Community Case Coordinator

Company overview: Lumina Care is focused on unifying, coordinating, and managing care for geriatric patients in nursing facilities and at home. We offer a range of services to improve health outcomes and quality of life for patients, including afterhours telehealth, transitional care, chronic care, remote patient monitoring, behavioral health and telehealth psychiatry.

Job title: Community Case Coordinator

Purpose/Summary: The Case Coordinator supports care delivery by managing and executing care coordination tasks for patients enrolled in Transitional Care Management (TCM) and Chronic Care Management (CCM) programs. This role ensures timely follow-up, accurate documentation, and effective communication between providers, patients, and external partners. Reports to Case Coordination Team Lead and Community Clinical Manager.

Role & Core Responsibilities:

• Manage and execute all assigned case coordination orders in ThoroughCare
• Prioritize TCM orders over CCM orders to meet compliance timelines
• Coordinate with providers, medical assistants, patients, and external vendors/agencies
• Maintain accurate and timely documentation
• Track and update all assigned cases
• Escalate delays, barriers, or patient concerns to leadership

Case Coordination Lead Responsibilities:

• Reviews all new case coordination orders daily
• Assigns each patient/order based on:
• Assignment tracker
• Coordinator availability
• Patient/date distribution

Updates the Case Coordination Tracker with:

• Assigned Case Coordinator
• Patient Name / MRN
• Order Type (TCM / CCM)
• Date Assigned

Case Coordinator Actions:

• For each assigned order:
• Documentation and updates on status of case coordination items.
• Care Coordination Tasks:
• Contact patient and/or caregiver as needed
• Coordinate with vendors/agencies (home health, DME, pharmacy, etc.)
• Ensure all requested services are initiated and/or completed
• System Updates:
• Update status in ThoroughCare
• Maintain accurate updates in the Case Coordination Tracker

Monitoring & Follow-Up:

• TCM Orders (High Priority):
• Initial processing within 24 hours
• Follow-up and confirmation within 48–72 hours
• CCM Orders:
• Completed after TCM workload is addressed
• Timely but non-urgent processing

Escalation & Red Flags:

• The following must be escalated to the Case Coordination Lead:
• Delays greater than 24 hours
• Missing or incomplete status updates
• Inability to reach patient/caregiver
• Barriers to completing coordination tasks
• Repeated patient or provider inquiries

Performance Expectations:

• Timely completion of assigned tasks
• Accurate and thorough documentation
• Clear communication across care team
• Proactive escalation of issues
• Consistent adherence to workflow and prioritization

Qualifications:

• Degree in Social Work, Public Health, or a related healthcare field required. Equivalent combination of education and relevant experience may be considered.
• Certification in care management or case management (preferred but not required)
• At least 2 years community or long-term care nursing experience is preferred
• Experience with telemedicine platforms and remote care coordination is preferred
• Familiarity with electronic health record (EHR) systems and care management platforms is required
• Knowledge and experience working with Medicaid and Medicare populations is preferred
• Strong problem-solving skills and the ability to handle complex care scenarios is required
• Comfort working in a virtual telehealth environment
• Strong communication and documentation skills

Working conditions:

A designated, secure, and private home workspace is required for this remote role to ensure compliance with HIPAA and company privacy and security policies. This workspace must support confidential patient communications and prevent unauthorized access to protected health information. Typing is required and you will be required to use Company approved virtual technology to visualize patients during visits. A personally owned computer used for this role must meet all company-mandated security and encryption requirements as defined by the IT team. Company-provided security software, including platforms for patient video consultations, may need to be installed to ensure the device remains compliant with organizational data protection standards. Periods of prolonged sitting or standing can be expected. Travel requirements could occur based on specific state licensure and leadership needs.

Compensation: Hourly rate of $22-28. Compensation is determined based on market range, experience, skills, education, and qualifications.

We offer a comprehensive and competitive benefits package to support our employees, including:

• Medical, Dental, and Vision Insurance
• Paid Time Off (PTO)
• Paid Holidays and Floating Holidays
• Flexible Work Arrangements and Remote Work Options

Summary: Lumina Care is an Equal Opportunity Employer. We consider all qualified applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, or any other characteristic protected by law.

Pay: $22.00 - $28.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Application Question(s):

• Can you start ASAP?

Experience:

• Care coordination: 2 years (Preferred)
• Telehealth: 1 year (Preferred)
• Long term care: 2 years (Preferred)

Work Location: Remote