Jobs · OTHR

Case Manager

Luminare Health · United States · 1 wk ago
RemoteRemoteOTHR$58k–$109k/yrFull-time

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 – 6:30 PM CST, depending on client needs in the Mountain and Pacific regions.

Required 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 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

Pay

Min To Max Range $57,800.00 - $108,500.00. Exact compensation may vary based on skills, experience, and location.

Location

Remote employees must live within the continental United States, excluding Alaska, New York, California, or Hawaii.

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