Remote Oncology RN Case Manager — Clinical Lead

Highmark Health; Utah; Remote; USD 114.000 - 140.000; Vollzeit

Zusammenfassung

Highmark Health is seeking a Case Manager to provide comprehensive case management services, assess member needs, develop and coordinate care plans, and monitor progress to ensure quality and cost-effective outcomes. You will collaborate with physicians and the health care team, document all activities per policies, and mentor junior team members.

Required licensure and CCM certification within 36 months, extensive clinical experience, and strong HIPAA compliance knowledge are essential for

Qualifikationen

• 5+ years of clinical or case management experience.

Aufgaben

• Manage a caseload of members with complex needs.
• Develop and implement individualized care plans.
• Coordinate services and monitor progress toward goals.
• Advocate for member needs and cost containment.
• Document activities per policies and standards (HIPAA).
• Mentor lower-level Case Managers.
• Collaborate with physicians and care teams to carry out the plan.

Kenntnisse

Clinical assessment

Care planning

CBT training

Motivational interviewing

DBT training

Microsoft Office

Electronic health records

Case management software

Healthcare systems knowledge

Diverse populations experience

Nursing background

Ausbildung

Bachelor's in Nursing

Tools

Case management software

Jobbeschreibung

Highmark Health is seeking a Case Manager to provide comprehensive case management services, assess member needs, develop and coordinate care plans, and monitor progress to ensure quality and cost-effective outcomes. You will collaborate with physicians and the health care team, document all activities per policies, and mentor junior team members.

Required licensure and CCM certification within 36 months, extensive clinical experience, and strong HIPAA compliance knowledge are essential for