Case Manager

Luminare Health

21h • Remote

About The Position

At Luminare Health, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. 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

Responsibilities

• Acts as the liaison between a patient, the primary care physician and other providers in the healthcare community.
• Assesses, plans, implements, coordinates, monitors, and evaluates options.

Benefits

• health and wellness benefits
• 401(k) savings plan
• pension plan
• paid time off
• paid parental leave
• disability insurance
• supplemental life insurance
• employee assistance program
• paid holidays
• tuition reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 1-10 employees