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.

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

• 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

• 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.

#LI-NR1 LI-Remote

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.

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

Luminare Health, a wholly owned subsidiary of Health Care Service Corporation (HCSC), is on track to become the nation's best and largest third-party administrator. We are committed to delivering service excellence and dedicated to making healthcare simpler, better, and more affordable for our clients and their members. Our people are at the heart of everything we do. We foster a collaborative, purpose-driven culture where employees are empowered to make an impact, grow their careers, and help transform the healthcare experience.