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Care Manager, RN
Highmark HealthCare Manager RN implementing effective utilization management strategies, enhancing healthcare delivery at Highmark Health. Collaborating with providers and members to achieve optimal healthcare outcomes.
Posted 5/22/2026full-timeRemote • Pennsylvania, Virginia • 🇺🇸 United StatesMid-LevelSenior💰 $68,400 - $105,900 per yearWebsite
About the role
Key responsibilities & impact- Implement care management review processes that are consistent with established industry and corporate standards
- Function in accordance with applicable state, federal laws and regulatory compliance
- Identify and refer members whose healthcare outcomes might be enhanced by Health Coaching/case management interventions
Requirements
What you’ll need- 3 years of related, progressive clinical experience in the area of specialization
- Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).
- Certification in utilization management or a related field preferred
Benefits
Comp & perks- Health insurance
- Retirement plans
- Paid time off
ATS Keywords
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Certifications
State of PA RN licensuremulti-state licensurecertification in utilization management