Case Management Nurse

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible.

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, post-procedure care, and overall health management
• Arrange for follow-up appointments and ensure continuity of care post-procedures
• Ensure all patient care activities comply with healthcare regulations and standards and contribute to quality improvement initiatives
  
  

Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.

What You’ll Bring to the Team:

• Current RN License
• 2 of experience in a clinical setting
• Strong analytical and problem-solving skills, with a creative approach to decision-making
• 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
• Case Management or Patient-Provider Coordinator experience
  
  

Where You’ll Work

This is a hybrid role! Our office is located at 1 Kacey Ct, Ste 100 in Mechanicsburg, PA.

Why You'll Love Working Here

Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do.

Benefits

• Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card
• 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 leave, and paid holidays
• Employee Assistance Program that includes professional counseling, referrals, and additional services
• Paid maternity and paternity leave
• Pet insurance
• Employee discounts on phone plans, car rentals and computers
• Community giveback opportunities, including paid time off for philanthropic endeavors
  
  

At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

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