Oncology RN Case Manager — Advanced Care & Advocacy

Highmark Health; Minneota (MN); Remote; USD 114,000 - 140,000; Full time

Job summary

Highmark Health is seeking a Case Manager to provide comprehensive case management services designed to optimize health outcomes while containing costs. The role involves assessing member needs, developing and coordinating care plans, and monitoring progress across a diverse population.

You will collaborate with physicians and providers, document all activities per policies, and mentor junior staff. A BSN and CCM certification are preferred, with RN licensure required.

Qualifications

• 5 years across clinical or case management roles.
• Experience with diverse populations in healthcare.
• CBT/DBT or motivational interviewing training.
• Clinical assessment and care planning expertise.
• Proficient with Microsoft Office, case management software, and EHR.
• Strong knowledge of healthcare systems and case management.
• BSN degree.

Responsibilities

• Manage a caseload of members with complex needs.
• Conduct comprehensive assessments and develop care plans.
• Coordinate services and monitor progress toward goals.
• Advocate and liaise to meet members' healthcare needs.
• Document activities in compliance with policies and accreditation.
• Mentor lower-level Case Managers.

Skills

RN licensure

CCM certification

Clinical assessment

Care planning

CBT/DBT training

EHR proficiency

Education

BSN

Tools

Case management software

Electronic health records

Job description

Highmark Health is seeking a Case Manager to provide comprehensive case management services designed to optimize health outcomes while containing costs. The role involves assessing member needs, developing and coordinating care plans, and monitoring progress across a diverse population.

You will collaborate with physicians and providers, document all activities per policies, and mentor junior staff. A BSN and CCM certification are preferred, with RN licensure required.