Complex Case Manager Rn - (remote)

Highmark Health

Remote, US
Base: $72,700.00 - $116,600.00; bonus/equity: not ...
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7 years clinical or case management experience
Current pa rn licensure or enlc multi-state license
Proficiency in ms excel and data analytics
** Highmark Health is seeking a Complex Case Manager RN to oversee a panel of members with varying health needs, providing clinical assessments and interventions to improve health outcomes. The position is remote and requires significant experience in clinical care and case management, along with specific nursing licensure. **

Job Summary

  • The incumbent assesses health management needs of an assigned member panel using data analytics and clinical judgment to identify appropriate interventions.
  • Responsibilities include developing care plans, encouraging behavior changes, removing barriers to care, and coordinating resources to achieve personal health goals.
  • The role requires maintaining oversight of a specified panel to monitor and improve clinical, financial, and functional quality outcomes.

Matching Summary

Match Score: 75

** Highmark Health is seeking a Complex Case Manager RN to oversee a panel of members with varying health needs, providing clinical assessments and interventions to improve health outcomes. The position is remote and requires significant experience in clinical care and case management, along with specific nursing licensure. **

Salary

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

Skills & Requirements

Must-have

  • 7 years clinical or case management experience
  • Current PA RN licensure or eNLC multi-state license
  • Proficiency in MS Excel and data analytics

Nice-to-have

  • Advanced training in cognitive behavioral therapy
  • Experience with diverse populations
  • Cultural competency understanding
  • Certification in Case Management

Key Requirements

  • High School Diploma/GED required; Bachelor's Degree in Nursing preferred
  • 7 years of clinical, case management, or disease management experience
  • Current State of PA RN licensure or multi-state eNLC/WV/DE/NY license

Work Rights

Not specified

Tailored Resume

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