Senior Oncology Case Manager RN – Remote Care Expert

Highmark Health; East Windsor Hill (CT); Remote; USD 114,000 - 140,000; Full time

Job summary

Highmark Health is seeking a dedicated Case Manager RN to deliver comprehensive case management for members, coordinating care, assessing needs, and developing integrated plans that improve outcomes while containing costs.

The role involves managing complex caseloads, collaborating with physicians and care teams, ensuring thorough documentation, and mentoring junior staff in a compliant, patient-centered approach.

Qualifications

• 5 years of clinical, case/utilization management, and/or health insurance experience.
• Current RN licensure (state or multi-state via eNLC) and CCM certification within 36 months.
• Advanced training in CBT, motivational interviewing, or DBT.
• Proficiency with MS Office and EHR/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.
• Coordinate and implement care plans, ensuring access to services and resources.
• Monitor progress and adjust plans to meet goals.
• Collaborate with physicians, providers and care teams to carry out the plan of care.
• Document all activities in compliance with policies, regulations, and standards.

Skills

Clinical assessment

Care planning

Diverse populations

CBT/MI/DBT

EHR proficiency

Healthcare systems

Education

Bachelor of Nursing

Tools

Microsoft Office

Case management software

Electronic Health Records

Job description

Highmark Health is seeking a dedicated Case Manager RN to deliver comprehensive case management for members, coordinating care, assessing needs, and developing integrated plans that improve outcomes while containing costs.

The role involves managing complex caseloads, collaborating with physicians and care teams, ensuring thorough documentation, and mentoring junior staff in a compliant, patient-centered approach.