Complex Case Manager Rn - Remote

Highmark Health

Multiple Locations
Base: $72,700.00 - $116,600.00; bonus/equity: not ...
Assess health management needs
Develop care plans
Monitor quality outcomes
This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs

Job Summary

  • This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs.
  • The incumbent will be supported by a multi-disciplinary team and will use clinical judgment to refer members to appropriate multi-disciplinary resources.
  • The incumbent monitors, improves and maintains quality outcomes (clinical, financial and functional) for the specified panel of members.

Matching Summary

This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs.

Salary

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

Skills & Requirements

Must-have

  • Assess health management needs
  • Develop care plans
  • Monitor quality outcomes
  • MS Excel proficiency
  • Analytic skills

Nice-to-have

  • Cognitive behavioral therapy experience
  • Motivational interviewing experience
  • Cultural competency
  • Consensus building skills

Key Requirements

  • 7 years clinical/case management experience
  • Current PA RN licensure or eNLC
  • Bachelor's Degree in Nursing (Preferred)

Work Rights

Not specified

Tailored Resume

Cover Letter