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Lead Disease Management - RN

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Personify Health

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Location:
United States

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Category:
Nursing

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Contract Type:
Not provided

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Salary:

38.00 - 40.00 USD / Hour
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Job Description:

Provide daily direction and communication to case management staff through motivation, coaching, counseling, training, quality control review and problem-solving. Coordinate care and services and develop patient treatment plans for catastrophic cases. Will also provide treatment plans and supervise all LVN work. Must be available to work Monday- Friday 8am-5pm and occasional Saturday (if needed)

Job Responsibility:

  • Provide daily direction and communication to case management staff through motivation, coaching, counseling, training, quality control review and problem-solving
  • Coordinate care and services and develop patient treatment plans for catastrophic cases
  • Provide treatment plans and supervise all LVN work
  • Provide daily leadership, direction, and communication to Chronic Disease Management (CDM) staff
  • Collaborate with management to establish and maintain workflows, procedures, and processes
  • Exercise sound judgment in escalating department-level or employee-related concerns
  • Monitor, audit, and analyze staff performance
  • identify performance gaps
  • develop and implement corrective action plans
  • Plan, organize, and distribute work assignments
  • communicate policy and procedural updates
  • instruct staff on approved methods
  • and resolve complex or non-routine operational issues
  • Train and mentor staff on managing patient cases telephonically
  • Train and mentor staff on patient outreach and comprehensive assessments
  • Train staff on developing individualized care plans
  • Train staff on monitoring interventions, evaluating treatment plan effectiveness, and documenting measurable outcomes
  • Guide staff in patient advocacy
  • Ensure staff meet established productivity, quality, and daily performance metrics
  • Maintain readiness for and successfully pass external audits, including URAC and NCQA
  • Ensure compliance with HIPAA regulations, company policies, confidentiality standards, and minimum necessary requirements
  • Complete all required annual training within established company timelines
  • Willingness to travel

Requirements:

  • RN California Licensure required
  • Minimum of five 3-5 years medical/surgical or acute care experience, including prior supervisory experience, or an equivalent combination of education and experience
  • 2 plus years’ experience in case management preferred
  • Basic computer literacy, including proficiency with keyboarding and navigating multiple screens simultaneously
  • Proficient typing skills
  • Proficiency in common business software applications, including Microsoft Word, Microsoft Excel, and Outlook
  • Strong verbal and written communication skills
  • Ability to clearly articulate complex or technical information and accurately interpret information provided by others
  • Ability to work independently and utilize written resources, policies, and procedures to resolve issues and solve problems
  • Working knowledge of medical claims processes and medical coding systems, including ICD-10, CPT, and HCPCS
  • Proficiency in required systems and tools after training: Microsoft Teams, SharePoint, VPN access tools, UM Web, Health Notes, ADP, Confluence, MyCare, Phone systems utilizing a headset, Smartsheet
  • Ability to communicate effectively with leadership and team members
What we offer:
  • Competitive base salary and benefits effective day one
  • Comprehensive medical and dental through our own health solutions
  • Paid Time Off
  • Mental health support, retirement planning, and financial protection
  • Professional development with clear career progression and learning budgets
  • Mission-driven culture where diverse perspectives drive real impact on people's health

Additional Information:

Job Posted:
March 26, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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