Case Manager Nurse - LPN/LVN

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

Case Manager Nurse LVN/LPN 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

 

• 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

Qualifications

What You Bring to Our Mission

• Graduation from an accredited LVN/LPN program and a current LVN/LPN license
• Prior experience in case management, coordinating wellness programs, or an equivalent combination of education and experience.
• 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
• Computer proficiency and working knowledge of Microsoft Office Suite and Microsoft Outlook required.
• Knowledge of medical claims and ICD-10, CPT, HCPCS coding preferred.
• Knowledge of utilization management/quality management case philosophies and reporting requirements; quality improvement methodologies preferred.
• Ability to critically evaluate claims data and provide accurate patient assessment; ability to establish nursing treatment plans.
• Excellent interpersonal and communication skills; strong customer orientation; good time management skills; highly organized.

 

 

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.