Medical Case Manager - Delaware

Highmark Health

United States
Base: $72,700.00 - $116,600.00; bonus/equity: not ...
Hybrid
Holistic assessment and planning
Member access to healthcare services
Clinical judgment and collaboration
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

  • Holistic assessment and planning
  • Member access to healthcare services
  • Clinical judgment and collaboration
  • Regulatory guidelines and documentation
  • Interdisciplinary team meetings
  • Telephonic interviewing and communication

Nice-to-have

  • Conflict resolution and feedback skills
  • Continuing education forums
  • Educate health team colleagues

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) or equivalent
  • Current State of PA RN licensure

Work Rights

Not specified

Tailored Resume

Cover Letter