Part Time Case Management Coordinator

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

Ready to Orchestrate Care That Transforms Member Health Outcomes?

We're seeking a detail-oriented healthcare professional who can manage short-term case coordination with focus on care continuity and member advocacy. As our Case Management Coordinator, you'll telephonically manage a caseload of 20-25 cases while utilizing multiple data sources to implement comprehensive care plans that ensure seamless healthcare experiences.

 

What makes this role different

✓ Member advocacy focus: Serve as dedicated coordinator ensuring members receive appropriate, timely care through complex healthcare systems

✓ Data integration expertise: Utilize multiple information sources including claims data, medical records, and provider conversations to create comprehensive care plans

✓ Cross-functional collaboration: Build working relationships with internal departments, healthcare providers, clients, and patients for optimal outcomes

✓ Short-term intervention impact: Focus on care coordination and continuity-of-care that makes immediate, meaningful difference in member experiences

What You'll Actually Do

Coordinate comprehensive care: Manage telephonic caseload of 20-25 cases focused on care coordination and continuity-of-care interventions that ensure seamless member experiences.

Synthesize complex information: Utilize multiple sources including paid claims data, customer service notes, clinical guidelines, medical records, member conversations, and provider discussions to implement supervisor-outlined care plans.

Build strategic relationships: Establish and maintain working relationships with internal departments, healthcare providers, clients/groups, and patients to facilitate optimal care coordination.

Maintain detailed documentation: Complete comprehensive documentation of care plan progress in Eldorado and UM Web while submitting finalized reports every 4 weeks reflecting completed work.

Meet performance standards: Achieve productivity, quality, and turnaround time requirements on daily, weekly, and monthly basis while maintaining focus on member outcomes.

Qualifications

What You Bring to Our Mission

The foundational experience:

• High school diploma or GED required
• 2-3 years prior experience in customer service, claims, and/or triage
• Coordination of care experience in insurance or hospital setting

The technical expertise:

• Computer proficiency and working knowledge of Microsoft Office Suite and Microsoft Outlook required
• Knowledge of medical claims and ICD-10, CPT, HCPCS coding preferred
• Background in medical terminology

The professional competencies:

• Ability to critically evaluate data and provide accurate patient assessment with capability to establish treatment plans
• Excellent interpersonal and communication skills with strong customer orientation
• Good time management skills with highly organized approach
• Strong analytical abilities for synthesizing complex healthcare information into actionable care coordination strategies

 

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
• 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 thro