Healthcare Case Manager

6 days ago


Pittsburgh, Pennsylvania, United States Highmark Health Full time
Job Summary:

This role is responsible for creating, implementing, and evaluating care plans for patients and their families/caregivers across the health continuum. The ideal candidate will have a strong background in case management and be able to utilize nationally recognized standards of practice to collaborate with providers, clinical teams, health plans, and external partners.

About the Job:

We are seeking a skilled RN Case Manager to join our team. As a key member of our healthcare team, you will work closely with patients, families, and healthcare providers to develop and implement comprehensive care plans that address the physical, emotional, and social needs of our patients.

Responsibilities:

- Conduct thorough assessments of patients and their families/caregivers to identify their clinical, physical, and social needs
- Develop and implement individualized care plans that address the unique needs of each patient
- Collaborate with healthcare providers, payers, and external partners to ensure seamless transitions of care and optimal outcomes
- Educate patients, families, and healthcare providers on appropriate care options, insurance benefits, and utilization review principles

Requirements:

- Bachelor's Degree in Nursing (or equivalent experience)
- 3+ years of experience in a clinical nursing role
- Current State of PA RN licensure (or multi-state licensure through the enhanced Nurse Licensure Compact)
- Professional Certification within 5 years of start date
- Critical thinking and problem-solving skills
- Strong communication and collaboration skills

Benefits:

Our company offers a competitive salary range of $70,000 - $90,000 per year, depending on experience, as well as a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.

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