[Hiring] Care Management Clinician @Cambia Health Solutions

Role Description

Work from home within Idaho, Oregon, Utah, and Washington. Preference will be given to current employees and candidates who reside in Idaho or Utah.

Join our Cause to create a person-focused and economically sustainable health care system. As a member of the Care Management team, our Care Management Clinician provides clinical care management to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes.

Do you have strong organization and time management skills? Do you have a passion for serving others and learning new things? Then this role may be the perfect fit.

Qualifications

• Associate or Bachelor's Degree in Nursing or related field.
• 3 years of case management, utilization management, disease management, or behavioral health case management experience or equivalent combination of education and experience.
• Must have licensure or certification in a health or human services discipline that allows the professional to conduct an assessment independently.
• At least one of the following:
  • Certification as a case manager from the URAC-approved list of certifications.
  • Bachelor's degree (or higher) in a health or human services-related field (psychiatric RN or Master's degree in Behavioral Health preferred for behavioral health care management).
  • Registered nurse (RN) license (must have a current unrestricted RN license for medical care management).

Requirements

• Knowledge of health insurance industry trends, technology, and contractual arrangements.
• General computer skills (including use of Microsoft Office, Outlook, internet search).
• Familiarity with health care documentation systems.
• Strong oral, written, and interpersonal communication and customer service skills.
• Ability to interpret policies and procedures, make decisions, and communicate complex topics effectively.
• Strong organization and time management skills with the ability to manage workload independently.
• Ability to think critically and make decisions within individual role and responsibility.
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired.

Benefits

• Medical, dental, and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.