RN Care Manager

Lumeris

. Provide telephonic care and case management to Medicare members as part of a multidisciplinary care team .

Posted 10/30/2026full-timeBedford • New Hampshire • United StatesMid-LevelSenior💰 $84,600 - $113,775 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in telephonic care and case management for Medicare members, with a strong focus on developing personalized care plans, utilizing Motivational Interviewing, and collaborating with multidisciplinary teams. Holds a current RN license and is capable of obtaining and maintaining CCM certification while effectively training and mentoring new staff.

Highest-signal resume keywords

Registered Nurse LicensureCase Management Certification (CCM)Telephonic Case Management ExperienceMotivational InterviewingClinical Nursing Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care ManagementMedication ReconciliationHealth EducationPlan of Care DevelopmentComputer Proficiency

Soft Skills

Effective CommunicationRelationship BuildingCritical ThinkingInitiativeMentoring Skills

Certifications & Qualifications

Registered Nurse LicenseCase Management Certification (CCM)

Industry Keywords

MedicareHome HealthMultidisciplinary Care TeamCommunity ResourcesDME Services

About the role

Key responsibilities & impact

Provide telephonic care and case management to Medicare members as part of a multidisciplinary care team
Offer members health, disease, medication, and durable medical equipment education and consultation
Empower members to participate in their care and make healthy lifestyle changes
Review member care plans, address home care needs, and connect members to community resources
Make outbound calls to assess members' current health status
Use Motivational Interviewing to assist with self-management
Create and monitor personalized member plans of care
Identify gaps or barriers in treatment plans and coordinate care
Make referrals to outside sources and coordinate home health and DME services
Ensure discharged members receive necessary services and resources, including medication reconciliation
Document and track findings in a computerized system
Interact with providers and a multidisciplinary care team
Collaborate with medical management staff on new programs
Assist the team in meeting goals
Train and mentor new employees

Requirements

What you’ll need

Current licensure in good standing as a registered nurse in the state of New Hampshire and eligibility for licensure in other states
5+ years of clinical nursing experience, including 2+ years of experience in a hospital or home health case management setting, or the knowledge, skills, and abilities to succeed in the role
Ability to take and pass case management certification (CCM) within 2 years of hire and maintain CCM certification during employment
Proficient computer skills with the ability to learn and apply new technologies
Ability to type and talk simultaneously
Considerable initiative and ability to prioritize workload and respond to changing demands/timelines
Ability to guide team projects or processes
Strong judgment and critical thinking skills with a proven ability to assess member needs and develop a plan of care
Flexible and adaptive to a changing environment
Effective communication and relationship-building skills with the ability to influence and positively impact members
Excellent interpersonal and customer service skills, including telephone etiquette
Effective training and mentoring skills
Proof of updated vaccinations if offered employment
Preferred: BSN or experience with telephonic case management
Preferred: Case management certification
Preferred: Previous experience as a telephonic case manager for a Medicare insurance plan

Benefits

Comp & perks

Medical, Vision and Dental Plans
Tax-Advantage Savings Accounts (FSA & HSA)
Life Insurance and Disability Insurance
Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
Employee Assistance Program
401k with company match
Employee Resource Groups
Employee Discount Program
Learning and Development Opportunities
Performance-based incentive and/or equity may be available for eligible roles
Updated vaccinations required if offered employment
Pre-employment drug screen