Complex Case Manager RN - Oncology (Remote)

Lensa; Tallahassee (FL); Remote; USD 57,000 - 108,000; Full time

Job summary

A leading healthcare organization is seeking a Complex Case Manager RN specializing in Oncology. This remote role involves managing members' health needs, developing care plans, and collaborating with a multi-disciplinary team to enhance clinical outcomes. Candidates must possess strong communication skills and a commitment to improving patient care. The position requires a valid RN license and a minimum of 7 years of relevant experience.

Qualifications

• 7 years of clinical, case management, or related experience required.
• Preferred experience with cognitive behavioral therapy and diverse populations.

Responsibilities

• Manage a panel of members with varying health statuses and clinical needs.
• Develop care plans and monitor outcomes to improve metrics.
• Collaborate with a multi-disciplinary team for resource referrals.

Skills

Communication

Negotiation

Interpersonal Skills

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 managing a panel of members with varying health statuses and clinical needs. The incumbent assesses health management needs, uses data and clinical judgment to identify interventions, and collaborates with a multi-disciplinary team to refer members to appropriate resources. Responsibilities include developing care plans, encouraging behavior change, addressing barriers, coordinating care, and monitoring outcomes to improve clinical, financial, and functional metrics.

ESSENTIAL RESPONSIBILITIES

• Oversee a panel of members, assess needs, identify interventions, 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.
• Stay current with regulatory and practice standards, including CMS and ACMA guidelines.
• 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 cognitive behavioral therapy, working 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 systems.
• Proficiency in MS Excel and data analysis.
• Organizational and time management skills; ability to handle multiple priorities.

OTHER INFORMATION

Travel: 0-25%

Position: Office-Based, with occasional travel; physical demands are minimal.

Note: This description summarizes essential duties and may not include all responsibilities. Employees must adhere to all applicable laws, regulations, and company policies, including HIPAA and data security guidelines.

Pay Range: $57,700 - $107,800 annually, determined by experience and other factors.