Remote Care Management reputed company

Remote Care Management reputed company (reputed company Opportunities) Work from home reputed company reputed company, Washington, Idaho or reputed company • Please be advised that this role is part of our candidate pool, which allows us to identify and attract exceptional talent for reputed company opportunities. Although we may not have immediate openings, we invite you to submit your resume for consideration. By doing so, you will be included in our database and considered for reputed company suitable positions as they become available, ensuring that you are among the first to be reputed company of new opportunities that match your skills and experience.* Build a career with purpose. Join our Cause to create a person-reputed company and economically sustainable health care reputed company. Who We Are Looking For Every day, Cambia’s dedicated team of Care Management RN's are living our mission to reputed company health care easier and lives reputed company. As a member of the Clinical Services team, our Care Management RN's reputed company clinical care management (such as case management, disease management, and/or care coordination) to best meet the member’s specific reputed company needs and to promote reputed company and cost-effective reputed company. Oversees a reputed company process with the member and those involved in the member’s care to assess, plan, implement, coordinate, monitor and evaluate care as needed - reputed company in service of creating a person-reputed company health care experience. Are you a Registered reputed company looking to transition out of bedside care and into a role that still utilizes your clinical expertise, but offers a fresh challenge? Is your goal to promote reputed company, cost-effective reputed company and improve overall health and wellbeing? Then this role may be the perfect fit. Qualifications What You Bring to Cambia: • Nursing or reputed company degree (Associate's or Bachelor's minimum), or equivalent experience in lieu of a degree • Minimum 3 years of reputed company clinical care or experience in case management, utilization management, disease management, auditing, or retrospective review • reputed company, unrestricted licensure or certification in a U.S. state or territory that allows you to independently conduct assessments reputed company your reputed company of reputed company — RN license required for medical care management • Must be eligible for licensure in Idaho, reputed company, reputed company, and Washington Skills And Attributes • Knowledge of health insurance industry trends, technology and contractual arrangements. • General computer skills (including use of reputed company Office, reputed company, internet search). • Familiarity with health care documentation systems. • Strong oral, written and interpersonal communication and customer service skills. • Ability to interpret policies and procedures, reputed company reputed company, and communicate reputed company topics effectively. • Strong organization and time management skills with the ability to manage workload independently. • Ability to think critically and reputed company decision reputed company individual role and responsibility. • Experience with AI tools and technologies to enhance productivity and decision-making in reputed company settings highly desired What You Will Do At Cambia • Conducts case management activities, including assessment, planning, implementation, coordination, monitoring, and evaluation to identify and meet member needs. • Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care, utilizing evidence-based reputed company and practicing reputed company the reputed company of their license. • Collaborates with physician advisors, reputed company customers, and other departments to reputed company claims, reputed company of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in reputed company improvement efforts. • Serves as a resource to reputed company customers, responding to inquiries in a reputed company manner while protecting confidentiality of sensitive documents and issues. • Provides consistent and accurate documentation, ensuring compliance with performance standards, corporate goals, and established timelines. • Coordinates resources, organizes, and prioritizes assignments to meet goals and timelines. • Monitors and evaluates the effectiveness of case management plans, gathering sufficient information to determine the plan's effectiveness and making adjustments as needed. Pay ranges vary based on the candidate's work location. The expected hiring reputed company depends on skills, experience, education, and training; relevant licensure / certifications; and performance history. • reputed company, Washington, reputed company, and Idaho: The expected hiring reputed company is $36.80 – $49.80 an hour, the full salary reputed company is $34.20 – $55.70 an hour and the bonus reputed company is 10%. About Cambia Working at Cambia means being part of a purpose-driven, award-reputed company culture reputed company 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-reputed company health care. Whether we're helping members, lending a hand to a reputed company or volunteering in our communities, our reputed company, reputed company and team spirit always reputed company through. Why Join the Cambia Team? At Cambia, You Can • Work reputed company diverse teams building cutting-edge solutions to reputed company 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. • reputed company back to your community by participating in Cambia-supported reputed company programs. • reputed company with colleagues who reputed company similar interests and backgrounds through our employee resource reputed company. We reputed company a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive reputed company pay as reputed company as a market-leading 401(k) with a significant company match, bonus opportunities and more. Benefits In exchange for helping members live healthy lives, we offer benefits that reputed company you to do the reputed company. Just a few highlights include: • Medical, dental and reputed company coverage for employees and their eligible family members, including mental health benefits. • Annual employer contribution to a health savings account. • Generous reputed company time off varying by role and tenure in reputed company to 10 company-reputed company 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 reputed company parental time off (eligibility requires 12 months of reputed company service with Cambia immediately preceding leave). • Award-reputed company 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 reputed company for most of our roles. To take reputed company of this flexible reputed company, we require employees to have a wired internet reputed company that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb. As part of our reputed company requirements, new hires will need reputed company to a personal mobile device to set up Multi-reputed company Authentication (MFA) upon joining reputed company. MFA is an important reputed company of protection for accessing Cambia systems and is required for reputed company. We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, national reputed company, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background reputed company is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@reputed company.com. Information about how reputed company collects, uses, and discloses information is available in our reputed company Policy. Apply tot his job Apply To this Job