RN Case Manager: Care Coordination & Outcomes

Highmark Health Company; City of Albany (NY); Remote; USD 73,000 - 117,000; Full time

Job summary

Highmark Health is seeking a Case Manager to provide comprehensive case management services in Albany, NY. You will assess member needs, develop care plans, coordinate services, and monitor progress to ensure quality and cost-effective care.

You will collaborate with physicians and the health care team to implement the plan, advocate for members, and document activities in accordance with HIPAA and company policies.

Qualifications

• High School Diploma or GED required.
• Bachelor's Degree in Nursing preferred.
• RN licensure PA or multi-state (eNLC) or NY/WV/DE required within 6 months if applicable.

Responsibilities

• Manage a caseload of members with moderate complexity health needs.
• Assess members' health status, needs, and resources.
• Develop individualized care plans with members, physicians, and providers.

Skills

Assessment and care planning

Independent work

Team collaboration

Microsoft Office

Case management software

Electronic health records

Healthcare systems knowledge

Education

High School Diploma/GED

RN licensure (PA / eNLC / NY / WV / DE)

Bachelor's Degree in Nursing (preferred)

Tools

Microsoft Office

Case management software

Electronic Health Records (EHR)

Job description

Highmark Health is seeking a Case Manager to provide comprehensive case management services in Albany, NY. You will assess member needs, develop care plans, coordinate services, and monitor progress to ensure quality and cost-effective care.

You will collaborate with physicians and the health care team to implement the plan, advocate for members, and document activities in accordance with HIPAA and company policies.