Behavioral Health Case Management Clinician

Cambia Health Solutions; Medford (OR); Remote; USD 60,000 - 80,000; Full time

Job summary

Cambia Health Solutions is seeking a Behavioral Health Case Management Clinician to provide clinical care management and support to members in Oregon, Washington, Idaho, or Utah. This role involves comprehensive case management, collaboration with healthcare providers, and a commitment to enhancing mental health support. Ideal candidates will have a Master's degree in a relevant field and significant clinical experience, contributing to a person-focused healthcare system.

Benefits

Generous paid time off

Annual employer contribution to health savings account

Market-leading retirement plan with company match

Up to 12 weeks of paid parental time off

Award-winning wellness programs

Qualifications

• 3 years direct behavioral health clinical experience as an independently licensed Master's level clinician.
• Clinical License must be unrestricted and current in state of residence.
• CCM preferred or ability to obtain.

Responsibilities

• Conduct comprehensive case management including assessment, planning, implementation, coordination, and monitoring.
• Ensure compliance with medical policies and standards of care using evidence-based criteria.
• Collaborate across departments to resolve claims and quality of care issues.

Skills

Knowledge of health insurance industry trends

Strong oral communication skills

Interpersonal communication skills

Strong organization skills

Time management skills

Education

Master’s Degree in Behavioral Health Discipline

Tools

Microsoft Office

Health care documentation systems

Job description

Join to apply for the Behavioral Health Case Management Clinician role at Cambia Health Solutions

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Join to apply for the Behavioral Health Case Management Clinician role at Cambia Health Solutions

Remote within Oregon, Washington, Idaho or Utah

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For

Every day, Cambia’s dedicated team of clinicians are living our mission to make health care easier and lives better. As a member of the behavioral health team, our behavioral health case management clinicians provide clinical care management to best meet the member’s specific healthcare needs and to promote quality and cost-effective outcomes. You would oversees a collaborative process with the member and those involved in the member’s care to assess, plan, implement, coordinate, monitor and evaluate care as needed. – all in service of creating a person-focused health.

Are you a licensed behavioral health professional that is passionate about making a difference? Do you thrive when building therapeutic relationships that empower others on their health journey? Are you passionate about breaking down healthcare barriers and creating more accessible mental health support? Then this role may be the perfect fit.

Qualifications

What You Bring to Cambia:

• Master’s Degree in Behavioral Health Discipline
• Must have 3 years direct behavioral health clinical experience as an independently licensed Master's level Behavioral Health Clinician (no associate or interns) in one of the areas of Psychology, Counselling, Social Work, or Marriage and Family Therapy (LICSW, LCSW, LMHC, LPC and LMFT). Clinical License must be unrestricted and current in state of residence
• CCM preferred or ability to obtain
  
  

Skills And Attributes

• Knowledge of health insurance industry trends, technology and contractual arrangements.
• General computer skills (including use of Microsoft Office, Outlook, internet search).
• Familiarity with health care documentation systems.
• Strong oral, written and interpersonal communication and customer service skills.
• Ability to interpret policies and procedures, make decisions, and communicate complex topics effectively.
• Strong organization and time management skills with the ability to manage workload independently.
• Ability to think critically and make decision within individual role and responsibility.
  
  

What You Will Do At Cambia

• Conducts comprehensive case management: assessment (collecting member information to identify needs), planning (setting objectives to meet needs), implementation (executing activities to achieve goals), coordination (organizing resources), and monitoring/evaluation (determining plan effectiveness).
• Applies clinical expertise to ensure compliance with medical policies, necessity guidelines, and standards of care using evidence-based criteria and practicing within license scope.
• Consults with physician advisors for appropriate clinical determinations and serves as a resource to internal/external customers.
• Collaborates across departments to resolve claims, quality of care, and member/provider issues while identifying problems and participating in improvement efforts.
• Communicates professionally with members, providers, and regulatory organizations while protecting confidential information.
• Provides consistent, accurate documentation of all case activities.
• Organizes and prioritizes assignments to meet performance standards, corporate goals, and deadlines.
  
  

The expected hiring range for a Behavioral Health Case Management Clinician is $42.00 - $44.00 an hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $34.20 - $55.70 an hour.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, You Can

• Work alongside diverse teams building cutting-edge solutions to transform health care.
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
• Grow your career with a company committed to helping you succeed.
• Give back to your community by participating in Cambia-supported outreach programs.
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
  
  

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

Benefits

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.
  
  

Learn More About Our Benefits.

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email [e-mail]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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