Oncology RN Case Manager | Remote Options & Impactful Care

Highmark Health; Maine; Remote; USD 108,000 - 146,000; Full time

Job summary

Highmark Health seeks an experienced Case Manager to deliver comprehensive case management services. You will assess needs, develop and implement care plans, coordinate services, and monitor progress while containing costs and ensuring compliance with HIPAA and contract benefits.

You will collaborate with physicians and care teams, provide mentorship to junior staff, and uphold documentation and quality standards in a dynamic health care environment.

Qualifications

• 5 years in clinical, case/utilization management, disease condition management, or health insurance experience.
• Experience with oncology, transplant, maternity, NICU, or pediatric populations.

Responsibilities

• Manage a caseload of members with complex health needs.
• Conduct comprehensive assessments and develop complex care plans.
• Coordinate services and resources to support care plans.
• Monitor progress and adjust plans as needed.
• Advocate and liaison to meet members' health care needs.
• Collaborate with physicians and care teams to execute plans.
• Ensure documentation aligns with policies and regulations.

Skills

Case management

Clinical experience

Healthcare coordination

CBT/DBT familiarity

Advocacy and liaison

Education

Bachelor's in Nursing

Tools

Microsoft Office

Case management software

Electronic Health Records (EHR)

Job description

Highmark Health seeks an experienced Case Manager to deliver comprehensive case management services. You will assess needs, develop and implement care plans, coordinate services, and monitor progress while containing costs and ensuring compliance with HIPAA and contract benefits.

You will collaborate with physicians and care teams, provide mentorship to junior staff, and uphold documentation and quality standards in a dynamic health care environment.