Medical Case Manager - (Delaware) Maternity - Behavioral Health

2 months ago

United States$57k–107kFull TimeHealthcare Administration

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Job Description

About the Role

Join Highmark Health as a Medical Case Manager - (Delaware) Maternity - Behavioral Health in United States. Company: Highmark Inc. Job Description: JOB SUMMARY Medical Case Managers are required to complete member facing visits within the assigned territory in DE.

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.

Work Schedule

Full-time position.

No explicit call, weekend, or night shift information provided.

Apply to join Highmark Health as a Medical Case Manager - (Delaware) Maternity - Behavioral Health.

Key Skills

Case ManagementPsychosocial Needs AssessmentCare PlanningCoordinationMonitoringEvaluationClinical JudgmentRegulatory GuidelinesInterdisciplinary MeetingsTelephonic InterviewingMedical TerminologyPatient EducationCollaborationConflict ResolutionCost Benefit AnalysisTeamwork

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Position Insights

Healthcare Administration — healthcare professional Career Context

This Healthcare Administration position at Highmark Health is open to healthcare professional candidates.

Compensation Analysis

Highmark Health lists compensation for this healthcare professional position at $58k to $108k annually.

Location & Logistics

This position is based in United States.

Skills, Responsibilities & Benefits

Key skills and qualifications: Case Management, Psychosocial Needs Assessment, Care Planning, Coordination, Monitoring, Evaluation, Clinical Judgment, Regulatory Guidelines. Candidates with experience in these areas may be especially well-suited for this Healthcare Administration role.

Core responsibilities: The Medical Case Manager assures members with complex medical or psychosocial needs access high-quality, cost-effective healthcare by assessing, planning, coordinating, and monitoring their care continuum. This involves advocating for appropriate care plans, collaborating with providers, and ensurin...

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