Talent.com
Care Management Nurse or Social Worker
Care Management Nurse or Social WorkerCambia Health Solutions • Washington, DC, US
No se aceptan más aplicaciones
Care Management Nurse or Social Worker

Care Management Nurse or Social Worker

Cambia Health Solutions • Washington, DC, US
Hace 6 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

Care Management Nurse or Social Worker

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 clinical professionals are living our mission to make health care easier and lives better. As a member of the Care Management team, our Care Management Clinicians provide clinical care management (such as case management, disease management, and / or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Oversees a collaborative process with the member and those involved in the member's care to assess, plan, implement, coordinate, monitor and evaluate care as needed – all in service of making our members' health journeys easier.

Are you a dedicated clinical professional passionate about making healthcare more accessible and effective? Are you ready to make a meaningful impact 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 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 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
  • General computer skills (including use of Microsoft Office, Outlook, internet search)
  • 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 professional settings highly desired
  • Strong oral, written and interpersonal communication and customer service skills
  • Ability to communicate complex topics effectively
  • Strong organization and time management skills with the ability to manage workload independently
  • Ability to think critically and make decision within individual role and responsibility
  • What You Will Do at Cambia :

  • Collect in-depth information about member situations and functioning to identify individual needs, then develop specific objectives, goals, and actions to address those needs
  • Execute case management activities while organizing, securing, integrating and modifying resources to accomplish established goals
  • Gather information to determine plan effectiveness and measure success in reaching desired outcomes
  • Apply clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care using evidence-based criteria that incorporates current and validated clinical research findings
  • Practice within scope of license and consult with physician advisors to ensure clinically appropriate determinations
  • Serve as a resource to internal and external customers, collaborate with other departments to resolve claims, quality 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 quality improvement efforts, and provide consistent, accurate documentation
  • Plan, organize and prioritize assignments to comply with performance standards, corporate goals, and established timelines
  • LI-Remote

    The expected hiring range for a Care Management Nurse or Social Worker is $38.00 - $41.50 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 CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

    J-18808-Ljbffr

    Crear una alerta de empleo para esta búsqueda

    Social Worker • Washington, DC, US

    Ofertas relacionadas
    Geriatric Care Manager

    Geriatric Care Manager

    Corewood Care • Bethesda, MD, USA
    A tiempo completo +1
    Quick Apply
    Corewood Care is a locally owned and operated Care Management and Home Care company.We are one of the few companies in the DMV that offer this integrated service to benefit older adults and their f...Mostrar más
    Última actualización: hace 22 días
    Manager of Care Navigation Registered Nurse (RN) or Social Worker, Day Shift, Case Management

    Manager of Care Navigation Registered Nurse (RN) or Social Worker, Day Shift, Case Management

    Adventist HealthCare, Inc • Rockville, MD, United States
    A tiempo completo
    Adventist Rehabilitation - Rockville.If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire an experienc...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    RN- Registered Nurse- Chemotherapy

    RN- Registered Nurse- Chemotherapy

    Ascension • Columbia, MD, US
    A tiempo completo
    Full-Time; Monday-Friday 8 : 00AM-4 : 30PM; Late coverage expected (after 4 : 30pm); no nights, weekends or holidays.Ascension Saint Agnes Cancer Institute. Various health insurance options & wellness pla...Mostrar más
    Última actualización: hace 1 día • Oferta promocionada
    Registered Nurse (RN) - PACU / Recovery

    Registered Nurse (RN) - PACU / Recovery

    Ascension • Columbia, MD, US
    A tiempo completo
    Rotating Schedule; On-Call and Weekend Requirements.Various health insurance options & wellness plans.Retirement benefits including employer match plans. Long-term & short-term disability.Employee a...Mostrar más
    Última actualización: hace 8 días • Oferta promocionada
    Local Contract Nurse RN - PCU - Progressive Care Unit

    Local Contract Nurse RN - PCU - Progressive Care Unit

    Host Healthcare • Clinton, MD, US
    A tiempo completo
    Host Healthcare is seeking a local contract nurse RN PCU - Progressive Care Unit for a local contract nursing job in Clinton, Maryland. Job Description & Requirements.Pay package is based on 12 ...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Local Contract Nurse RN - Long Term Acute Care

    Local Contract Nurse RN - Long Term Acute Care

    GHR Healthcare - Travel Division • Alexandria, VA, US
    A tiempo completo
    GHR Healthcare - Travel Division is seeking a local contract nurse RN Long Term Acute Care for a local contract nursing job in Alexandria, Virginia. Job Description & Requirements.About GHR Heal...Mostrar más
    Última actualización: hace 4 días • Oferta promocionada
    Travel Nurse RN - Case Management

