Behavioral Health Case Manager (HRSN)

Acentra Health, LLC; Oregon; Remote; USD 67,000 - 85,000; Full time

Benefits offered by this job

Health plans

Paid time off

Retirement savings

Educational assistance

Corporate discounts

Job summary

Acentra Health, LLC is seeking a Case Manager of Behavioral Health (HRSN) to evaluate beneficiaries' needs, develop individualized care plans, and coordinate healthcare team members to ensure optimal outcomes while complying with payer requirements.

This remote position requires residency in Oregon and involves CMSA-based disease management to stabilize health and minimize long-term placement, with emphasis on HIPAA compliance and ongoing professional development.

Qualifications

• Master's degree in Social Work or Oregon licensure permitting independent assessments.
• 2+ years Medicaid-funded case management experience.
• Experience with diverse communities and health disparities.
• Ability to perform culturally appropriate care.

Responsibilities

• Evaluate beneficiaries' needs and develop individualized care plans.
• Coordinate healthcare team members to ensure optimal outcomes.
• Maintain documentation and ensure CMSA-based disease management.
• Protect client confidentiality and adhere to HIPAA rules.
• Pursue ongoing education and stay current with regulations.

Skills

Communication skills

Cultural competency

Problem-solving

Organizational skills

Interpersonal skills

Customer service

Research standards of care

Education

MSW or Oregon health/human services license

Tools

Microsoft Word

Excel

Job description

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Job Summary and Responsibilities

Acentra Health is looking for a Case Manager of Behavioral Health (HRSN) to join our growing team.

Job Summary

The Case Manager of Behavioral Health (HRSN) will evaluate beneficiaries' needs, develop individualized care plans, and coordinates healthcare team members to ensure optimal client outcomes while adhering to payer requirements. They also facilitate integrated case and disease management activities based on CMSA principles, aiming to stabilize beneficiaries' health and avoid long-term care placement.

This position is remote. However, applicants must reside within the state of Oregon.

Responsibilities

• Assess, plan, implement, monitor, and evaluate options and services to affect an appropriate, individualized plan with the beneficiary across the continuum of care.
• Utilize clinical knowledge and competence, communication skills, problem-solving, and conflict resolution to ensure optimal beneficiary outcomes with consideration to client requirements effectively.
• Develop beneficiary-centered care plans.
• Demonstrate shared accountability between beneficiaries, caregivers, and providers.
• Work collaboratively with the beneficiary, provider, and other Funds Health Care team members to coordinate care.
• Address identified gaps in care or compliance.
• Maintain strict standards for client confidentiality and client-related information.
• Comply with all organizational, state, and federal regulations and policies on confidentiality.
• Manage caseload to ensure all required documentation and entry of assessment results into the web-based database are completed accurately and timely, following regulatory requirements and company policies and procedures.
• Maintain open communication with all appropriate parties.
• Pursue ongoing education, certification, and self-development to remain current with casemanagement standards.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Qualifications

• Master's degree in Social Work or current, unrestricted Oregon license or certification in a health or human services discipline that permits independent assessments within the professional scope of practice, Licensed Clinical Social Worker (LCSW), Qualified Mental Health Professional (QHMP), or equivalent
• 2+ years in Medicaid-funded case management or care coordination
• Experience working with individuals from diverse backgrounds and marginalized communities
• Have training and experience in addressing health disparities and promoting equitable health outcomes
• Have training on and experience with integrating cultural competencies and are capable of providing culturally appropriate care
• Experience in communicating with individuals who have a primary language other than English and those with limited English proficiency or who use sign language
• Experience in actively engaging underserved communities and individuals in their own health care planning and goals

Preferred Qualifications

• Bilingual in English/Spanish
• Certified Case Manager (CCM)
• 2+ years clinical experience
• Proficiency in Microsoft Office applications, including Word and Excel
• Experience assisting members and conducting outreach to individuals without prior engagement
• Experience with commercial health plans
• Strong problem-solving, decision-making, and organizational skills, with the ability to manage competing priorities, maintain attention to detail, and demonstrate professionalism, flexibility, and dependability under pressure
• Strong written and verbal communication, interpersonal, and customer service skills, with the ability to build and maintain relationships with internal and external stakeholders and facilitate meetings
• Ability to research, identify, and apply appropriate standards of care
• Commitment to continuous learning and staying informed on regulatory changes

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Experience in Lieu of Degree

For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.

Compensation

The pay for this position is listed below.

Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.

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Pay Range

USD $67,300.00 - USD $85,000.00 /Yr.

~ The Acentra Health Talent Acquisition Team