Medical Case Manager - Behavioral Health (PA/DE/WV) (Remote)

2 days ago
Remote - Nationwide$72.7K - $116.6KFull TimeHealthcare Administration

Job Description

About the Role

Join Highmark Health as a Medical Case Manager – Remote in United States. Company: Highmark Inc. Job Description: JOB SUMMARY This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care.

Key Responsibilities

  • Communicate effectively while performing customer telephonic interviewing and communication with external contacts.
  • Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts.
  • Collaborate with Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being to coordinate member care.

Requirements

  • State (OR) Licensed Professional Counselor (LPC)
  • Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW)
  • Specific (OR) Licensed Master Social Worker (LMSW) Non
  • related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.

Benefits & Compensation

  • Salary: $72.7K - $116.6K

Work Schedule

  • Fixed schedule.
  • Remote position - work from anywhere.

Apply to join Highmark Health as a Medical Case Manager – Remote.

Key Skills

Clinical JudgmentCoordinationMonitoringEvaluationAdvocacyCollaborationTelephonic InterviewingMedical TerminologyHealth OutcomesCare Plan DevelopmentResource ManagementCost Benefit AnalysisConflict ResolutionContinuing EducationBilingual English/Spanish
HealthcareSocial Servicesvia Workday

Position Insights

WeekdayDoc rates Medical Case Manager - Behavioral Health (PA/DE/WV) (Remote) at Highmark Health a 4.0/10 for work-life balance — below average.

This is a fully remote position, allowing clinicians to work from anywhere.

Compensation ranges from $72k to $116k annually.

Key skills for this role include Clinical Judgment, Coordination, Monitoring, Evaluation, Advocacy.

Highmark Health logo

About Highmark Health

Hospitals and Health Care
Pittsburgh, Pennsylvania
2-5
4.0

Work-Life Balance Score

Below Average

Protective Factors (1)

Remote work (RR 0.57; 14-23% ↓ burnout)

Interpretation: Position includes 1 validated protective factor against burnout.

Job Details

Employment Type

Full Time

Posted

2d ago