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Complex Case Manager RN - Oncology - Remote

Posted 4 days ago
All others
Full Time
PA, USA
$57,700 - $107,800/year

Overview

The Complex Case Manager RN - Oncology is responsible for overseeing a panel of members with varying health statuses, assessing their needs, and coordinating appropriate clinical interventions to improve health outcomes.

In Short

  • Manage a specified panel of members in case management.
  • Conduct assessments to determine health management needs.
  • Create and implement care plans for members.
  • Coordinate with multi-disciplinary teams for member support.
  • Monitor quality outcomes and compliance with regulations.
  • Engage in outreach to encourage behavior changes in members.
  • Document all activities in compliance with standards.
  • Maintain knowledge of healthcare regulations and standards.
  • Work independently with moderate supervision.
  • Utilize analytical skills to interpret clinical data.

Requirements

  • High School Diploma/GED required; Bachelor's in Nursing preferred.
  • 7 years of experience in clinical or case management roles.
  • Oncology experience preferred.
  • Must hold an RN license in PA, WV, DE, or NY.
  • Certification in Case Management is preferred.
  • Strong written and verbal communication skills.
  • Proficiency in MS Excel and data analysis.
  • Ability to work in a fast-paced environment.
  • Excellent organizational and time management skills.
  • Demonstrated ability to work with diverse populations.

Benefits

  • Competitive salary and benefits package.
  • Supportive multi-disciplinary team environment.
  • Opportunities for professional development and training.
  • Flexible work arrangements.
  • Comprehensive health insurance options.
  • Employee wellness programs.
  • Retirement savings plans.
  • Work-life balance initiatives.
  • Access to healthcare resources and tools.
  • Commitment to diversity and inclusion in the workplace.

Highmark

Highmark

West Penn Allegheny Health System, part of Highmark Health, is a comprehensive health organization based in Pittsburgh, Pennsylvania. It encompasses a large network of healthcare services, including one of the largest Blue Cross Blue Shield insurers in the United States and a growing regional hospital and physician network. With a workforce of 35,000 employees, the organization is dedicated to serving millions of customers nationwide through its various affiliated businesses, which provide a wide range of health-related services such as health insurance, healthcare delivery, population health management, dental solutions, and innovative technology solutions. The system is committed to quality care, ethical standards, and diversity in the workplace.

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