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Complex Case Manager (New Jersey)

Company: Lumeris
Location: Newark
Posted on: June 12, 2021

Job Description:

In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you'll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.


Complex Case Manager (New Jersey)

Position Summary:

The Complex Case Manager at Lumeris will provide telephonic care and case management to Medicare members as part of a multidisciplinary care team. The Complex Case Manager will offer members health and disease education and empower them to actively participate in their care. Other duties of the Complex Case Manager include but are not limited to: consultation with members on their medications and durable medical equipment, review member care plans, address home care needs, and connect members to community resources; collaboration with primary care physicians and other providers to ensure there are no gaps in care; collaboration with members, providers, and care givers to ensure positive care outcomes during care transitions.

This is a remote position located in the Hackensack, New Jersey area.

Job Description:

Role and Responsibilities

  • Make outbound calls to assess member's current health status
  • Provide patient education to assist with self management
  • Educate members on disease processes
  • Encourage members to make healthy lifestyle changes
  • Identify gaps or barriers in treatment plans
  • Coordinate care for members
  • Make referrals to outside sources
  • Coordinate services such as home health, DME, as needed
  • Ensure that discharged members receive the necessary services and resources, including medication reconciliation
  • Document and track findings in a computerized system
  • Interact with providers and a multi-disciplinary care team
  • Collaborate with medical management staff in development of new programs

Experience, Qualifications, and Education


  • Current licensure as a registered nurse in the state of New Jersey and eligibility for licensure in other states
  • Two years minimum experience in a hospital setting or home health case management
  • Must be proficient with computers, have the ability to type and talk simultaneously, and have excellent interpersonal and customer service skills, including telephone etiquette.
  • Must be able to multi-task and prioritize on a daily basis
  • Must be flexible and adaptive to a changing environment


  • Previous experience as a telephonic case manager for a Medicare insurance plan
  • Case management certification
  • BSN or experience with discharge planning
  • Experience in program development

This is a remote, in-market position. (New Jersey)

Lumeris is an EEO/AA employer M/F/V/D.


Edison, NJ, Jersey City, NJ, Lakewood Township, NJ, Newark, NJ, New Brunswick, NJ, Toms River, NJ

Time Type:

Full time

Keywords: Lumeris, Newark , Complex Case Manager (New Jersey), Other , Newark, New Jersey

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