Senior Remote Oncology Case Manager RN

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

Job summary

Highmark Health seeks an experienced Case Manager to provide comprehensive case management services, coordinating care plans and resources to promote optimal health outcomes while containing costs.

The role includes assessing member needs, collaborating with physicians and care teams, and documenting activities in accordance with HIPAA and company policies. Travel is limited and office-based or remote work options may apply.

Qualifications

• 5 years in clinical, case/utilization management, and/or disease condition management experience or related health insurance experience.
• Strong understanding of case management principles and workflows.
• Experience with diverse populations and care coordination.

Responsibilities

• Manage a caseload of members with complex health needs.
• Develop and implement individualized care plans with multidisciplinary teams.
• Assess health status, needs, and resources for members.
• Coordinate access to services and monitor progress toward goals.
• Advocate for members and liaise with providers within contract guidelines.

Skills

Clinical assessment

Care planning

Leadership

Advocacy

Microsoft Office

EHR systems

Healthcare knowledge

Education

High School/GED

Bachelor's in Nursing

Tools

Microsoft Office

Case management software

Electronic health records

Job description

Highmark Health seeks an experienced Case Manager to provide comprehensive case management services, coordinating care plans and resources to promote optimal health outcomes while containing costs.

The role includes assessing member needs, collaborating with physicians and care teams, and documenting activities in accordance with HIPAA and company policies. Travel is limited and office-based or remote work options may apply.