Complex Case Manager RN Pediatric - (Remote)

Are you a motivated and compassionate Registered Nurse with experience in complex pediatric cases? If so, we have an exciting opportunity for you to join our team as a Complex Case Manager RN Pediatric at Highmark Health. As a remote position, you will have the flexibility to work from the comfort of your own home while making a meaningful impact in the lives of our young patients. We are seeking a highly skilled and empathetic individual who is dedicated to providing comprehensive care and support for children with complex medical needs. If this sounds like you, we encourage you to apply and become a part of our dynamic and caring team.

1. Coordinate and manage complex pediatric cases by collaborating with the patient, their family, and healthcare professionals to develop and implement effective care plans.
2. Conduct in-depth assessments of patients' medical conditions, treatment plans, and progress to identify their specific needs and ensure they receive appropriate care.
3. Provide regular communication and support to patients and their families, answering any questions and addressing concerns they may have.
4. Utilize critical thinking skills to identify potential barriers to care and develop solutions to improve the patient's overall well-being.
5. Monitor and track patient progress, documenting any changes or updates in their condition and updating care plans accordingly.
6. Educate patients and their families on their medical conditions, treatment options, and resources available to them.
7. Collaborate with other healthcare professionals, including physicians, therapists, and social workers, to ensure comprehensive and coordinated care for patients.
8. Stay up-to-date on the latest advancements and treatments in pediatric healthcare to provide the best care possible.
9. Adhere to all legal and ethical standards, ensuring patient confidentiality and privacy at all times.
10. Participate in team meetings and trainings to share knowledge and contribute to the continuous improvement of our complex case management program.
11. Work independently and remotely while maintaining a high level of productivity and meeting established metrics.
12. Show compassion and empathy towards patients and their families, providing emotional support and advocating for their needs.
13. Adhere to company policies and procedures, as well as state and federal regulations, to ensure quality and compliant care.
14. Handle any urgent or emergency situations with professionalism and efficiency, ensuring the safety and well-being of patients at all times.
15. Collaborate with insurance companies and other payers to ensure appropriate coverage and reimbursement for patients' care.

According to JobzMall, the average salary range for a Complex Case Manager RN Pediatric - (Remote) is between $68,000-$96,000 per year. This may vary depending on location, years of experience, and other factors.

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.