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.