Remote RN Case Manager: Complex Care & Advocacy

Highmark Health; Minnesota; Remote; USD 114,000 - 140,000; Full time

Job summary

Highmark Health is seeking a Case Manager to provide comprehensive case management services to members, ensuring quality and cost-effective care delivery. You will assess needs, develop and implement care plans, coordinate services, and monitor progress while containing costs.

You will collaborate with physicians, other providers, and care teams, maintain documentation, and mentor lower-level Case Managers. Requires RN licensure and CCM certification within 36 months.

Qualifications

• Experience with diverse populations in healthcare settings.
• Advanced training in CBT, motivational interviewing, or DBT.
• Proficient in clinical assessment and care planning.

Responsibilities

• Manage a caseload of members with complex health needs, requiring advanced clinical knowledge.
• Develop and implement comprehensive care plans.
• Coordinate services and monitor progress toward goals.
• Collaborate with physicians and other providers to meet member needs.
• Ensure documentation complies with policies and standards.

Skills

CBT expertise

Motivational interviewing

DBT

Clinical assessment

EHR proficiency

Microsoft Office

Education

Bachelor's in Nursing

Tools

Epic

Case management software

Job description

Highmark Health is seeking a Case Manager to provide comprehensive case management services to members, ensuring quality and cost-effective care delivery. You will assess needs, develop and implement care plans, coordinate services, and monitor progress while containing costs.

You will collaborate with physicians, other providers, and care teams, maintain documentation, and mentor lower-level Case Managers. Requires RN licensure and CCM certification within 36 months.