Senior Oncology Case Manager RN — Care Leader

Highmark Health; Iowa; Remote; USD 79,000 - 127,000; Full time

Job summary

Highmark Health is seeking an experienced Case Manager to provide comprehensive case management services, coordinate care, and promote quality, cost-effective health outcomes. You will assess member needs, develop care plans, and monitor progress while containing health care costs.

Required 5 years of relevant experience with strong clinical knowledge, and licensure as RN or CCM certification. Remote work options and collaboration with diverse care teams are offered.

Qualifications

• 5 years in any combination of clinical, case/utilization management, and/or disease condition management experience, or provider operations and/or health insurance experience.

Responsibilities

• Manage a caseload of members with complex health needs and advanced clinical knowledge.
• Conduct comprehensive assessments and develop complex care plans.
• Assess members’ health status, needs, and available resources.
• Develop individualized care plans in collaboration with members, physicians, and other healthcare providers.
• Implement and coordinate care plans, ensuring access to appropriate services and resources.
• Monitor member progress toward goals and adjust care plans as needed.
• Evaluate the effectiveness of interventions and services.
• Act as an advocate and liaison to meet a member's health care needs using available resources.

Skills

Clinical assessment

Care planning

Leadership

Mentoring

Advocacy

Microsoft Office & EHR

Healthcare systems knowledge

Education

High School/GED

BSN (preferred)

Job description

Highmark Health is seeking an experienced Case Manager to provide comprehensive case management services, coordinate care, and promote quality, cost-effective health outcomes. You will assess member needs, develop care plans, and monitor progress while containing health care costs.

Required 5 years of relevant experience with strong clinical knowledge, and licensure as RN or CCM certification. Remote work options and collaboration with diverse care teams are offered.