Complex Case Manager RN - Oncology (Remote)

Lensa; Columbus (OH); 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 a panel of members. The role involves assessing health needs, developing care plans, and collaborating with a multidisciplinary team to improve health outcomes. This remote position requires strong communication skills and extensive clinical experience, with a focus on achieving targeted patient outcomes.

Qualifications

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

Responsibilities

• Oversee member panel, assess needs, and triage to resources.
• Create and implement care plans with goals and re-assessment schedules.
• Achieve targeted patient outcomes and document activities.

Skills

Effective communication

Negotiation

Interpersonal skills

Organizational skills

Time management

Data analysis

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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Lensa is the leading career site for job seekers at every stage of their career. Our client, Highmark Health, is seeking professionals. Apply via Lensa today!

Company:

Highmark Inc.

Job Description:

JOB SUMMARY
This role involves managing a specific panel of members with varying health statuses and clinical needs. The incumbent assesses health management needs, uses data analytics and clinical judgment to identify appropriate interventions, and collaborates with a multidisciplinary team. Responsibilities include developing care plans, encouraging behavior change, addressing barriers, coordinating care, and monitoring outcomes to improve health, financial, and functional metrics.

ESSENTIAL RESPONSIBILITIES:

• Oversee member panel, assess needs, and triage to resources.
• Create and implement care plans with goals and re-assessment schedules.
• Achieve targeted patient outcomes and document activities in compliance with standards.
• Maintain knowledge of regulatory and practice standards.
• Perform other duties as assigned.

EDUCATION:

• Required: High School Diploma/GED

Preferred:

• Bachelor's Degree in Nursing

EXPERIENCE:

• Required: 7 years in clinical, case management, or related fields.
• Preferred: Experience with cognitive behavioral therapy, motivational interviewing, or dialectical behavior therapy; working with diverse populations; cultural competency.

LICENSES AND CERTIFICATIONS:

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

SKILLS:

• Effective communication, negotiation, and interpersonal skills.
• Knowledge of disease processes and healthcare systems.
• Proficiency in MS Excel and data analysis.
• Organizational and time management skills.
• Self-directed with moderate supervision.

OTHER INFORMATION:

Position is office-based with travel up to 25%. Physical demands include occasional lifting up to 50 pounds. The job adheres to legal, ethical, and privacy standards, including HIPAA.

Compensation:

Range: $57,700 - $107,800, based on experience and location.