Complex Case Manager, RN

Job not on LinkedIn

🕒 May 31

⚜️ Louisiana, North Carolina, +3 more states – Remote

⚜️ Louisiana – Remote 🌲 North Carolina – Remote 🦀 Maryland – Remote 🔔 Pennsylvania – Remote ☕ Washington – Remote

💵 $72.7k - $116.6k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

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Highmark Health

WebsiteLinkedInAll Job Openings

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

• Assess health management needs of assigned member panel • Utilize data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member • Manage an active case load of members in case management • Conduct outreach to members enrolled in case management including developing a care plan, encouraging behavior changes, coordinating care, and identifying resources • Monitor, improve and maintain quality outcomes for the specified panel of members

🎯 Requirements

• High School Diploma/GED required • 7 years of any combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience required • Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) or WV or DE or NY required • Certification in Case Management preferred • Advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy (DBT) preferred

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Professional development opportunities