Senior RN Case Manager - Remote/Onsite Care Coordination

Highmark Health; Clayton (MO); Hybrid; USD 114,000 - 140,000; Full time

Job summary

Highmark Health is seeking a Case Manager to provide comprehensive case management services, assess member needs, develop and implement care plans, and coordinate services to promote quality, cost-effective care.

You will manage a caseload of complex cases, document progress in EHRs, collaborate with physicians and providers, and mentor junior staff while ensuring compliance with HIPAA and company policies.

Qualifications

• Experience with diverse populations in healthcare.
• Advanced training in CBT, motivational interviewing or DBT.
• Proficiency with Microsoft Office and electronic health records (EHR).

Responsibilities

• Manage a caseload of members with complex health needs.
• Conduct assessments and develop care plans.
• Coordinate services and monitor progress toward goals.
• Ensure documentation complies with policies, HIPAA and regulations.
• Provide mentorship to lower-level Case Managers.

Skills

Clinical assessment

Care planning

Case management

Utilization management

CBT

Motivational interviewing

DBT

Education

Bachelor's in Nursing

Tools

Microsoft Office

Case management software

Electronic health records

Job description

Highmark Health is seeking a Case Manager to provide comprehensive case management services, assess member needs, develop and implement care plans, and coordinate services to promote quality, cost-effective care.

You will manage a caseload of complex cases, document progress in EHRs, collaborate with physicians and providers, and mentor junior staff while ensuring compliance with HIPAA and company policies.