Oncology Case Manager RN — Remote Role

Highmark Health; Cheyenne (WY); Remote; USD 79,000 - 127,000; Full time

Job summary

Highmark Inc. is seeking a Case Manager to provide comprehensive case management for members with complex health needs. You will assess health status, develop and coordinate care plans, and partner with physicians and providers to ensure access to services.

The role requires clinical expertise, strong leadership, and proficiency with EHRs and case management software. Remote/office-based work is available with travel less than 25% within the US.

Qualifications

• 5 years in clinical, case/utilization management, or health insurance experience.
• Current RN licensure in-state or multi-state via eNLC.
• CCM certification must be obtained within 36 months of hire.

Responsibilities

• Manage a caseload of members with complex health needs.
• Implement and coordinate individualized care plans.
• Coordinate services and monitor progress toward goals.
• Ensure documentation complies with policies and HIPAA requirements.

Skills

Clinical assessment

Care planning

Leadership

Communication

Advocacy

Microsoft Office

EHR systems

Case management software

Education

High School/GED

Bachelor's in Nursing

Tools

Microsoft Office

Case Management Software

Electronic Health Records

Job description

Highmark Inc. is seeking a Case Manager to provide comprehensive case management for members with complex health needs. You will assess health status, develop and coordinate care plans, and partner with physicians and providers to ensure access to services.

The role requires clinical expertise, strong leadership, and proficiency with EHRs and case management software. Remote/office-based work is available with travel less than 25% within the US.