Remote RN Care Manager | Utilization & Care Coordination

Highmark Health is seeking a remote Care Management Nurse/CM Specialist to implement utilization management strategies across weekdays and weekends. The role reviews care appropriateness, applies criteria for resource use, and refers to Health Coaching or case management as needed.

You will educate providers and members, analyze qualitative and quantitative data to improve provider and member satisfaction, and respond to inquiries with timely interventions.

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