Manager Care Management

Cambia Health Solutions; Portland (OR); Remote; USD 110,000 - 150,000; Full time

Job summary

Cambia Health Solutions is seeking a Manager Care Management to lead a team in delivering quality health services across various programs. This remote position offers opportunities for developing care management policies and overseeing staff, requiring at least 7 years in healthcare and strong leadership skills. Join a mission-driven team to enhance healthcare experiences and lead transformative initiatives.

Benefits

Medical, dental and vision coverage

Generous paid time off

401(k) with company match

Paid parental time off

Wellness programs

Qualifications

• 7 years of healthcare or clinical care experience.
• 5 years of leadership experience.
• Current RN License, LCSW, LPC, or LMFT required.

Responsibilities

• Plans, directs, and manages activities of care management.
• Oversees staff and sets performance standards.
• Leads development of care management policies and procedures.

Skills

Resource and project management

Effective communication

Problem-solving

Collaboration

Education

Bachelor’s degree in nursing or related field

Master’s preferred

Job description

Manager Care Management

Work from home 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 clinical leaders are living our mission to make health care easier and lives better. As a member of the Behavioral Health team, our Manager Care Management plans, directs, and manages the activities of the care management professional and support staff. Oversees staff directly or through subordinate supervisor(s). Provides leadership to set performance standards and ensure effective and efficient execution of care management programs across all Cambia plans, including case management, disease management and care coordination.Represents the department in interactions with all levels of management, vendor partners, clients, providers, government officials, and outside consultants – all in service of creating a person-focused health care experience.

As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us.

Are you passionate about transforming healthcare experiences? Do you thrive when leading teams toward meaningful outcomes? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

• Bachelor’s degree in nursing or related field, master’s preferred

• 7 years of healthcare or clinical care experience

• 5 years of leadership experience or equivalent combination of education and experience

• Current unrestricted Registered Nurse (RN) License, (LCSW) Licensed Clinical Social Worker, (LPC) Licensed Professional Counselor, or (LMFT) Licensed Marriage and Family Therapist in a state or territory of the United States

• Certification as a case manager from the URAC-approved list of certifications preferred

Skills and Attributes:

• Ability to identify issues, opportunities, and effective solutions and collaborate with other departments to improve processes and/or results

• Demonstrates competency in resource and project management: budgeting, organizing work, providing leadership to staff, establishing measures for success, and managing deliverables

• Ability to develop and lead a team including: hiring, goal setting, coaching and development (including supervisors and/or employees who may be in multiple locations or work remotely)

• Ability to communicate effectively, verbally and in writing, including meeting facilitation and presentations with employer or provider groups

• Familiar with health insurance industry trends and technology

• Demonstrates competency in clinical case management and utilization management practices

• Experience using population statistics and their application in care management programs

What You Will Do at Cambia:

• Leads development of care management policies, procedures, and standards; establishes long-term departmental goals with division leadership; oversees program development, implementation, quality, and outcomes; adapts operational plans as needed

• Handles all management responsibilities including hiring, performance reviews, coaching, development, and retention; develops supervisors and participates in talent management activities

• Communicates organizational objectives; monitors metrics to ensure deliverables meet department and regulatory standards; implements policy updates and process improvements to maintain quality and service excellence

• Manages department budget and financial targets; authorizes expenditures; monitors workforce allocation and resources; oversees project plans

• Collaborates with other leaders across departments to resolve issues; creates visibility and support for care management programs; may develop and present educational updates to other departments

• Maintains clinical competency and stays current on medical practices and industry trends; develops resource materials; provides education about programs to employees, providers, and community stakeholders

• As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish

#LI-Remote

The expected hiring range for a Manager Care Management is $110,500 - $149,500 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%. The current full salary range for this role is $104,000 - $169,000.

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.

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 .