Remote Care Management RN – Impactful Health Navigator

Cambia Health; Bellevue (WA); Teletrabalho; USD 48 000 - 79 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Remote work option

Resumo da oferta

Cambia Health is seeking a Remote Care Management Nurse to join our Clinical Services team. You will conduct case management activities, assess and coordinate care, and collaborate with providers to optimize outcomes while complying with medical policies.

The role supports members across Oregon, Washington, Idaho, and Utah, with a focus on high-quality, cost-effective care. A nursing degree and active RN license or eligibility are required, with strong communication and organizational skills

Qualificações

• Nursing or health/human services degree (Associate's or Bachelor's) required.
• Minimum 3 years of direct clinical care or case management experience requested.
• Active, unrestricted licensure or eligibility to practice in US states used for care management; RN license required for medical care management.
• Must be eligible for licensure in Idaho, Oregon, Utah, and Washington.

Responsabilidades

• Conducts case management activities including assessment, planning, implementation, coordination, monitoring, and evaluation.
• Ensure compliance with medical policy and guidelines within license scope.
• Collaborates with physicians, internal and external teams to resolve care issues and identify improvements.
• Responds to inquiries professionally while maintaining confidentiality of sensitive information.
• Maintains accurate documentation and adheres to performance standards and timelines.
• Coordinates resources and prioritizes assignments to meet goals and deadlines.
• Monitors and evaluates effectiveness of care plans and adjusts as needed.

Conhecimentos

RN license

Licensure eligibility

Health insurance knowledge

Computer skills

Communication skills

Critical thinking

AI tools experience

Formação académica

Nursing degree

Ferramentas

Microsoft Office

Outlook

Healthcare documentation systems

Descrição da oferta de emprego

Cambia Health is seeking a Remote Care Management Nurse to join our Clinical Services team. You will conduct case management activities, assess and coordinate care, and collaborate with providers to optimize outcomes while complying with medical policies.

The role supports members across Oregon, Washington, Idaho, and Utah, with a focus on high-quality, cost-effective care. A nursing degree and active RN license or eligibility are required, with strong communication and organizational skills