Highmark Health

Care Manager, RN

Highmark Health

full-time

Posted on:

Location Type: Remote

Location: Remote • Louisiana, Maryland, North Carolina, Pennsylvania, Washington • 🇺🇸 United States

Visit company website
AI Apply
Apply

Salary

💰 $50,200 - $91,200 per year

Job Level

Mid-LevelSenior

About the role

  • Implement care management review processes
  • Monitor and analyze delivery of health care services
  • Educate providers and members
  • Identify opportunities for referral to Health Coach/case management
  • Develop and sustain positive working relationships

Requirements

  • Bachelor's Degree in Nursing or relevant experience
  • 3 years of related clinical experience
  • Current State of PA RN licensure or multi-state licensure
  • Certification in Utilization Management preferred
  • Working knowledge of regulatory guidelines
Benefits
  • Health insurance
  • 401(k) matching
  • Paid time off
  • Professional development
  • Remote work options

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Soft skills
positive working relationshipseducationmonitoringanalysis
Certifications
RN licensureCertification in Utilization Management