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Integrated Care Management Nurse or Clinician - R-5917_2-4185

Cambia Health • Coeur D Alene, ID • 6d ago

This job was posted by https://idahoworks.gov : For more information, please see: https://idahoworks.gov/jobs/2395436

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

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.

LI-Remote

The expected hiring range for a 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 sa

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