Remote Senior Oncology Case Manager RN - Care Coordinator

Highmark Health; Maryland City (MD); Remote; USD 114,000 - 140,000; Full time

Job summary

Highmark Health is seeking an experienced Case Manager to deliver comprehensive case management services for members, focusing on quality, cost-effective care and optimal health outcomes.

You will assess needs, develop and implement care plans, coordinate services, and monitor progress while managing costs. Collaboration with physicians and the care team is essential, with documentation in line with policies and HIPAA compliance.

Qualifications

• 5 years in clinical, case/utilization management, or disease condition management experience.
• Experience with diverse populations and complex health needs.
• Advanced training in CBT, motivational interviewing, or DBT.
• Expertise in clinical assessment and care planning.
• Proficiency with EHR and case management software.

Responsibilities

• Manage a caseload of members with complex health needs and advanced clinical knowledge.
• Conduct comprehensive assessments and develop complex care plans.
• Assess health status, needs, and resources of members.
• Develop individualized care plans with members and providers.
• Coordinate services and monitor progress toward goals.
• Advise and mentor lower-level Case Managers.

Skills

Clinical knowledge

Care management

CBT/DBT training

EHR proficiency

Care planning

Education

Bachelor of Science in Nursing

CCM certification

RN licensure (state) or eNLC

Tools

Case management software

Microsoft Office

Electronic Health Records

Job description

Highmark Health is seeking an experienced Case Manager to deliver comprehensive case management services for members, focusing on quality, cost-effective care and optimal health outcomes.

You will assess needs, develop and implement care plans, coordinate services, and monitor progress while managing costs. Collaboration with physicians and the care team is essential, with documentation in line with policies and HIPAA compliance.