Care Manager RN - UM (Full-Time) Weekends (Remote)

Highmark Health
Alabama, United States
Full Time
Remote
Mid
USD 68,400 – 105,900
Bachelor Degree
Healthcare Healthcare Life Sciences

Posted 5 days ago

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Excellent 4.7

Job summary

This is a full-time remote Care Manager RN position focused on utilization management, quality assurance, and health care service oversight, requiring weekend availability, with a preference for candidates with RN experience, nursing degree, and strong communication, data analysis, and regulatory compliance skills.

Responsibilities

The Care Manager implements utilization management strategies by reviewing health care services and applying criteria to ensure appropriate resource utilization. They also monitor health care delivery, educate providers and members, and analyze data to improve performance and member satisfaction.

Qualifications

Care Management Communication Skills Data Analysis Healthcare Services Medical Policies Organization Skills Quality Improvement Regulatory Compliance RN Experience Utilization Management

Candidates must have a current RN license in Pennsylvania or a multi-state eNLC license and at least 3 years of progressive clinical experience. Preferred qualifications include a Bachelor's degree in Nursing and experience in UM, CM, or managed care settings.

English

Company

Highmark Health

Highmark Health

linkedin
Hospitals and Health Care
Location
Alabama, United States

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Excellent 4.7
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