Oncology RN Case Manager — Impactful Care Leader

Highmark Health; Olympia (WA); Híbrido; USD 79.000 - 127.000; Jornada completa

Descripción de la vacante

Highmark Inc. is seeking a Case Manager to deliver comprehensive case management, assess member needs, and coordinate high-quality, cost-effective care. You will manage complex caseloads, develop care plans with clinicians, and monitor progress to optimize outcomes.

The role emphasizes collaboration with physicians and providers, documentation accuracy, and leadership to mentor junior staff. HIPAA and privacy compliance are essential in daily operations.

Formación

• 5 years in clinical, case/utilization management, and/or disease condition management experience.
• Preferred specialty clinical experience (e.g., Oncology, Transplant, Maternity, NICU, Pediatric).
• Experience working with diverse populations and understanding culture competency in addressing targeted populations.
• Advanced training in CBT, motivational interviewing, or DBT.

Responsabilidades

• Manage a caseload of members with complex health needs.
• Conduct comprehensive assessments and develop complex care plans.
• Assess members' health status, needs, and resources.
• Coordinate and implement care plans with providers to ensure access to services.
• Monitor progress and adjust care plans as needed.
• Evaluate interventions and outcomes.

Conocimientos

Clinical assessment

Care planning

Leadership

Advocacy

EHR

Microsoft Office

Care coordination

Educación

High School/GED

Bachelor's in Nursing

Herramientas

Microsoft Office

Case management software

Electronic Health Records

Descripción del empleo

Highmark Inc. is seeking a Case Manager to deliver comprehensive case management, assess member needs, and coordinate high-quality, cost-effective care. You will manage complex caseloads, develop care plans with clinicians, and monitor progress to optimize outcomes.

The role emphasizes collaboration with physicians and providers, documentation accuracy, and leadership to mentor junior staff. HIPAA and privacy compliance are essential in daily operations.