Job Description
**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY** This is a full-time hybrid work from home and community-based position requiring frequent travel within the assigned territory. A portion of this role involves working directly with members where they are - in-home, hospitals, PCPs, etc.
This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while containing the cost of health care services. The incumbent will assist in containing the cost of health care services by detecting, resolving and preventing improper utilization of member benefits.
**ESSENTIAL RESPONSIBILITIES**
+ Manage a caseload of members with moderate complexity health needs.
+ Assess members’ health status, needs, and avai...
Highmark Inc.
**Job Description :**
**JOB SUMMARY** This is a full-time hybrid work from home and community-based position requiring frequent travel within the assigned territory. A portion of this role involves working directly with members where they are - in-home, hospitals, PCPs, etc.
This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while containing the cost of health care services. The incumbent will assist in containing the cost of health care services by detecting, resolving and preventing improper utilization of member benefits.
**ESSENTIAL RESPONSIBILITIES**
+ Manage a caseload of members with moderate complexity health needs.
+ Assess members’ health status, needs, and avai...
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