Remote Care Management Nurse (RN)

Cambia Health Solutions, Inc.; Pocatello (ID); Remote; USD 48,000 - 79,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

HSA contributions

Generous PTO

401(k) with company match

Parental leave (up to 12 weeks)

Wellness programs

Employee Assistance Fund

Commute/parking benefits

Job summary

Cambia Health Solutions, Inc. is seeking a Care Management RN to join the Clinical Services team. The role involves case management, care coordination, and ensuring quality and cost-effective outcomes for members.

The position supports remote work options across multiple western states, with licensure in Idaho, Oregon, Utah, or Washington. The ideal candidate has strong clinical expertise and superior communication skills to guide member care and collaboration with physicians.

Qualifications

• Registered Nurse with active, unrestricted U.S. licensure and ability to practice within scope.
• Minimum 3 years of direct clinical care or case management experience.
• Must be eligible for licensure in Idaho, Oregon, Utah and Washington.

Responsibilities

• Conducts case management activities to assess, plan, implement and evaluate care.
• Apply clinical judgment to ensure medical policy compliance and care standards.
• Collaborate with physicians and departments to resolve claims and care issues.
• Serve as a resource while maintaining confidentiality of sensitive information.
• Provide consistent documentation and track performance timelines.
• Coordinate resources and prioritize assignments to meet goals.
• Monitor outcomes and adjust plans based on effectiveness.

Skills

Clinical care

Case management

Communication

Independent work

AI tools

Education

Associate's or Bachelor's in nursing/health services

Tools

Microsoft Office

Outlook

Job description

Cambia Health Solutions, Inc. is seeking a Care Management RN to join the Clinical Services team. The role involves case management, care coordination, and ensuring quality and cost-effective outcomes for members.

The position supports remote work options across multiple western states, with licensure in Idaho, Oregon, Utah, or Washington. The ideal candidate has strong clinical expertise and superior communication skills to guide member care and collaboration with physicians.