Case Manager RN

Acentra Health, LLC; Oregon (IL); Hybrid; USD 63,000 - 90,000; Full time

Job summary

An established industry player is seeking a dedicated Case Manager RN to enhance health outcomes through personalized care planning. This hybrid role, primarily remote with occasional fieldwork, emphasizes collaboration with healthcare teams and effective care coordination. You'll play a vital role in ensuring compliance with payer standards while advocating for beneficiaries' diverse needs. Join a passionate team committed to redefining healthcare solutions and making a significant impact in the public sector. This is an exciting opportunity to take charge of your career and contribute to meaningful change in people's lives.

Benefits

Sign-on Bonus

Comprehensive Health Plans

Paid Time Off

Retirement Savings

Corporate Wellness

Educational Assistance

Corporate Discounts

Qualifications

• Current Oregon RN license required.
• 2+ years clinical experience and 1+ years case management experience.

Responsibilities

• Provide care coordination for beneficiaries ensuring optimal outcomes.
• Collaborate with a multidisciplinary care team to address beneficiary needs.

Skills

Care Coordination

Clinical Knowledge

Communication Skills

Decision-Making

Time Management

Education

Bachelor's of Science in Nursing (BSN)

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 seeks a Case Manager RN to join our growing team.

Job Summary:

The Case Manager RN will contribute to enhancing the company’s success through

personalized care planning, ensuring optimal outcomes and compliance with payer standards.

Their collaboration with healthcare team members strengthens the overall effectiveness of care

delivery, while their expertise in coordinating diverse beneficiary needs reflects the company's

commitment to overall well-being.

**This hybrid position is based in Oregon or a neighboring region. The role primarily involves remote work from home, with an expected 10-25% fieldwork in a community setting as needed.

**We are currently offering a $3,000 sign on bonus for this position.

Key Responsibilities:

• Provide care coordination/care management for beneficiaries, ensuring a high level of clinical knowledge and performance by the clinical team
• Foster a caring philosophy in leadership and all aspects of the care management process
• Manage the care of beneficiaries through the healthcare system based on their individual needs for social, physical, vision, dental, behavioral, pharmacy, and preventative health services
• Use independent judgment and discretion to address and proactively resolve barriers impeding diagnostic, social or treatment progress
• Interact and collaborate with a multidisciplinary care team, including physicians, nurses, case managers, OHA staff, and social workers/educators to ensure as well as participate in IDT meetings beneficiary needs and preferences for health services/information are shared
• Educate beneficiaries about community resources/options and advocate on behalf of the beneficiary
• Complete health and social assessments for the purposes of care planning using motivational interviewing, trauma informed care and equity principles for all engagements
• Establish a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality outcomes
• Maintain operational requirements for caseload management, securing PHI, working from a plan of care, documentation standards, and other program standards
• Maintain strict standards for client confidentiality and client-related information
• Comply with all organizational, state, and federal regulations and policies on confidentiality
• Prepare documentation, status updates, event notifications, and other documentation regarding beneficiaries in accordance with regulatory requirements and company policies and procedures
• Monitor case load to ensure all required documentation, plan of care, and entry of assessment results into a web-based database are completed accurately and promptly
• Pursue ongoing education, certification, and self-development to remain current with case management standards
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules
• Other duties as assigned

Qualifications

Required Qualifications/Experience:

• Current, active and unrestricted Oregon Registered Nursing license
• Bachelor's of Science in Nursing (BSN)
• 2+ years clinical experience
• 1+ years case management or home care experience
• Must reside in Oregon (i.e., Medford, OR, Bend, OR, Eugene, OR, Portland, OR, Hood River, OR, Hermiston, OR, Ontario, OR, Salem, OR) or a bordering geography (i.e.; Longview, WA, Richland, WA, Vancouver, WA, Boise, ID, Nampa, ID, Payette, ID, Caldwell, ID, Paso, WA, Kennewick, WA, Goldendale, WA)

Preferred Qualifications/Experience:

• Certified Case Manager (CCM)
• Ability to multi-task and prioritize with variable and sometimes conflicting deadlines
• Superior attention to detail
• Demonstrated ability in decision-making
• Demonstrated initiative and judgment in performance of job responsibilities
• Maintain professionalism, flexibility and dependability under pressure
• Strong communication (written/verbal), interpersonal, organizational, time management and communication skills
• Exceptional customer service skills
• Ability to foster relationships with internal/external customers and facilitating meetings
• Ability to work independently and as part of a team
• Ability to research/identify and apply appropriate standards of care
• Interest in continuous learning and a commitment to 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 are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

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, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay for this position is listed below. We are currently offering a $3,000 sign on bonus for this position.

"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."

#LI-AF1

Pay Range

USD $63,360.00 - USD $90,000.00 /Yr.