Oncology Care Management Nurse

Cambia Health Solutions

. Provide clinical care management, including case management, disease management, and/or care coordination .

Posted 11/10/2026full-timeRemote • United StatesMid-LevelSenior💰 $32 - $51 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical care management, including case management and disease management, while ensuring compliance with medical policies and standards of care. Proficient in coordinating resources, monitoring care effectiveness, and providing exceptional customer service.

Highest-signal resume keywords

RN LicenseClinical Care ManagementCase ManagementCritical ThinkingHealth Insurance Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Care ManagementCase ManagementDisease ManagementUtilization ManagementDocumentation ComplianceQuality ImprovementDecision-MakingMonitoring and EvaluationInterpreting PoliciesIndependent Assessments

Soft Skills

Interpersonal CommunicationCustomer ServiceOrganizationTime ManagementProblem-Solving

Tools & Technologies

Microsoft OfficeOutlookHealth Care Documentation SystemsAI Tools and Technologies

Certifications & Qualifications

Active RN LicenseLicensure Eligibility in Idaho, Oregon, Utah, and Washington

Industry Keywords

Health CareCase ManagementQuality of CareMedical Policy ComplianceHealth Insurance Industry Trends

About the role

Key responsibilities & impact

Provide clinical care management, including case management, disease management, and/or care coordination
Assess, plan, implement, coordinate, monitor, and evaluate member care
Promote quality and cost-effective healthcare outcomes
Conduct case management activities to identify and meet member needs
Apply clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, accepted standards of care, and license scope
Collaborate with physician advisors, internal and external customers, and other departments
Resolve claims, quality of care, member, and provider issues
Identify problems or needed changes, recommend resolutions, and participate in quality improvement efforts
Serve as a resource to internal and external customers and respond professionally to inquiries
Protect confidentiality of sensitive documents and issues
Provide consistent and accurate documentation in compliance with performance standards, corporate goals, and timelines
Coordinate resources and prioritize assignments to meet goals and timelines
Monitor and evaluate case management plan effectiveness and adjust plans as needed

Requirements

What you’ll need

Nursing or health/human services degree (Associate's or Bachelor's minimum), or equivalent experience in lieu of a degree
Minimum 3 years of direct clinical care or experience in case management, utilization management, disease management, auditing, or retrospective review
Active, unrestricted licensure or certification in a U.S. state or territory allowing independent assessments within scope of practice
RN license required for medical care management
Must be eligible for licensure in Idaho, Oregon, Utah, and Washington
Knowledge of health insurance industry trends, technology, and contractual arrangements
General computer skills, including Microsoft Office, Outlook, and internet search
Familiarity with health care documentation systems
Strong oral, written, interpersonal communication, and customer service skills
Ability to interpret policies and procedures, make decisions, and communicate complex topics effectively
Strong organization and time management skills; ability to manage workload independently
Critical thinking and decision-making within role and responsibility
Experience with AI tools and technologies highly desired
Wired internet connection that is not satellite or cellular, with minimum 5 Mb upload and 10 Mb download speeds
Access to a personal mobile device for MFA
Successful background check
Must reside within Oregon, Washington, Idaho, or Utah

Benefits

Comp & perks

Competitive salary
Bonus opportunities; 8% bonus target
Medical, dental and vision coverage for employees and eligible family members, including mental health benefits
Annual employer contribution to a health savings account
Generous paid time off varying by role and tenure
10 company-paid holidays
Market-leading retirement plan including company match on employee 401(k) contributions
Potential discretionary 401(k) contribution based on company performance, with no vesting period
Up to 12 weeks of paid parental time off, subject to eligibility
Award-winning wellness programs that reward participation
Employee Assistance Fund
Commute and parking benefits
Work-from-home options
Wired internet connection and minimum internet speeds required for work-from-home option
Employee resource groups
Cambia-supported community outreach programs
Personal mobile device access for Multi-Factor Authentication