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.
Care Manager, RN
Job not on LinkedIn
🕒 6 days ago
🔔 Pennsylvania – Remote
💵 $68.4k - $105.9k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
👔 Manager
🦅 H1B Visa Sponsor
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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
• 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
🎯 Requirements
• 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
🏖️ Benefits
• Health insurance • Retirement plans • Paid time off • Flexible work arrangements
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