Medical Case Manager - Lehigh Capital, York County And/or Dauphin County
Highmark Health
Working At Home, PA, United States
Base: $72,700.00 - $116,600.00; bonus/equity: not ...
Hybrid
Complex medical and psychosocial needs assessment
Holistic assessment and planning
Coordination of healthcare services
This is a full-time hybrid work from home and community-based position requiring frequent travel within the assigned territory
Job Summary
This is a full-time hybrid work from home and community-based position requiring frequent travel within the assigned territory.
Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services.
Follows established regulatory guidelines, policies, and procedures in relation to member interventions and documentation of activities related to the member’s care and progress across the continuum of care.
Matching Summary
This is a full-time hybrid work from home and community-based position requiring frequent travel within the assigned territory.
Salary
Base: $72,700.00 - $116,600.00; Bonus/Equity: Not specified; Benefits: Not specified
Skills & Requirements
Must-have
Complex medical and psychosocial needs assessment
Holistic assessment and planning
Coordination of healthcare services
Clinical judgment and collaboration
Regulatory guidelines adherence
Interdisciplinary team meetings
Nice-to-have
Conflict resolution and constructive feedback
Educate health team colleagues
Proactive and efficient service provision
Key Requirements
Bachelor's degree in nursing or RN certification
Master’s degree in Social Work, Counseling, Education, or related field