Highmark Health
Creating remarkable health experiences, freeing people to be their best.
Complex Case Manager, RN
Location
Louisiana + 4 moreAll locations: Louisiana, North Carolina, Maryland, Pennsylvania, Washington
Posted
6 days ago
Salary
$57.7K - $107.8K / year
Bachelor Degree7 yrs expEnglish
Job Description
• Maintain oversight over specified panel of members by performing ongoing assessment of members’ health management needs
• Create care plans to address members’ identified needs and conduct other activities to help improve health outcomes
• Ensure targeted percentage of patient goal achievement and document all activities in compliance with regulatory requirements
• Maintain current knowledge and adhere to applicable CMS, state, local, and regulatory agency requirements
Job Requirements
- 7 years of any combination of clinical, case management and/or disease/condition management experience
- Bachelor's Degree in Nursing preferred
- Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) or WV or DE or NY is required
- Certification in Case Management preferred
- Advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy (DBT) preferred
- Understanding of the healthcare needs of diverse populations and importance of cultural competency
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
