Case Manager

🕒 July 20

🇺🇸 United States – Remote

💵 $57.8k - $108.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 52%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Luminare Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Luminare Health is a leading provider of self-funded health plan administration services with over 50 years of industry experience. The company specializes in offering flexible and innovative solutions for hospitals, health systems, and direct-to-employer initiatives, focusing on administration, cost management, and digital reporting tools. Luminare Health is dedicated to being a reliable partner in managing healthcare costs and supporting strategic growth for its clients. The company emphasizes a member-centered approach to healthcare while delivering significant savings through expert claim analysis and management of high-cost claims.

📋 Description

• Act as the liaison between a patient, the primary care physician, and other providers in the healthcare community • Assess, plan, implement, coordinate, monitor, and evaluate care options • Work scheduled hours falling within 8:00 AM–7:30 PM EST depending on state of residence and client needs

🎯 Requirements

• 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 • 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 • Excellent verbal and written communication skills • 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 • Remote employees must live within the continental United States, excluding Alaska, New York, California, or Hawaii

🏖️ Benefits

• 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 • Other incentives • Annual incentive bonus plan subject to the terms and conditions of the plan