Senior RN Case Manager & Care Coordination Leader (Remote)

Highmark Health; South Dakota Park (SD); Remote; USD 114.000 - 140.000; Vollzeit

Zusammenfassung

Highmark Health is seeking a Case Manager to provide comprehensive case management services, assess member needs, and develop care plans that promote quality, cost-effective outcomes. You will coordinate services, monitor progress, and collaborate with physicians and healthcare teams to meet individual health goals.

The role requires advanced clinical knowledge, experience with case management, and a nursing degree.

Qualifikationen

• Experience with diverse populations and complex health needs.
• Proficiency in cognitive behavioral techniques or motivational interviewing preferred.
• Strong knowledge of healthcare systems and case management principles.

Aufgaben

• Manage caseload of members with complex health needs and develop care plans.
• Coordinate services and monitor progress to ensure quality and cost-effective care.
• Advocate for members and liaise with physicians and providers to implement plans.
• Document activities in compliance with policies and HIPAA requirements.

Kenntnisse

Clinical assessment

Care planning

Care coordination

Communication

EHR / Case management software

Advanced clinical knowledge

Ausbildung

Bachelor's degree in Nursing

Tools

Case management software

Microsoft Office

Jobbeschreibung

Highmark Health is seeking a Case Manager to provide comprehensive case management services, assess member needs, and develop care plans that promote quality, cost-effective outcomes. You will coordinate services, monitor progress, and collaborate with physicians and healthcare teams to meet individual health goals.

The role requires advanced clinical knowledge, experience with case management, and a nursing degree.