Oncology RN Case Manager: Remote Care Leader

Highmark Health; Bastrop (LA); Hybrid; USD 79.000 - 127.000; Vollzeit

Zusammenfassung

Highmark Health seeks an experienced Case Manager to provide comprehensive case management services, coordinating care plans and monitoring outcomes to promote high-quality, cost-effective care.

The role requires significant clinical knowledge, collaboration with physicians and providers, and strong advocacy for members within contract benefits. Remote or office-based options may apply.

Qualifikationen

• 5+ years in clinical, case/utilization management or health insurance.
• RN licensure or multi-state licensure required.
• CCM certification must be obtained within 36 months of hire (exempt for Aug 2026 hires).
• Bachelor's in Nursing preferred.

Aufgaben

• Manage a caseload of members with complex health needs.
• Develop and implement individualized care plans.
• Coordinate services and monitor progress toward goals.
• Advocate for member needs and ensure cost-effective care.

Kenntnisse

Clinical assessment

Care planning

Advocacy

Leadership

Documentation

Ausbildung

RN licensure or eNLC

CCM certification (within 36 months)

Bachelor's in Nursing (preferred)

Tools

Microsoft Office

Electronic Health Records

Case management software

Jobbeschreibung

Highmark Health seeks an experienced Case Manager to provide comprehensive case management services, coordinating care plans and monitoring outcomes to promote high-quality, cost-effective care.

The role requires significant clinical knowledge, collaboration with physicians and providers, and strong advocacy for members within contract benefits. Remote or office-based options may apply.