Senior Case Manager RN - Remote Healthcare Navigator

Highmark Health; Bozeman (MT); À distance; USD 114 000 - 140 000; Plein temps

Résumé du poste

Highmark Health is seeking a Case Manager to provide comprehensive case management services, develop complex care plans, and coordinate care for members needing advanced clinical support. The role emphasizes advocacy, collaboration with physicians and care teams, and ensuring cost-effective outcomes.

The ideal candidate will hold a Nursing degree, active RN licensure, CCM certification within 36 months, and experience with CBT/MI/DBT and EHR systems.

Qualifications

• Requires RN licensure (state or multistate).
• Advanced training in CBT/MI/DBT and care planning.
• Proficient with EHR and case management software.

Responsabilités

• Assess member needs and develop complex care plans.
• Coordinate services and monitor progress toward goals.
• Advocate for members and coordinate with providers.
• Mentor lower-level Case Managers and ensure compliance with HIPAA.

Connaissances

Advanced clinical knowledge

CBT

Motivational interviewing

DBT

Communication

EHR proficiency

Formation

Bachelor's in Nursing

RN licensure

Outils

Case management software

Electronic health records

Description du poste

Highmark Health is seeking a Case Manager to provide comprehensive case management services, develop complex care plans, and coordinate care for members needing advanced clinical support. The role emphasizes advocacy, collaboration with physicians and care teams, and ensuring cost-effective outcomes.

The ideal candidate will hold a Nursing degree, active RN licensure, CCM certification within 36 months, and experience with CBT/MI/DBT and EHR systems.