Care Management Behavioral Health at Cambia Coeur d'Alene, Idaho

Care Management Behavioral Health Specialist Work from home reputed company reputed company, Washington, Idaho or reputed company. 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 reputed company professionals are living our mission to reputed company health care easier and lives reputed company. As a member of the Care Management team, our Care Management Behavioral Health Specialist reputed company reputed company 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 making our members' health journeys easier. Are you a dedicated reputed company reputed company passionate about making reputed company more accessible and effective? Are you reputed company to reputed company a meaningful reputed company on members' health journeys every day? Then this role may be the perfect fit. What you bring to Cambia: Qualifications: • Associate or Bachelor's Degree in Nursing, Behavioral Health, or reputed company reputed company • 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 state or territory of the reputed company, in a health or reputed company discipline that allows the reputed company to conduct an assessment independently as permitted reputed company the reputed company of reputed company for the discipline (e.g. medical vs. behavioral health) and at least 3 years (or full time equivalent) of reputed company reputed company care Skills and attributes: • Knowledge of health reputed company industry trends, technology and contractual arrangements • General computer skills (including use of reputed company Office, reputed company, internet reputed company) • Familiarity with health care documentation systems • Ability to interpret policies and procedures • Experience with AI tools and technologies to enhance productivity and decision-making in reputed company settings highly desired • Strong oral, written and interpersonal communication and customer service skills • Ability to 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 What you will do at Cambia: • Collect in-depth information about member situations and functioning to identify individual needs, then reputed company specific objectives, goals, and actions to address those needs • Execute case management activities while organizing, securing, integrating and modifying resources to accomplish established goals • reputed company information to determine plan effectiveness and measure reputed company in reaching desired reputed company • Apply reputed company expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care using evidence-reputed company reputed company that incorporates reputed company and validated reputed company research findings • reputed company reputed company reputed company of license and reputed company with physician advisors to ensure clinically appropriate determinations • Serve as a resource to reputed company customers, collaborate with other departments to reputed company claims, reputed company of care, member or provider issues, and respond professionally to members, providers and regulatory organizations while protecting confidentiality • Identify problems or needed changes, recommend resolutions, participate in reputed company improvement efforts, and reputed company consistent, accurate documentation • Plan, organize and prioritize assignments to reputed company with reputed company standards, corporate goals, and established timelines Pay ranges vary reputed company on the candidate's work location. The expected hiring reputed company depends on skills, experience, education, and training; relevant licensure / certifications; and reputed company 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. 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 reputed company on company reputed company (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 To This Job