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highmarkhealth1 week ago

Care Manager RN (Remote)

$68,400–$105,900 year

Remote · Pennsylvania, United States

Type
Full Time
Level
Mid Level
Education
Bachelors Degree
Company size
Large

Job Summary

RN Care Manager (Remote) drives utilization management by reviewing appropriateness of health care services, applying criteria to ensure appropriate resource use, and identifying opportunities for Health Coaching/case management. Responsibilities include educating providers and members, promoting quality and efficiency in care management, maintaining privacy, and collaborating with internal/external stakeholders. Requires PA RN licensure (or multi-state licensure via eNLC) and 3 years of clinical experience. Preference for Bachelor’s Degree in Nursing. Remote role based in Pennsylvania; 0-25% travel.

Required Qualifications

  • Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC)
  • 3 years of related, progressive clinical experience in the area of specialization

Desired Qualifications

  • Bachelor’s Degree in Nursing (preferred)
  • 3 years of related, progressive clinical experience in the area of specialization
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$68k – $106k / yr

Care Manager RN (Remote) · highmarkhealth

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