Complex Case Manager RN - Oncology (Remote)

Lensa; Jefferson City (MO); Remote; USD 57,000 - 108,000; Full time

Job summary

A leading healthcare provider is seeking a Complex Case Manager RN specializing in Oncology. This remote position involves managing patient care, developing care plans, and working with a multidisciplinary team to achieve health goals. Candidates should have a strong clinical background, excellent communication skills, and relevant RN licensure. Join a dynamic team dedicated to improving patient outcomes and supporting diverse populations.

Qualifications

• Required: 7 years in clinical, case management, or related experience.
• Preferred: Experience with cognitive behavioral therapy, motivational interviewing, or dialectical behavior therapy.
• Preferred: Oncology experience and Certification in Case Management.

Responsibilities

• Oversee a panel of members and assess needs.
• Create and manage care plans with goals.
• Document activities in compliance with standards.

Skills

Excellent communication

Negotiation

Interpersonal skills

Knowledge of disease processes

Healthcare costs

Proficiency in MS Excel

Data analysis

Strong organizational skills

Multitasking skills

Self-directed

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 varying health statuses and needs. The incumbent assesses health management requirements, utilizes data and clinical judgment to identify interventions, and collaborates with a multidisciplinary team to support members' health goals. Responsibilities include developing care plans, addressing barriers, coordinating care, and monitoring outcomes.

Essential Responsibilities:

1. Oversee a panel of members, assess needs, and refer to appropriate resources.
2. Create and manage care plans with goals and regular re-assessment contacts.
3. Achieve targeted patient outcome goals.
4. Document activities in compliance with standards and regulations.
5. Stay current with CMS, state, and regulatory requirements.
6. 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 experience.

Preferred:

• Experience with cognitive behavioral therapy, motivational interviewing, or dialectical behavior therapy.
• Experience working with diverse populations.

Licenses and Certifications:

• Required: RN license in PA, WV, DE, or NY. Others to be obtained within 6 months if applicable.

Preferred:

• Oncology experience and Certification in Case Management.

Skills:

• Excellent communication, negotiation, and interpersonal skills.
• Knowledge of disease processes and healthcare costs.
• Proficiency in MS Excel and data analysis.
• Strong organizational and multitasking skills.
• Self-directed with ability to work independently.

Additional Details:

Position is office-based with minimal travel (0-25%). Physical demands include occasional lifting up to 25 pounds. Adheres to all legal, ethical, and privacy standards, including HIPAA. Salary range: $57,700 - $107,800.