Case Manager

Luminare Health

4d•$57,800 - $108,500•Remote

About The Position

At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success. We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable. Job Summary The Case Manager acts as the liaison between a patient, the primary care physician and other providers in the healthcare community. The Case Manager assesses, plans, implements, coordinates, monitors, and evaluates the options.

Requirements

Associate's Degree in Nursing
Active RN License required
Minimum three years of clinical care required
Active CCM Certification or the ability to obtain CCM certification within 18 months of hire date
Demonstrated problem solving skills
Possess strong time management and organizational skills
Ability to work independently and complete tasks in a timely manner, reprioritizing workload to meet customer needs
Excellent customer service skills
Ability to work in a fast-paced, customer service driven environment
Ability to accurately document system notes while engaging callers
Ability to provide excellent communication in verbal and written form
Ability to read and interpret documents, criteria, instructions, and policy and procedure manuals
Excellent interpersonal skills
Ability to add, subtract, multiply and divide using whole numbers, common fractions and decimals
Ability to effectively communicate with employees, employers, physicians, families in crisis, community agencies and all levels of leadership
Ability to use commonsense understanding to carry out instructions furnished in written, oral or diagram form
Ability to use critical thinking skills to deal with problems in varying situations and reach reasonable solutions
Proficient in MS Word, Excel and Outlook

Nice To Haves

Bachelor of Science in Nursing preferred
Case Management or Utilization Management in physical and mental health experience preferred
Third-Party Administrator, Managed Care or health insurance experience
Bilingual
Remote employees must live within the continental United States, excluding Alaska, New York, California, or Hawaii.

Responsibilities

Assesses, plans, implements, coordinates, monitors, and evaluates patient care options.
Acts as a liaison between a patient, primary care physician, and other healthcare providers.
Accurately document system notes while engaging callers.
Effectively communicate with employees, employers, physicians, families in crisis, community agencies and all levels of leadership.
Use commonsense understanding to carry out instructions furnished in written, oral or diagram form.
Use critical thinking skills to deal with problems in varying situations and reach reasonable solutions.