Personal Health Nurse

Tenet Healthcare

Personal Health Nurse managing holistic medical care for Conifer Health clients. Assessing members, coordinating care plans, and collaborating with physicians in value-based healthcare.

Posted 8/6/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $64,168 - $96,262 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Personal Health Management and Utilization Management, with a strong focus on developing individualized care plans and engaging with members and healthcare providers. Proficient in clinical documentation and understanding of holistic medical management principles.

Highest-signal resume keywords

RN (Registered Nurse) LicensePersonal Health ManagementUtilization ManagementClinical ExperienceCCM (Certified Case Manager) Preferred

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Claim Chart AnalysisMedical Management Acuity DocumentationIndividualized Care Plan DevelopmentCost Containment UnderstandingMicrosoft Word Proficiency

Soft Skills

Excellent Verbal CommunicationExcellent Written CommunicationOrganizational SkillsPrioritization SkillsProblem-Solving Ability

Tools & Technologies

Conifer Value Based Care ToolsEmail Communication

Certifications & Qualifications

Registered Nurse LicenseCCM (Certified Case Manager) Preferred

Industry Keywords

Holistic Medical ManagementLegislative Acts (ADA)Patient EngagementMedical Management ProtocolsClient Needs Assessment

About the role

Key responsibilities & impact

Manage accounts using the 4-Prong approach, meeting expected billable hours and using Conifer Value Based Care tools according to standard protocol
Document Status, Sub-status, Patient Severity, and Medical Management Acuity accurately
Review the daily calendar for new episodes and due tasks and prioritize activities
Complete Personal Health Management assessments using clinical claim charts, member discussions, and physician assessment and treatment plans
Identify and document member goals and engage members in the Personal Health Management process
Develop and maintain individualized plans of care with timeframes, expected outcomes, interventions, and member goals
Follow through on interventions and document outcomes in the Current Clinical Status section of the care plan
Engage PCPs and treating physicians in the Personal Health Management process
Collaborate with members and PCPs to develop individualized plans of care
Close episodes as indicated, including evaluating impactability
Interface with clients and CCCS client managers regarding medical management of designated clients
Perform Personal Health Management and some Utilization Management functions
Travel approximately 5–30% depending on the assigned client

Requirements

What you’ll need

Bachelor’s degree in a health-related field
Three to five years of diverse clinical experience required
Five years of UM/CM experience preferred
RN (Registered Nurse) license required
Current active professional license in the state of residence
Eligibility for unrestricted professional licenses in all states
CCM preferred
Understanding of holistic medical management and client needs
Understanding of legislative acts such as the ADA
Competency in Microsoft Word and email with attachments
Excellent verbal and written professional communication skills
Ability to analyze and resolve complex problems
General understanding of cost containment and its relationship to medical management
Excellent organizational, prioritization, and time management skills
Ability and willingness to work independently and as part of a team
Ability to work seated, use a computer, and answer the telephone
Ability to travel and walk through hospital-based departments, including Emergency Department environments
Required vaccinations and screenings may need to be obtained and confirmed before employment, as applicable and permitted by law

Benefits

Comp & perks

Medical, dental, vision, disability, life, and business travel insurance
Paid time off (vacation & sick leave) – min of 12 days per year
401k with up to 6% employer match
10 paid holidays per year
Health savings accounts
Healthcare and dependent flexible spending accounts
Employee Assistance program
Employee discount program
Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance
Colorado paid leave in accordance with Colorado’s Healthy Families and Workplaces Act
Sign-on and relocation bonuses may be available for management level positions
Competitive benefits package
Resources, incentives, and leadership to support career development