Care Manager RN - (Remote)

About the Role

Care Manager RN - (Remote) at Highmark Health in Anywhere. Salary: ~$50k. Lifestyle: remote, flexible schedule. Benefits: health benefits.

Work-Life Balance Factors

Remote/telehealth

⚠️ Fast-paced environment

Key Responsibilities

• Implement all care management reviews according to accepted and established criteria, as well as other approved guidelines and medical policies.
• Promote quality and efficiency in the delivery of care management services.
• Develop and sustain positive working relationships with internal and external customers.
• Utilize outcomes data to improve ongoing care management services.
• Ability to multi task and perform in a fast paced and often intense environment
• Ability to analyze data, measure outcomes, and develop action plans

Requirements

• Bachelor’s Degree in Nursing
• 3 years of related, progressive clinical experience in the area of specialization
• Experience in a clinical setting
• Experience in UM/CM/QA/Managed Care
• LICENSES AND CERTIFICATIONS
• Certification in utilization management or a related field

Benefits & Compensation

• Identify and refer members whose healthcare outcomes might be enhanced by Health Coaching/case management interventions.
• Employ collaborative interventions which focus, facilitate, and maximize the member’s health care outcomes. Is familiar with the various care options and provider resources available to the member.
• Pay Range Minimum:
• Pay Range Maximum:
• For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth. org
• The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets

Work Schedule

• Be enthusiastic, innovative, and flexible