Remote RN Oncology Case Manager | Complex Care & Advocacy

Highmark Health; Beryl (WV); Hybrid; USD 114.000 - 140.000; Vollzeit

Zusammenfassung

Highmark Health is seeking an experienced Case Manager to provide comprehensive case management services, coordinating care plans and monitoring progress to ensure quality, cost-effective outcomes. The role emphasizes advocacy, collaboration with physicians and a multidisciplinary team, and adherence to privacy and regulatory standards.

The position requires RN licensure with multi-state licensure (eNLC) and CCM certification within 36 months.

Qualifikationen

• 5+ years in clinical, case/utilization management, or disease condition management experience.
• Experience caring for diverse populations.
• Advanced training in CBT, motivational interviewing, or DBT.

Aufgaben

• Manage a caseload of members with complex health needs and advanced clinical requirements.
• Conduct comprehensive assessments and develop complex care plans.
• Assess health status, needs, and available resources; coordinate services.

Kenntnisse

Clinical assessment

Care planning

CBT / MI / DBT training

Ausbildung

Bachelor's in Nursing

Tools

Microsoft Office

Electronic Health Records

Case Management Software

Jobbeschreibung

Highmark Health is seeking an experienced Case Manager to provide comprehensive case management services, coordinating care plans and monitoring progress to ensure quality, cost-effective outcomes. The role emphasizes advocacy, collaboration with physicians and a multidisciplinary team, and adherence to privacy and regulatory standards.

The position requires RN licensure with multi-state licensure (eNLC) and CCM certification within 36 months.