Remote Oncology Care Management RN — Care Coordination

Cambia Health Solutions, Inc.; Utah; Remote; USD 48,000 - 79,000; Full time

Benefits offered by this job

Health insurance

401(k) retirement plan

Paid time off

Paid holidays

Job summary

Cambia Health Solutions, Inc. is seeking an experienced Care Management RN to provide case management, disease management, and care coordination within a remote work arrangement for eligible states.

You will collaborate with physicians and interdisciplinary teams to promote quality and cost-effective outcomes. The role emphasizes clinical judgment, policy adherence, and maintaining comprehensive documentation while supporting member wellbeing.

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 license; eligibility for licensure in Idaho, Oregon, Utah, and Washington

Responsibilities

• Conducts case management activities to identify and meet member needs.
• Applies clinical expertise to ensure compliance with medical policy and guidelines.
• Collaborates with physicians, internal and external teams to resolve claims and quality issues.
• Provides professional responses to inquiries while protecting confidentiality.
• Maintains accurate documentation and adheres to timelines.
• Coordinates resources and prioritizes assignments to meet goals.
• Monitors and adjusts care plans based on effectiveness.

Skills

Care management

Case management

Utilization management

Disease management

RN license

Licensure eligibility

Communication skills

Time management

AI tools

Education

Nursing degree

Tools

Microsoft Office

Outlook

Job description

Cambia Health Solutions, Inc. is seeking an experienced Care Management RN to provide case management, disease management, and care coordination within a remote work arrangement for eligible states.

You will collaborate with physicians and interdisciplinary teams to promote quality and cost-effective outcomes. The role emphasizes clinical judgment, policy adherence, and maintaining comprehensive documentation while supporting member wellbeing.