Job DescriptionPrimary ResponsibilitiesMake outbound calls to assess member's current health statusProvide patient education to assist with self-managementEducate members on disease processesEncourage members to make healthy lifestyle changesIdentify gaps or barriers in treatment plansCoordinate care for membersMake referrals to outside sourcesCoordinate services such as home health, DME, as neededEnsure that discharged members receive the necessary services and resources, including medication reconciliationDocument and track findings in a computerized systemInteract with providers and a multi-disciplinary care teamCollaborate with medical management staff in development of new programsQualificationsCurrent licensure in good standing as a registered nurse in the state of Missouri and / or Illinois and eligibility for licensure in other statesThree years of relevant experience with at least two years minimum experience in a hospital or home health care management settingMust be proficient with computers, have the ability to type and talk simultaneously, and have excellent interpersonal and customer service skills, including telephone etiquetteMust be able to multi-task and prioritize on a daily basisMust be flexible and adaptive to a changing environmentMust take and pass care management certification (CCM) within 2 years of hireMust maintain CCM certification during employmentPrevious experience as a telephonic care manager for a Medicare insurance plan preferredCare management certification preferredBSN or experience with telephonic care management preferredWorking ConditionsWhile performing the duties of this job, the employee works in normal office working conditions.Pay Transparency :Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role.In addition to the base salary, certain roles may qualify for a performance-based incentive and / or equity, with eligibility depending on the position.These rewards are based on a combination of company performance and individual achievements.The hiring range for this position is :72,800.00-$97,400.00Benefits of working at LumerisMedical, Vision and Dental PlansTax-Advantage Savings Accounts (FSA & HSA)Life Insurance and Disability InsurancePaid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)Employee Assistance Program401k with company matchEmployee Resource GroupsEmployee Discount ProgramLearning and Development OpportunitiesAnd much moreBe part of a team that is changing healthcare!Member Facing Position :No- Not Member or Patient Facing PositionLocation :Illinois, Missouri, Remote, USATime Type :Full timeLumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person.All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine.If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.Disclaimer :The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required.The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job.Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities.Lumeris is an EEO / AA employer M / F / V / D.. Experience: 3 years required