Remote Care Management Clinician — Health Navigator

Cambia Health Solutions, Inc.; Heber (UT); Remote; USD 43,000 - 79,000; Full time

Benefits offered by this job

401(k) with company match

Paid time off

Holidays

Parental leave

Job summary

Cambia Health Solutions, Inc. is seeking a Care Management Clinician to provide case management, disease management, and care coordination from a remote home-based setting across multiple states.

You will assess member needs, develop care plans, and work with clinicians to ensure quality outcomes while following policy and licensure requirements. The role emphasizes strong organizational and communication skills, knowledge of health care documentation systems, and ability to manage workload

Qualifications

• Associate or Bachelor's Degree in Nursing or related field required.
• 3+ years of case management, utilization management, disease management, or behavioral health case management experience or equivalent.

Responsibilities

• Provide clinical care management including case management, disease management, and care coordination.
• Assess member needs and develop plans to achieve quality and cost-effective outcomes.
• Collaborate with physicians and care teams to ensure medically appropriate determinations.
• Document activities thoroughly and maintain compliance with policy and standards.

Skills

Organizational skills

Time management

Customer service

Communication

Policy interpretation

Microsoft Office

Outlook

Health care documentation systems

Education

Associate or Bachelor's Degree in Nursing or related field

RN license

Tools

Microsoft Office

Outlook

Job description

Cambia Health Solutions, Inc. is seeking a Care Management Clinician to provide case management, disease management, and care coordination from a remote home-based setting across multiple states.

You will assess member needs, develop care plans, and work with clinicians to ensure quality outcomes while following policy and licensure requirements. The role emphasizes strong organizational and communication skills, knowledge of health care documentation systems, and ability to manage workload