Remote Care Management RN – Impact Lives Every Day

Cambia Health; Spokane (WA); Remote; USD 51,000 - 69,000; Full time

Job summary

Cambia Health is seeking a Remote Care Management Nurse to join the Clinical Services team. The role focuses on case management, disease management, and care coordination to support member health while improving outcomes.

Candidates must have RN licensure and 3+ years of direct clinical care, with eligibility to licensure in Idaho, Oregon, Utah, and Washington. This remote position offers work-from-home flexibility for eligible locations and a comprehensive benefits package.

Qualifications

• RN license or equivalent for medical care management.
• Minimum 3 years of direct clinical care or case management experience.
• Eligibility for licensure in Idaho, Oregon, Utah, and Washington.
• Knowledge of health insurance industry trends and policies.

Responsibilities

• Conducts case management activities from assessment to evaluation.
• Applies clinical judgment to ensure policy compliance and care standards.
• Collaborates with physicians, members and departments to resolve issues.
• Responds professionally to inquiries while protecting confidentiality.
• Maintains accurate documentation meeting performance standards.
• Coordinates resources to meet goals and timelines.
• Monitors outcomes and adjusts plans as needed.

Skills

Healthcare knowledge

Case management

Policy interpretation

Communication skills

Time management

AI tool familiarity

Customer service

Education

Nursing degree or health services degree (Associate's or Bachelor's)

3+ years direct clinical care or case management experience

Tools

Microsoft Office

Health care documentation systems

Job description

Cambia Health is seeking a Remote Care Management Nurse to join the Clinical Services team. The role focuses on case management, disease management, and care coordination to support member health while improving outcomes.

Candidates must have RN licensure and 3+ years of direct clinical care, with eligibility to licensure in Idaho, Oregon, Utah, and Washington. This remote position offers work-from-home flexibility for eligible locations and a comprehensive benefits package.