Medical Case Manager - Transition Of Care (new Castle County, De)

Highmark Health

New Castle County, DE, US
Base: $72,700.00 - $116,600.00; bonus/equity: not ...
Not specified
Complex medical case management
Interdisciplinary care coordination
Member health outcome monitoring
Highmark Health is seeking a Medical Case Manager for Transition of Care in New Castle County, DE. The ideal candidate will coordinate healthcare services for members with complex medical and psychosocial needs, advocating for appropriate care plans and collaborating with various healthcare professionals

Job Summary

  • This role ensures members with complex medical and psychosocial needs access high-quality, cost-effective healthcare through holistic assessment and planning.
  • The incumbent must collaborate with primary care physicians, specialists, and community agencies to develop individualized care plans that address unmet member needs.
  • Candidates are required to maintain current state licensure as a social worker or registered nurse while adhering to HIPAA and company ethical standards.

Matching Summary

Match Score: 85

Highmark Health is seeking a Medical Case Manager for Transition of Care in New Castle County, DE. The ideal candidate will coordinate healthcare services for members with complex medical and psychosocial needs, advocating for appropriate care plans and collaborating with various healthcare professionals.

Salary

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

Skills & Requirements

Must-have

  • Complex medical case management
  • Interdisciplinary care coordination
  • Member health outcome monitoring
  • Regulatory compliance adherence
  • Clinical judgment application

Nice-to-have

  • Bilingual English Spanish skills
  • High-risk pregnant women experience
  • Chronic condition adult populations
  • Pediatrics population experience
  • Conflict resolution skills

Key Requirements

  • Bachelor's degree in Nursing or Social Work
  • 3 years Acute or Managed Care experience
  • Current State RN or LSW/LCSW licensure
  • Experience with Medicaid or Medicare populations
  • Case Management Certification preferred

Work Rights

Not specified

Tailored Resume

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