Complex Case Manager RN - Oncology (Remote)

Lensa; Raleigh (NC); 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 role involves overseeing a panel of members, developing care plans, and ensuring quality outcomes. Ideal candidates will have strong communication skills and extensive experience in clinical settings. Join a dedicated team focused on enhancing patient care and achieving health goals.

Qualifications

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

Responsibilities

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

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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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 ownership and oversight of a specific panel of members with varying health statuses and clinical needs. The incumbent assesses health management needs, uses data and clinical judgment to identify appropriate interventions, and manages an active caseload. Responsibilities include developing care plans, encouraging behavioral changes, addressing barriers, coordinating care, and utilizing resources to help members achieve health goals. Monitoring and maintaining quality outcomes is also essential.

ESSENTIAL RESPONSIBILITIES

• Oversee a panel of members, assessing needs and triaging to resources
• Create and manage care plans with goals and regular re-assessment contacts
• Achieve targeted patient outcomes and document activities in compliance with standards
• Stay updated on regulatory and practice standards for case management
• 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
• Experience with diverse populations and 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

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

Additional info

Position is office-based with travel up to 25%. Physical demands are minimal. The role adheres to all legal, ethical, and privacy standards, including HIPAA. Salary ranges from $57,700 to $107,800 based on experience and location.