Remote Care Management Clinician

Cambia Health Solutions; Idaho; Remote; USD 48,000 - 79,000; Full time

Job summary

Cambia Health Solutions seeks a Care Management Clinician to provide care coordination and case management services remotely within Idaho, Oregon, Utah, and Washington. Candidates must have nursing or related clinical background with licensure and strong organizational skills.

The role emphasizes evidence-based care, collaboration with physicians, and efficient documentation to support quality and cost-effective outcomes. Preference given to Idaho/Utah residents and current employees.

Qualifications

• Associate or Bachelor’s degree in Nursing or related field and 3+ years in case management or related area.

Responsibilities

• Perform assessment, planning, implementation, coordination, monitoring and evaluation of member care.
• Apply clinical judgment to ensure medical policy and standards of care are met.
• Consult with physician advisors to ensure appropriate care determinations.
• Collaborate with other departments to resolve claims and quality of care issues.
• Document plans and outcomes clearly and meet timelines.

Skills

Organization & time management

Communication

Customer service

Clinical risk assessment

AI tools usage

Education

Associate or Bachelor’s in Nursing or related field

Active licensure in US health field

Tools

Microsoft Office

Outlook

Health care documentation systems

Job description

Cambia Health Solutions seeks a Care Management Clinician to provide care coordination and case management services remotely within Idaho, Oregon, Utah, and Washington. Candidates must have nursing or related clinical background with licensure and strong organizational skills.

The role emphasizes evidence-based care, collaboration with physicians, and efficient documentation to support quality and cost-effective outcomes. Preference given to Idaho/Utah residents and current employees.