
10,000+ employees
Founded 1852
⚕️ Healthcare Insurance
🤝 Non-profit
🌍 Social Impact
💰 $5M Grant on 2021-05
Healthcare Insurance • Non-profit • Social Impact
Highmark Health is a healthcare company committed to reinventing the healthcare system and improving its services for everyone. The organization offers a broad range of career opportunities across various fields such as clinical care, technology, finance, and marketing. Highmark Health emphasizes diversity, equity, and inclusion in its workforce, creating a supportive environment for employees from all backgrounds. The company has been recognized for its commitment to disability inclusion, diversity, and military-friendly employment. As an independent licensee of the Blue Cross Blue Shield Association, Highmark Health strives to create remarkable healthcare experiences for its customers and employees alike.
🔥 1 minute ago
🔔 Pennsylvania – Remote
💵 $68.4k - $105.9k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
👔 Manager
🦅 H1B Visa Sponsor
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10,000+ employees
Founded 1852
⚕️ Healthcare Insurance
🤝 Non-profit
🌍 Social Impact
💰 $5M Grant on 2021-05
Healthcare Insurance • Non-profit • Social Impact
Highmark Health is a healthcare company committed to reinventing the healthcare system and improving its services for everyone. The organization offers a broad range of career opportunities across various fields such as clinical care, technology, finance, and marketing. Highmark Health emphasizes diversity, equity, and inclusion in its workforce, creating a supportive environment for employees from all backgrounds. The company has been recognized for its commitment to disability inclusion, diversity, and military-friendly employment. As an independent licensee of the Blue Cross Blue Shield Association, Highmark Health strives to create remarkable healthcare experiences for its customers and employees alike.
• Implement care management review processes that are consistent with established industry and corporate standards • Function in accordance with applicable state, federal laws and regulatory compliance • Promote quality and efficiency in the delivery of care management services • Identify and refer members whose healthcare outcomes might be enhanced by Health Coaching/case management interventions
• 3 years of related, progressive clinical experience in the area of specialization • Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). • Certification in utilization management or a related field (preferred) • Working knowledge of pertinent regulatory and compliance guidelines and medical policies • Ability to analyze data, measure outcomes, and develop action plans
• Health insurance • Retirement plans • Paid time off • Flexible work arrangements
Apply Now🔥 9 minutes ago
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