Case Management Nurse - Mechanicsburg, United States - Valenz
Description
Valenz Health simplifies the complexities of self-insurance for employers through a steadfast commitment to data transparency and decision enablement powered by its Healthcare Ecosystem Optimization Platform.
Offering a strong foundation with deep roots in clinical and member advocacy, alongside decades of expertise in claim reimbursement and payment validity, integrity, and accuracy, as well as a suite of risk affinity solutions, Valenz optimizes healthcare for the provider, payer, plan, and member.
By establishing "true transparency" and offering data-driven solutions that improve cost, quality, and outcomes for employers and their members, Valenz engages early and often for smarter, better, faster healthcare.
About Our Opportunity
As a Case Management Nurse on our KISx (Keep It Simple Surgery) team, you'll liaise between patients and provider facilities ensuring timely scheduling of imaging appointments and execution of surgical procedures with direct contracted providers.
Things You'll Do Here:
- Schedule and manage imaging appointments for patients, ensuring timely and efficient service.
- Organize and schedule surgical procedures with direct contracted providers, ensuring all necessary preparations are made.
- Act as a liaison between patients and healthcare providers, advocating for patient needs and preferences.
- Conduct initial clinical assessments of patients to determine appropriate care and necessary medical procedures.
- Collaborate with various healthcare professionals to coordinate patient care and share important medical information.
- Assist patients with benefit coverage, and coordinate with billing departments to ensure coverage for procedures and appointments.
- Provide patients with information and education about their medical procedures, postprocedure care, and overall health management.
- Arrange for followup appointments and ensure continuity of care postprocedures.
- Ensure all patient care activities comply with healthcare regulations and standards and contribute to quality improvement initiatives.
What You'll Bring to the Team:
- Current RN license.
- 2+ of experience in a similar Case Management or Patient-Provider Coordinator position
- Strong analytical and problemsolving skills, with a creative approach to decisionmaking.
- Ability to work effectively with custom software for documenting daily calls and case notes.
- Exceptional verbal and written communication skills.
- A solid understanding of the healthcare system from the perspectives of providers, insurers, and patients.
- A plus if you have _
- Surgical/Med-Surg experience.
Where You'll Work
This is an in-office role Our office is located at 1 Kacey Ct, Ste 100 in Mechanicsburg, PA.
Why You Will Love Working Here
We offer employee perks that go beyond standard benefits and compensation packages - see below
At Valenz, our team is committed to delivering on our promise to
engage early and often for smarter, better, faster healthcare.
We want everyone engaged within our ecosystem to be
_ strong, vigorous, and healthy._ You'll find limitless growth opportunities as we grow together.
Perks and Benefits
- Generously subsidized companysponsored Medical, Dental, and Vision insurance.
- Spending account options: HSA, FSA, and DCFSA
- 401K with company match and immediate vesting.
- Flexible working environment.
- Generous Paid Time Off to include Vacation, Sick, and Paid Holidays.
- Paid maternity and paternity leave.
- Community giveback opportunities, including paid time off for philanthropic endeavors.
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