Remote Oncology Senior Case Manager RN – Complex Care Lead

Highmark Health; Clayton (NM); A distancia; USD 114.000 - 140.000; Jornada completa

Descripción de la vacante

Highmark Health is seeking a Case Manager to provide comprehensive case management services to members, coordinating care, assessing needs, and developing care plans while containing costs. The role involves collaboration with physicians and healthcare teams, ensuring compliant documentation and oversight of utilization, while mentoring junior staff.

Strong clinical assessment, care planning, and CCM principles are essential.

Formación

• Requires high-level clinical assessment and care planning capabilities.

Responsabilidades

• Manage a caseload of members with complex health needs and develop care plans.
• Coordinate services to ensure access to appropriate resources.
• Monitor progress and adjust plans to meet goals.
• Document activities in compliance with policies and regulations.
• Mentor lower-level Case Managers and provide clinical guidance.
• Collaborate with physicians and providers to implement the plan of care.

Conocimientos

Clinical assessment

Care planning

CBT

Motivational interviewing

DBT

EHR

Microsoft Office

Educación

BSN

Herramientas

Electronic Health Records (EHR)

Microsoft Office

Descripción del empleo

Highmark Health is seeking a Case Manager to provide comprehensive case management services to members, coordinating care, assessing needs, and developing care plans while containing costs. The role involves collaboration with physicians and healthcare teams, ensuring compliant documentation and oversight of utilization, while mentoring junior staff.

Strong clinical assessment, care planning, and CCM principles are essential.