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. ** This is a Telecommute (Remote) role. Candidates must live within the following states: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TN, TX or WI ** Required Job Qualifications: Active RN License required Associate's Degree in Nursing Minimum three years of clinical care required Able to obtain CCM certification within 18 months of hire date, if not currently active 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 Proficient in MS Word, Excel and Outlook 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 Preferred Job Qualifications: Bachelor of Science in Nursing preferred Case Management or Utilization Management (concentration in physical and mental health with patients of all ages) experience preferred Third-Party Administrator (TPA), Managed Care or Health Insurance experience Bilingual ** This is a Telecommute (Remote) role. Candidates must live within the following states: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TN, TX or WI ** Sponsorship is not available #LI-NR1 #LI-Remote Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! 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. 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: $56,700.00 - $106,400.00 Exact compensation may vary based on skills, experience, and location. Join our talent community and receive the latest Luminare Health news, content, and be first in line for new job opportunities. Join our Talent Community. We help our clients and brokers design custom self-funded Luminare Health plans that manage costswithout compromising benefitsby offering innovative solutions, flexibility, complete data transparency, and member-centered support. We rely on our decades of industry experience and proven, data-driven results to deliver optimal benefits solutions, customized to meet our clients needs.
