Oncology Case Manager RN — Complex Care & Advocacy

Highmark Health; Minnesota; Remote; USD 114,000 - 140,000; Full time

Job summary

Highmark Health is seeking a Case Manager to provide comprehensive case management services, assess member needs, develop and implement care plans, and coordinate services to promote optimal health outcomes.

You will monitor progress, advocate for members, and work with physicians and the health care team to ensure quality, cost-effective care within contract benefits. This role requires leadership, documentation accuracy, and HIPAA compliance.

Qualifications

• 5 years in clinical, case/utilization management, or disease condition management experience.

Responsibilities

• Manage a caseload of members with complex health needs and coordinate care.

Skills

CBT

Motivational Interviewing

DBT

Clinical assessment

Care planning

Microsoft Office

EHR

Case management software

Education

Bachelors in Nursing

Tools

Microsoft Office

Case management software

Electronic Health Records

Job description

Highmark Health is seeking a Case Manager to provide comprehensive case management services, assess member needs, develop and implement care plans, and coordinate services to promote optimal health outcomes.

You will monitor progress, advocate for members, and work with physicians and the health care team to ensure quality, cost-effective care within contract benefits. This role requires leadership, documentation accuracy, and HIPAA compliance.