Case Manager

Luminare Health; United States; On-site; USD 58,000 - 109,000; Full time

Benefits offered by this job

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

Job summary

Luminare Health is seeking a Case Manager to coordinate patient care across the healthcare team. The role involves assessing needs, developing care plans and communicating with patients, physicians and providers to ensure quality service.

Requirements include RN license, Associate's Degree in Nursing, 3+ years of clinical care and CCM certification or the ability to obtain it within 18 months. Scheduled hours fall within 8:00 AM – 7:30 PM EST depending on state and client needs.

Qualifications

• RN license is required and an associate degree in nursing is mandatory.
• Minimum three years of clinical care experience.
• CCM certification or ability to obtain within 18 months of hire date.
• Strong problem solving, time management and organizational abilities.
• Ability to work independently with excellent customer service and documentation skills.
• Effective verbal and written communication with patients, families and providers.
• Proficiency in reading and interpreting documents and policy manuals.
• Interpersonal skills and ability to collaborate across teams.

Responsibilities

• Act as liaison between patient, primary care physician and providers.
• Assess, plan, implement, coordinate, monitor and evaluate care options.
• Document system notes accurately while engaging callers.

Skills

RN license

Associate's degree in nursing

3+ years clinical care

CCM certification

Problem solving

Time management

Organizational skills

Independent worker

Customer service

Documentation

Verbal & written communication

Reading and interpreting documents

Interpersonal skills

Math skills

MS Word/Excel/Outlook

Education

Associate's Degree in Nursing

Bachelor of Science in Nursing (preferred)

Tools

MS Word

Excel

Outlook

Job description

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.

• Work Schedule: Scheduled hours will fall within 8:00 AM – 7:30 pm EST depending on state of residence and client needs**

Required Job Qualifications

• 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

Preferred Job Qualifications

• 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. **

EEO Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Pay Transparency Statement

At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.

• 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
• plus other incentives

We offer a robust total rewards package for associates.

Min To Max Range

$57,800.00 - $108,500.00

Exact compensation may vary based on skills, experience, and location.