Case Management Nurse RN

• Graduate of an accredited nursing program
• Current RN license required based on business need
• 3 years of medical/surgical or acute care experience

• Working knowledge of NCQA, URAC, CMSA, and CMS standards and HIPAA requirements
• Knowledge of medical claims and ICD-10, CPT, and HCPCS coding
• Proficiency in Microsoft Word, Excel, and Outlook
• Basic computer literacy, proficient typing, and the ability to work across multiple screens
• Proficiency in Teams (on and off camera), SharePoint, shared drives, VPN, UM Web or Health Notes, El Dorado, Quick Links, GIAS, ADP, Confluence, Smartsheet, and a phone system with headset; additional programs may apply based on job duties
• Full system proficiency expected after training and a 1.5-month ramp (3 months total)

• Competitive base salary and benefits effective day one
• Comprehensive medical and dental through our own health solutions (yes, we use what we build)
• Paid Time Off—rest and recharge time is non-negotiable
• 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

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

Compensation: This position offers a base salary range of $35.00-$37.00 per hour, depending on location, skills, and experience. You're eligible for our full benefits package starting day one.

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

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