Complex Case Manager Rn - Specialty Pediatrics (remote)
Highmark Health
Multiple Locations, US
Base: $72,700.00 - $116,600.00; bonus/equity: not ...
Clinical judgment
Care plan development
Member outreach
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
clinical judgment
care plan development
member outreach
quality outcomes monitoring
MS Excel proficiency
analytic skills
Nice-to-have
cultural competency
cognitive behavioral therapy
motivational interviewing
dialectical behavior therapy
consensus building skills
Key Requirements
7 years clinical, case management, or disease management experience