RN Case Manager: Care Coordinator & Advocate

Highmark Health; Olympia (WA); Remote; USD 73,000 - 117,000; Full time

Job summary

Highmark Inc. is seeking a Case Manager to provide comprehensive case management services, assess needs, develop and implement care plans, and coordinate services to promote quality, cost-effective outcomes.

You will monitor progress and advocate for members while ensuring compliance with HIPAA and company policies. The role requires an active RN license (PA or multi-state via eNLC) with at least 3 years in case management or related fields; a BSN is preferred.

Qualifications

• 3 years in clinical, case/utilization management, or disease condition management experience.
• RN licensure PA or multi-state (eNLC) or WV/DE/NY; must obtain in first 6 months if applicable.
• Preferred Bachelor's degree in Nursing.

Responsibilities

• Manage a caseload of members with varying health needs.
• Assess health status, needs, and available resources.
• Develop individualized care plans with members and providers.
• Coordinate care plans and access to services and resources.
• Monitor progress and adjust plans as needed.
• Communicate with physicians, providers, and team to execute plans.

Skills

Assessment

Care planning

Teamwork

MS Office

EMR/EHR systems

Healthcare knowledge

Education

High School Diploma/GED

Bachelor's Degree in Nursing

Tools

Case management software

Electronic Health Records (EHR)

Microsoft Office

Job description

Highmark Inc. is seeking a Case Manager to provide comprehensive case management services, assess needs, develop and implement care plans, and coordinate services to promote quality, cost-effective outcomes.

You will monitor progress and advocate for members while ensuring compliance with HIPAA and company policies. The role requires an active RN license (PA or multi-state via eNLC) with at least 3 years in case management or related fields; a BSN is preferred.