliminates commute stress • Clear expectations and boundaries that respect your time investment Growth without limits: • Access to learning and development opportunities alongside full-time colleagues • Mentorship and skill-building that translates to career advancement A culture that energizes: • People Matter: Inclusive community where every voice matters and diverse perspectives drive innovation • One Team One Dream: Collaborative environment where we celebrate wins together and support each other through challenges • We Deliver: Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results • Grow Forward: Continuous learning mindset with team events, recognition programs, and celebrations that make work genuinely enjoyable The practical stuff: • Competitive hourly compensation that values your expertise • Technology and equipment support to set you up for success Ready to create a healthier world while building the career you want? We're ready for you. No candidate will meet every single qualification listed. If your experience looks different but you think you can bring value to this 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 $36 to $38 per hour. Note that compensation may vary based on location, skills, and experience. This position is part time and therefore not eligible for 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 talent@personifyhealth.com. All of our legitimate openings can be found on the Personify Health Career Site. Employment Type: PART_TIME

Lead client retention, growth, and onboarding efforts while managing day-to-day account activities, building strategic relationships, supporting program delivery and implementation, and analyzing performance data to optimize client wellbeing programs. | Requires 5+ years of direct account management experience, bachelor's degree or equivalent, knowledge of Microsoft Office, Salesforce and Gainsight preferred, strong interpersonal and organizational skills, and ability to work independently and collaboratively. | Overview Who We Are 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 Ready to Guide Clients Through Transformative Wellbeing Program Success? We're seeking a passionate client success professional who can take ownership of guiding clients through wellbeing program planning and execution. As our Wellbeing Client Success Manager, you'll ensure best-practice design and flawless implementation while managing day-to-day account activities and identifying growth opportunities. What makes this role different ✓ Program expertise: Guide clients through wellbeing program planning with deep knowledge of best practices and implementation strategies ✓ Growth facilitation: Support Expansion, Strategic Accounts, and Sales teams in identifying and pursuing growth opportunities ✓ Trusted partnership: Serve as key resource and advocate, ensuring clients see you as essential to their success ✓ Data-driven approach: Conduct client reviews, analyze performance data, and develop strategic action plans aligned with client objectives What You'll Actually Do Lead client retention and growth: Take ownership of retention, growth, and onboarding efforts for client portfolio while monitoring and fulfilling contractual obligations. Build strategic relationships: Develop and nurture strong relationships with clients, consultants, brokers, and influencers while communicating product roadmaps with enthusiasm. Manage program delivery: Design and execute tailored engagement plans based on client organizational needs while collaborating with Client Delivery Team on operational processes. Analyze and optimize: Conduct client reviews, analyze performance data, and develop strategic action plans while monitoring program engagement for optimization opportunities. Support implementation: Partner with Project Management Team for successful new client implementations while developing year-round client program plans. Coordinate internal teams: Manage day-to-day account activities while coordinating with Client Delivery, Client Solutions, and Business Analysts for seamless execution. Qualifications What You Bring to Our Mission The client success foundation: Bachelor's degree or equivalent in related discipline 5+ years direct account management work with primary accountability for overall account relationships Background in consulting, wellness, health insurance, healthcare, navigation, and/or related field The technical expertise: Excellent knowledge and skill using Microsoft Office suite Experience with Salesforce and Gainsight (Gainsight preferred) Strong interpersonal, presentation, and writing skills The professional competencies: Strong organizational skills and detail orientation with demonstrated ability to collaborate Collaborative, fast-moving approach with comfort with change Self-directed with proven ability to work independently while serving as trusted advisor to clients Why You'll Love It Here We believe in total rewards that actually matter—not just competitive packages, but benefits that support how you want to live and work. Your wellbeing comes first: Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!) Mental health support and wellness programs designed by experts who get it Flexible work arrangements that fit your life, not the other way around Financial security that makes sense: Retirement planning support to help you build real wealth for the future Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage Growth without limits: Professional development opportunities and clear career progression paths Mentorship from industry leaders who want to see you succeed Learning budget to invest in skills that matter to your future A culture that energizes: People Matter: Inclusive community where every voice matters and diverse perspectives drive innovation One Team One Dream: Collaborative environment where we celebrate wins together and support each other through challenges We Deliver: Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results Grow Forward: Continuous learning mindset with team events, recognition programs, and celebrations that make work genuinely enjoyable The practical stuff: Competitive base salary that rewards your success Unlimited PTO policy because rest and recharge time is non-negotiable Benefits effective day one—because you shouldn’t have to wait to be taken care of Ready to create a healthier world? We are ready for you. 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 $80,000 to $90,000. Note that compensation may vary based on location, skills, and experience. This position is eligible for 10% target bonus/variable compensation as well as 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 talent@personifyhealth.com. All of our legitimate openings can be found on the Personify Health Career Site.

Manage complex client projects and implementations, lead multi-faceted partnership rollouts, ensure project completion on time, mentor junior team members, and maintain client satisfaction through operational expertise. | Requires 3-5+ years of project management or software implementation experience, client/vendor interaction, strong project management and customer skills, knowledge of Microsoft Office, healthcare or health insurance experience preferred, and ability to manage multiple priorities. | Description: • Personify Health: the first personalized health platform company combining health, wellbeing, and navigation solutions • Manage complex client projects (new partner ad group implementations, expansion implementations, platform migrations, ad-hoc efforts) • Ensure assigned projects are completed within required internal and external timelines • Serve as peer mentor and guide to new or junior team members • Lead large multi-faceted partnership and individual group implementations of varying complexity • Maintain overall implementation project ownership and coordinate activities/deliverables across internal departments • Serve as a client-facing expert on operational aspects of Personify Health’s programs and solutions • Deliver high client satisfaction; respond to and resolve client or broker requests during implementation • Solicit client feedback and work with internal partners to implement enhancements and fixes • Employ Personify Health standard project methodology, processes, and procedures • Participate in pre-sales activities as assigned (RFPs, prospect calls, finalist meetings) • Manage operational/tactical activities for 3rd party integrations and provide supplemental support to Client Success/Delivery • Participate in process improvement initiatives and perform special projects as requested Requirements: • Bachelor's degree, or equivalent, in related discipline • 3-5+ years of project management and/or software implementation work experience • Previous experience working directly with external clients and vendor partners (strongly preferred) • Excellent knowledge of Microsoft Office suite • Experience working with project management tools preferred (Microsoft Project, Smartsheet, etc) • Experience working in Health insurance, Healthcare environment or Health TPA • Strong project management skills • Excellent customer facing skills • Ability to navigate a dynamic technological environment • Experience managing multiple and changing priorities with a positive attitude • Ability to build relationships and work effectively with and through others • Ability to prioritize deliverables and effectively negotiate with clients and internal parties • Excellent interpersonal and technical writing skills • Strong organizational skills and detail orientation • Required to work cross-functionally within the organization and with external partners • Strong analytical, problem-solving skills and ability to tactfully navigate de-escalation Benefits: • [x%] target bonus/variable compensation • Health • Dental • Vision • Mental health • Other benefits • Flexible opportunities • Total rewards