Case Manager

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. **

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LI-Remote

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and 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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

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. From 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 .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Min to Max Range:

$57,800.00 - $108,500.00

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