Remote Care Management Clinician – Improve Outcomes

Cambia Health; Salem (OR); Remote; USD 48,000 - 79,000; Full time

Job summary

Cambia Health is seeking a Care Management Clinician to provide clinical care management, including case management, disease management, and care coordination to meet members' needs.

This role is work-from-home within Idaho, Oregon, Utah and Washington, with preference for candidates in Idaho or Utah. You will assess needs, build care plans, coordinate resources, monitor outcomes, and ensure care within policy guidelines; strong organization and communication are essential.

Qualifications

• Associate or Bachelor's in Nursing or related field with 3 years of case management or related experience.
• Must hold licensure or certification allowing independent assessment and at least 3 years of direct clinical care.
• One of: URAC case manager cert; or health-related BS/BA; or RN license with medical care management scope.

Responsibilities

• Perform case management activities from assessment to evaluation to meet member needs and goals.
• Apply clinical judgment to ensure compliance with medical policy and guidelines within license scope.
• Consult with physician advisors and resolve member or provider issues across departments.
• Document plans and prioritize tasks to meet timelines and performance standards.

Skills

Care management

Organization

Communication

Policy interpretation

Time management

Critical thinking

AI tools experience

Education

Associate or Bachelor's Degree in Nursing or related field

RN license (unrestricted)

URAC case manager certification or health-related degree/cert

Job description

Cambia Health is seeking a Care Management Clinician to provide clinical care management, including case management, disease management, and care coordination to meet members' needs.

This role is work-from-home within Idaho, Oregon, Utah and Washington, with preference for candidates in Idaho or Utah. You will assess needs, build care plans, coordinate resources, monitor outcomes, and ensure care within policy guidelines; strong organization and communication are essential.