Remote Care Management RN — Shape Quality Care

Cambia Health Solutions; Yakima (WA); On-site; USD 51,000 - 69,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

401(k) with company match

Paid time off and holidays

Parental leave policy

Job summary

Cambia Health Solutions is seeking a Remote Care Management Nurse to coordinate care for members from home across Oregon, Washington, Idaho or Utah. You will apply clinical expertise to assess, plan, implement and evaluate care while maintaining compliance with medical policies.

The role requires an active RN license, 3+ years in clinical or care management, and strong communication. We offer flexible work from home options and comprehensive benefits.

Qualifications

• Active RN license and eligible to practice in at least one US state.
• Minimum 3 years in direct clinical care or care management.
• Experience with care coordination, utilization management, or disease management.

Responsibilities

• Conduct case management from assessment to evaluation.
• Ensure compliance with medical policies and guidelines.
• Collaborate across disciplines to resolve member and provider issues.
• Document care plans clearly and timely.
• Coordinate resources to meet timelines.
• Monitor plan effectiveness and adjust as needed.

Skills

RN license

Case management

Policy interpretation

Communication skills

AI tools

Education

Associate's or Bachelor's degree

Job description

Cambia Health Solutions is seeking a Remote Care Management Nurse to coordinate care for members from home across Oregon, Washington, Idaho or Utah. You will apply clinical expertise to assess, plan, implement and evaluate care while maintaining compliance with medical policies.

The role requires an active RN license, 3+ years in clinical or care management, and strong communication. We offer flexible work from home options and comprehensive benefits.