Case Manager - LHB
Work From Home (HB)
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 SummaryThe 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.Required Job Qualifications:
- Associate's Degree in Nursing
- Active RN License required
- Minimum three years of clinical care required
- The ability 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 experience preferred
- Experience working with Native America populations in chronic condition management
- Bilingual
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 / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, 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 Health, you will be part of an organization committed to offering meaningful benefits to our associates to support their life …
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RestrictionsWork from Home
Benefits/Perks401(k) savings plan Annual Incentive Bonus Curated development plans Disability Insurance Employee Assistance Program Employee Referral Process Health and wellness benefits Incentives Inclusive workplace Life Insurance Paid holidays Paid parental leave Paid Time Off Professional development Purpose-driven company Supplemental life insurance Tuition reimbursement Work From Home
Tasks- Case management
- Leadership
- Problem solving
- Utilization Management
Bilingual Business Case Management Clinical Care Communication Condition Management Critical thinking Customer service Excel Insurance Interpersonal Leadership Management MS Excel MS Outlook MS Word Nursing Organization Organizational Outlook Problem-solving RN RN license Time Management Utilization management Word
Experience3 years
EducationAssociate's Degree Bachelor Bachelor of Science Bachelor of Science in Nursing Business Nursing RN
Certifications