Complex Case Manager RN (Remote)

A Case Manager at Highmark holds primary oversight of a member panel, utilizing clinical judgment and data analytics to assess health needs and identify appropriate interventions. The role involves creating care plans, managing referrals to multidisciplinary resources, and monitoring outcomes to improve the health, financial, and functional status of members. Success requires coordinating care, addressing barriers, and ensuring adherence to regulatory standards while working within a multi-disciplinary team.