Oncology RN Case Manager - Remote & Impactful

Highmark Health; Juneau (AK); Hybride; USD 79 000 - 127 000; Plein temps

Résumé du poste

Highmark Inc. in Juneau, AK is seeking a skilled Case Manager to deliver comprehensive case management services, assess member needs, develop care plans, and coordinate services to promote quality, cost-effective outcomes.

The role requires 5 years of relevant experience, RN licensure, and ability to work with diverse populations; office-based or remote work options exist with a competitive salary range.

Qualifications

• 5 years in clinical, case/utilization management, and/or health insurance roles.
• RN licensure currently or eNLC multi-state licensure preferred.
• Certification as CCM or similar is advantageous.

Responsabilités

• Manage a caseload of members with complex health needs requiring advanced clinical knowledge.
• Conduct comprehensive assessments and develop complex care plans.
• Coordinate services and monitor progress toward goals.
• Advocate and liaise to meet members' health care needs.
• Document activities in accordance with policies and regulations.
• Provide guidance to lower-level Case Managers.

Connaissances

Clinical assessment

Care planning

Leadership

Negotiation

Advocacy

Communication

Formation

High School/GED

Bachelor in Nursing

Outils

Case management software

Electronic Health Records

Microsoft Office

Description du poste

Highmark Inc. in Juneau, AK is seeking a skilled Case Manager to deliver comprehensive case management services, assess member needs, develop care plans, and coordinate services to promote quality, cost-effective outcomes.

The role requires 5 years of relevant experience, RN licensure, and ability to work with diverse populations; office-based or remote work options exist with a competitive salary range.