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Remote RN Care Manager — Care Optimization & Outcomes

Remote / Online - Candidates ideally in
Bensalem, Bucks County, Pennsylvania, 19020, USA
Listing for: Highmark Health
Full Time, Remote/Work from Home position
Listed on 2026-08-10
Job specializations:
  • Management
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 68000 - 106000 USD Yearly USD 68000.00 106000.00 YEAR
Job Description & How to Apply Below
Location: Bensalem

Highmark Health is seeking a full-time RN case manager for a remote role requiring weekend work (Saturday and Sunday) plus three weekdays. You will implement utilization management strategies, review care appropriateness, apply criteria, and refer to Health Coaching/case management while monitoring quality and member satisfaction.

You will respond to inquiries and offer interventions. Responsibilities include implementing reviews, complying with laws, promoting quality, protecting privacy, and

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