Complex Case Manager RN - Oncology (Remote)

Lensa; Baton Rouge (LA); Remote; USD 57,000 - 108,000; Full time

Job summary

A leading healthcare organization is seeking a Complex Case Manager RN specializing in Oncology to manage diverse health needs. This remote role involves creating care plans, collaborating with teams, and monitoring patient outcomes to improve health metrics. Candidates should have extensive clinical experience and strong communication skills.

Qualifications

• 7 years of clinical, case management, or related experience required.
• Oncology experience and case management certification preferred.

Responsibilities

• Oversee a panel of members, assessing needs and referring to resources.
• Create and implement care plans with goals and regular re-assessment contacts.
• Achieve targeted patient outcomes and document activities in compliance with standards.

Skills

Communication

Negotiation

Interpersonal Skills

Data Analysis

Organizational Skills

Time Management

Education

High School Diploma/GED

Bachelor's Degree in Nursing

Tools

MS Excel

Job description

Complex Case Manager RN - Oncology (Remote)

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Company : Highmark Inc.

Job Description :

Summary: This role involves managing a panel of members with diverse health statuses and needs. The incumbent assesses health management needs, utilizes data and clinical judgment to identify interventions, and collaborates with a multidisciplinary team to provide appropriate referrals and care. Responsibilities include developing care plans, encouraging behavior change, addressing barriers, coordinating care, and monitoring outcomes to improve health, financial, and functional metrics.

Essential Responsibilities:

1. Oversee a panel of members, assessing needs and referring to resources.
2. Create and implement care plans with goals and regular re-assessment contacts.
3. Achieve targeted patient outcomes and document activities in compliance with standards.
4. Stay current with regulatory requirements and standards of practice.
5. Perform other duties as assigned.

Education:

• Required: High School Diploma/GED
• Preferred: Bachelor's Degree in Nursing

Experience:

• Required: 7 years of clinical, case management, or related experience.
• Preferred: Experience with diverse populations, cognitive behavioral therapy, and cultural competency.

Licenses and Certifications:

• Required: RN license in PA, WV, DE, or NY (others to be obtained within 6 months).
• Preferred: Oncology experience, case management certification.

Skills:

• Excellent communication, negotiation, and interpersonal skills.
• Knowledge of disease processes, healthcare costs, and data analysis.
• Proficiency in MS Excel, organizational, and time management skills.
• Ability to work independently and in teams.

Additional Details:

• Travel: 0-25%
• Position: Office-based, physical demands minimal, lifting up to 25 pounds rarely.

Note: This description outlines primary duties and may not include all responsibilities. Employees must adhere to all legal, ethical, and company standards, including HIPAA and data security policies.

Pay Range: $57,700 - $107,800

Highmark Health is committed to diversity and accessibility. For accommodations, contact HR.