Integrated Care Management Nurse or Clinician

Integrated Care Management Nurse Or Clinician

Work from home within Oregon, Washington, Idaho, or Utah

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia's dedicated team of Care Management Nurses and Clinicians are living our mission to make health care easier and lives better. As a member of the Care Management team, our Care Management Nurses and Clinicians provide clinical care management to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes all in service of making our members' health journeys easier.

Do you enjoy working collaboratively with members and their multidisciplinary care team to ensure their needs are being met and voices are being heard? Do you enjoy staying current with the latest clinical practices and guidelines in your field to ensure members care is top tier? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

Integrated Care Management Nurse:

• Associate or Bachelor's Degree in Nursing
• Registered nurse (RN) license (must have a current unrestricted RN license), BSN strongly preferred.
• 3 years of case management, utilization management, disease management, or behavioral health case management experience
• Equivalent combination of education and experience.
• Must have licensure or certification, in a state or territory of the United States, in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice for the discipline (e.g. medical vs. behavioral health) and at least 3 years (or full time equivalent) of direct clinical care.

Integrated Care Management Clinician:

• Master's degree in Behavioral Health related field with a current, unrestricted independent clinical license (ex. LCSW, LICSW, LMHC, LPC, or LMFT)
• 3 years of case management, utilization management, disease management, or behavioral health case management experience
• Experience working in an Integrated Behavioral Health-Medical model preferred
• Equivalent combination of education and experience.
• Must have licensure or certification, in a state or territory of the United States, in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice for the discipline (e.g. medical vs. behavioral health) and at least 3 years (or full time equivalent) of direct clinical care.

Skills and Attributes:

• Knowledge of health insurance industry trends, technology, and contractual arrangements.
• Proficiency in general computer skills, including Microsoft Office, Outlook, and internet search.
• Strong oral, written, and interpersonal communication and customer service skills.
• Ability to interpret policies and procedures, make clinical 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.
• Patient-focused approach to problem solving, prioritizing optimal health outcomes for each member.

What You Will Do at Cambia:

• Drive member behavior change, health coach/lifestyle modification, social determinants of health remediation, intensive coordinated transitions of care, engagement of family members, and direct collaborative provider engagement.
• Serve as the individual's single point of contact with no (or few) handoff's to other disciplines.
• Assesses four potential problem domains including medical, behavioral, social and health system using a holistic approach.
• Identify an individual's barriers to health improvement and compliance by utilizing a narrative relationship-based approach to assessing health complexity.
• Leverage the individual's motivation for change and create prioritized interventions based on the individual's goals.
• Establishing and measuring outcomes based on care plan goals as well as clinical, functional, economic and quality of life outcomes.
• Responsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring, and evaluation.

The expected hiring range for an Integrated Care Management Nurse or Clinician is $42.00 - $44.00 an hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $34.20 - $55.70 an hour.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, you can:

• Work alongside diverse teams building cutting-edge solutions to transform health care.
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
• Grow your career with a company committed to helping you succeed.
• Give back to your community by participating in Cambia-supported outreach programs.
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

We believe a career at Cambia is more than just a paycheck and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:

• 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.

Learn more about our benefits.

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email View email address on click.appcast.io . Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.