Complex Case Manager, RN – Specialty Pediatrics

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🔥 10 minutes ago

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Logo of Highmark Health

Highmark Health

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.

📋 Description

• Manage a panel of members with varying health management needs • Assess health management needs and determine appropriate clinical interventions • Develop care plans with short and long term goals • Monitor quality outcomes for case management • Conduct outreach to members enrolled in case management • Collaborate with multi-disciplinary teams to coordinate care

🎯 Requirements

• High School Diploma/GED required • 7 years of clinical, case management, or health insurance experience required • Advanced training in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy (DBT) preferred • Current PA RN licensure OR multi-state licensure through eNLC preferred • Certification in Case Management preferred • Proficiency in MS Excel is required

🏖️ Benefits

• Health insurance • 401(k) plan • Paid time off • Flexible work arrangements • Professional development opportunities

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