Medical Case Manager - New Castle County, Delaware

Highmark Health

New Castle County, Delaware, USA
Base: $72,700.00 - $116,600.00; bonus/equity: not ...
Holistic assessment and planning
Coordinate member care
Clinical judgment and consultation
Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services

Job Summary

  • Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services.
  • Educate members to enhance member understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health outcomes.
  • Attend and participate in required meetings, including staff meetings, internal Rounds, and other in-services to enhance professional knowledge and competency for overall management of members.

Matching Summary

Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services.

Salary

Base: $72,700.00 - $116,600.00; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • holistic assessment and planning
  • coordinate member care
  • clinical judgment and consultation
  • develop individualized plan of care
  • maintain knowledge of medical terminology
  • telephonic interviewing and communication

Nice-to-have

  • conflict resolution and constructive feedback
  • foster effective work relationships
  • enhance professional knowledge and competency

Key Requirements

  • Bachelor’s degree in nursing or RN certification
  • Master’s degree in Social Work, Counseling, Education
  • 3 years' experience in Acute or Managed Care
  • experience with Medicaid or Medicare populations
  • Licensed Social Worker (LSW)
  • Licensed Professional Counselor (LPC)
  • Current State of PA RN licensure

Work Rights

Not specified

Tailored Resume

Cover Letter