Remote Oncology Care Management RN

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

Benefits offered by this job

Work from home

401(k) match

Paid time off

Holidays

Job summary

Cambia Health Solutions, Inc. is seeking a Registered Nurse to perform care management activities including assessment, planning and coordination for members across Oregon, Washington, Idaho, and Utah.

The role emphasizes quality and cost-effective outcomes and uses clinical expertise to improve health care experiences. Ideal candidates hold an active RN license, have 3+ years in direct clinical care or case management, and can licensure in the four states listed.

Qualifications

• Nursing or health/human services degree (Associate's or Bachelor's minimum) or equivalent experience
• Minimum 3 years of direct clinical care or experience in case management, utilization management, disease management, auditing, or retrospective review
• Active, unrestricted RN licensure for medical care management
• Eligible for licensure in Idaho, Oregon, Utah, and Washington

Responsibilities

• Conducts case management activities across assessment, planning, implementation, coordination, monitoring and evaluation.
• Applies clinical judgment to ensure medical policy compliance and evidence-based care within scope of practice.
• Collaborates with physicians, internal/external customers, and departments to resolve claims and quality of care issues.
• Responds to inquiries professionally while protecting confidentiality of sensitive documents.
• Provides consistent documentation, meeting performance standards and timelines.
• Coordinates resources and prioritizes assignments to meet goals.
• Monitors and evaluates effectiveness of case management plans and adjusts as needed.

Skills

Clinical care management

Patient communication

Critical thinking

AI tools experience

Education

Nursing degree (Assoc or Bach)

Tools

Microsoft Office

Job description

Cambia Health Solutions, Inc. is seeking a Registered Nurse to perform care management activities including assessment, planning and coordination for members across Oregon, Washington, Idaho, and Utah.

The role emphasizes quality and cost-effective outcomes and uses clinical expertise to improve health care experiences. Ideal candidates hold an active RN license, have 3+ years in direct clinical care or case management, and can licensure in the four states listed.