Highmark Health

Complex Case Manager RN - Maternity, NICU (Remote)

Highmark Health

Remote
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Are you a dedicated and compassionate registered nurse with experience in maternity and NICU care? Do you have a passion for helping families navigate complex medical situations? Highmark Health is seeking a motivated Complex Case Manager RN to join our remote team and provide support to our high-risk maternity and NICU patients. In this role, you will have the opportunity to make a meaningful impact in the lives of our patients and their families, while utilizing your clinical expertise and exceptional communication skills. If you are a natural problem-solver with a strong background in maternal and neonatal care, we encourage you to apply for this rewarding position.

  1. Provide high-quality and compassionate care to high-risk maternity and NICU patients.
  2. Utilize clinical expertise to assess, plan, and implement individualized care plans for patients and their families.
  3. Serve as the primary point of contact for patients and their families, providing support and guidance throughout their medical journey.
  4. Collaborate with interdisciplinary teams to ensure continuity and coordination of care for patients.
  5. Use critical thinking skills to identify potential barriers to care and develop solutions to overcome them.
  6. Conduct thorough assessments and evaluations to identify patient needs and develop appropriate care plans.
  7. Educate patients and their families on medical conditions, treatments, and available resources.
  8. Monitor and track patient progress, making adjustments to care plans as needed.
  9. Communicate effectively with patients, families, and healthcare team members to ensure the best possible outcomes.
  10. Maintain accurate and timely documentation of patient care and progress.
  11. Stay up-to-date on current trends and best practices in maternity and NICU care.
  12. Adhere to all regulatory and compliance guidelines.
  13. Serve as an advocate for patients and their families, ensuring their voices are heard and their needs are met.
  14. Act as a resource and mentor for other healthcare team members.
  15. Demonstrate a commitment to continuous learning and professional development.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • Bachelor's Degree In Nursing With Active Rn License: A Complex Case Manager Rn - Maternity, Nicu Must Have A Bachelor's Degree In Nursing And A Valid Rn License To Practice In The State Where The Job Is Located.

  • Minimum Of 3-5 Years Of Experience In Maternal And Neonatal Nursing: The Ideal Candidate Should Have At Least 3-5 Years Of Experience Working In A Maternal And Neonatal Setting, With A Strong Understanding Of Complex Cases And Care Management.

  • Certification In Case Management: A Complex Case Manager Rn Should Possess A Certification In Case Management To Demonstrate Their Knowledge And Skills In Managing Complex Cases And Coordinating Care For Patients.

  • Strong Communication And Interpersonal Skills: As A Remote Position, Effective Communication And Interpersonal Skills Are Crucial For Building Relationships With Patients, Families, And Healthcare Providers.

  • Knowledge Of Insurance And Healthcare Regulations: The Candidate Should Have A Thorough Understanding Of Insurance And Healthcare Regulations, As Well As Experience Working With Insurance Companies To Ensure Appropriate Coverage And Reimbursement For Patients.

Required Skills
  • Case management

  • Care planning

  • Nursing skills

  • Patient Advocacy

  • Patient education

  • Remote Work

  • Resource Coordination

  • Interdisciplinary Coordination

  • Assessment And Evaluation

  • Maternity Care

  • Nicu Experience

Soft Skills
  • Communication

  • Conflict Resolution

  • Leadership

  • Time management

  • creativity

  • flexibility

  • Teamwork

  • Active Listening

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Complex Case Manager RN - Maternity, NICU (Remote) is $75,000 to $100,000 per year. Salaries may vary depending on factors such as location, experience, and employer.

Additional Information
Highmark Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedApril 24th, 2025
Apply BeforeApril 11th, 2026
This job posting is from a verified source. 
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About Highmark Health

Highmark Inc. is among the largest health insurers in the United States and the fourth-largest Blue Cross and Blue Shield-affiliated company. Highmark and its diversified businesses and affiliates operate health insurance plans in Pennsylvania, Delaware and West Virginia that serve 5.2 million members. Its diversified health businesses serve group customer and individual health needs across the United States through dental insurance, vision care and other related health businesses. Highmark is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.

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