    Travel Nurse RN - Case Management

    Vibra Travels • Mount Vernon, VA, US
    A tiempo completo
    Vibra Travels is seeking a travel nurse RN Case Management for a travel nursing job in Mt.Job Description & Requirements. VIBRA TRAVELS is looking for a CORPORATE TRAVEL REGISTERED NURSE to join...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Travel Nurse RN - Case Management

    Travel Nurse RN - Case Management

    Travel Nurses, Inc. • Clinton, MD, US
    A tiempo completo
    RN Case Management for a travel nursing job in Clinton, Maryland.Job Description & Requirements.Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-f...Mostrar más
    Última actualización: hace 16 días • Oferta promocionada
    Registered Nurse RN - Cardiac Telemetry

    Registered Nurse RN - Cardiac Telemetry

    Ascension • Columbia, MD, US
    A tiempo completo
    We offer free parking to all associates!.Various health insurance options & wellness plans.Retirement benefits including employer match plans. Long-term & short-term disability.Employee assistance p...Mostrar más
    Última actualización: hace 8 días • Oferta promocionada
    Clinical Social Worker - Fee For Service

    Clinical Social Worker - Fee For Service

    Thriveworks • Reston, VA, US
    A tiempo completo
    Thriveworks is currently seeking Licensed Clinical Social Workers to provide a mix of telehealth and face-to-face sessions in. This role is eligible for a $7,500 ramp stipend for clinicians offering...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Travel Nurse RN - Case Management

    Travel Nurse RN - Case Management

    ALOIS Healthcare • Clinton, MD, US
    A tiempo completo
    ALOIS Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Clinton, Maryland.Job Description & Requirements. As a nurse case manager, your primary responsibility i...Mostrar más
    Última actualización: hace 16 días • Oferta promocionada
    Master Social Worker - MSW

    Master Social Worker - MSW

    Fresenius Medical Care • Hyattsville, Maryland, US
    A tiempo completo
    Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods...Mostrar más
    Última actualización: hace 12 días • Oferta promocionada
    Travel Nurse RN - Case Management

    Travel Nurse RN - Case Management

    Healthcare Support • Baltimore, MD, US
    Indefinido
    Healthcare Support is seeking a travel nurse RN Case Management for a travel nursing job in Baltimore, Maryland.Job Description & Requirements. Healthcare Support Job ID #476534.Pay package is b...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    Go Healthcare • Prince Frederick, MD, US
    A tiempo completo
    Go Healthcare is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Prince Frederick, Maryland.Job Description & Requirements. Pay package is based on 12 hour shifts and 36...Mostrar más
    Última actualización: hace 11 días • Oferta promocionada
    Licensed Clinical Social Worker

    Licensed Clinical Social Worker

    Headway • Germantown, MD, US
    A tiempo completo
    Licensed Clinical Social Worker (LCSW).Wage : Between $95-$122 an hour.Licensed Clinical Social Worker — Are you ready to launch or expand your private practice? . Headway is here to help you start ...Mostrar más
    Última actualización: hace 9 días • Oferta promocionada
    Registered Nurse RN - Rapid Response ICU

    Registered Nurse RN - Rapid Response ICU

    Ascension • Columbia, MD, US
    A tiempo completo
    We offer free parking to all associates!.Various health insurance options & wellness plans.Retirement benefits including employer match plans. Long-term & short-term disability.Employee assistance p...Mostrar más
    Última actualización: hace 8 días • Oferta promocionada
    Local Contract Nurse RN - Case Management

    Local Contract Nurse RN - Case Management

    Host Healthcare • Fairfax, VA, US
    A tiempo completo
    Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Fairfax, Virginia. Job Description & Requirements.Pay package is based on 8 hour shifts a...Mostrar más
    Última actualización: hace 3 días • Oferta promocionada
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    Trustaff • Alexandria, VA, US
    A tiempo completo
    Trustaff is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Alexandria, Virginia.Job Description & Requirements. As a Stepdown RN, you'll monitor patients w...Mostrar más
    Última actualización: hace 5 días • Oferta promocionada
    Travel Nurse RN - Case Management

    Travel Nurse RN - Case Management

    Host Healthcare • Fairfax, VA, US
    A tiempo completo
    Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Fairfax, Virginia.Job Description & Requirements. Pay package is based on 8 hour shifts and 40 hours per ...Mostrar más
    Última actualización: hace 3 días • Oferta promocionada
    Travel Nurse RN - Case Management

    Travel Nurse RN - Case Management

    Trustaff • Alexandria, VA, US
    A tiempo completo
    Trustaff is seeking a travel nurse RN Case Management for a travel nursing job in Alexandria, Virginia.Job Description & Requirements. As a Case Management RN, you'll develop, implement, and...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada