Senior RN Case Manager: Complex Care & Advocacy

Highmark Health; Seattle (WA); Remote; USD 79.000 - 127.000; Vollzeit

Zusammenfassung

Highmark Inc. seeks a seasoned Case Manager to deliver comprehensive case management services, assess member needs, develop and coordinate care plans, and monitor outcomes while containing healthcare costs.

The role emphasizes collaboration with physicians and the care team, documentation compliance, and mentorship to junior staff. Location supports office-based or remote work options.

Qualifikationen

• Current State RN licensure or current multi-state licensure through eNLC.
• CCM certification must be obtained within 36 months of hire (exempt for incumbents as of Aug 2026).

Aufgaben

• Manage a caseload of members with complex health needs.
• Conduct comprehensive assessments and develop care plans.
• Coordinate services and monitor progress toward goals.
• Advocate and liaison to meet members' health care needs.
• Ensure activities are documented in compliance with policies and HIPAA.

Kenntnisse

Clinical assessment

Care planning

Leadership

Advocacy

Case management

EHR

MS Office

Healthcare systems

Ausbildung

High School diploma

Bachelor's in Nursing

Tools

MS Office

Electronic Health Records

Jobbeschreibung

Highmark Inc. seeks a seasoned Case Manager to deliver comprehensive case management services, assess member needs, develop and coordinate care plans, and monitor outcomes while containing healthcare costs.

The role emphasizes collaboration with physicians and the care team, documentation compliance, and mentorship to junior staff. Location supports office-based or remote work options.