Remote RN Care Manager — Utilization & Care Coordination

Highmark Health is seeking a remote Care Manager RN to support utilization management and care coordination. The role requires weekend availability (Saturday and Sunday) plus three weekdays, focusing on reviewing services, applying criteria, and improving member outcomes.

The position emphasizes privacy, ethical practice, and collaboration with providers to optimize care. A PA RN license (or multi-state via eNLC) is preferred, with substantial clinical experience in managed care settings.

This is a genuine position to take on the Remote RN Care Manager — Utilization & Care Coordination role at Highmark Health.

This Full Time role is for the Remote RN Care Manager — Utilization & Care Coordination role at Highmark Health.

We are seeking a motivated Remote RN Care Manager — Utilization & Care Coordination to join Highmark Health in MO, United States.