Medical Case Manager - Delaware

Highmark Health

Delaware, US
Base: $72,700.00 - $116,600.00; bonus/equity: not ...
Hybrid
Hybrid work from home and community-based position
Frequent travel within assigned territory
Holistic assessment and care planning for complex members
This role ensures members with complex medical and psychosocial needs have access to high-quality, cost-effective healthcare through holistic assessment and care coordination

Job Summary

  • This role ensures members with complex medical and psychosocial needs have access to high-quality, cost-effective healthcare through holistic assessment and care coordination.
  • The incumbent must advocate for appropriate care plans using sound clinical judgment while collaborating with physicians, specialists, and community resources.
  • Employees are required to maintain professional licensure in social work or nursing and adhere to strict HIPAA and data security guidelines.

Matching Summary

This role ensures members with complex medical and psychosocial needs have access to high-quality, cost-effective healthcare through holistic assessment and care coordination.

Salary

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

Skills & Requirements

Must-have

  • Hybrid work from home and community-based position
  • Frequent travel within assigned territory
  • Holistic assessment and care planning for complex members

Nice-to-have

  • Experience with high-risk pregnant women populations
  • Bilingual English/Spanish language skills
  • Experience working with chronic condition adult populations

Key Requirements

  • Bachelor's degree in Nursing or Social Work (or Master's)
  • 3 years experience in Acute or Managed Care/Medicaid/Medicare
  • Required State Licensure (LSW, LPC, LCSW, or RN)

Work Rights

Not specified

Tailored Resume

Cover Letter