Care Manager Rn - Weekend (ft) Remote

Highmark Health

Base: $68,400.00 - $105,900.00; bonus/equity: not ...
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3 years clinical experience
Current pa rn licensure
Utilization management review processes
** Highmark Health is seeking a Weekend Remote RN Care Manager to implement utilization management strategies, monitor healthcare service delivery, and educate providers and members to enhance healthcare outcomes. The role requires a strong background in clinical experience and effective communication skills, focusing on quality care and compliance with regulations. **

Job Summary

  • This role implements effective utilization management strategies including reviewing the appropriateness of health care services.
  • The position requires monitoring and analyzing the delivery of health care services while educating providers and members proactively.
  • Candidates must possess current state of Pennsylvania RN licensure or multi-state licensure through the enhanced Nurse Licensure Compact.

Matching Summary

Match Score: 75

** Highmark Health is seeking a Weekend Remote RN Care Manager to implement utilization management strategies, monitor healthcare service delivery, and educate providers and members to enhance healthcare outcomes. The role requires a strong background in clinical experience and effective communication skills, focusing on quality care and compliance with regulations. **

Salary

Base: $68,400.00 - $105,900.00; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • 3 years clinical experience
  • Current PA RN licensure
  • Utilization management review processes

Nice-to-have

  • Bachelor's degree in nursing
  • Utilization management certification
  • Managed care experience

Key Requirements

  • 3 years related progressive clinical experience
  • Current State of PA RN licensure
  • Multi-state licensure via eNLC
  • Bachelor's Degree in Nursing (Preferred)
  • Certification in utilization management (Preferred)

Work Rights

Not specified

Tailored Resume

Cover Letter