Impactful Care Management Clinician

PacificSource Health Plans; Bend (OR); On-site; USD 71,000 - 106,000; Full time

Job summary

PacificSource Health Plans seeks a clinician case manager to advocate for patients, assess needs, develop care plans, and coordinate services across the health system. The role emphasizes privacy, regulatory compliance, and collaboration with payers and providers to ensure high-quality, cost-effective care.

The position requires at least three years of clinical case management experience, and an active RN, LPC, LMFT, or LCSW credential with CCM certification within two years of hire.

Qualifications

• Active RN license or equivalent clinical credential (LPC/LMFT/LCSW) required.
• CCM certification required at hire or within two years.
• Minimum of three years of clinical case management experience; insurance experience preferred.
• Knowledge of health insurance benefits and contract options.

Responsibilities

• Coordinate and advocate for patient wellness and autonomy.
• Collect and assess patient information to create individualized care plans.
• Link clients with appropriate providers and resources across care settings.
• Maintain client privacy and comply with HIPAA and regulatory standards.
• Collaborate with clinicians, payers, and providers to ensure quality service.
• Communicate effectively, both written and verbally, with diverse stakeholders.

Skills

Communication (written/verbal)

Collaboration

Active listening

Organizational skills

Problem solving

Teamwork

Flexibility

Accountability

Education

RN license

LPC

LMFT

LCSW

CCM certification (within 2 years)

Job description

PacificSource Health Plans seeks a clinician case manager to advocate for patients, assess needs, develop care plans, and coordinate services across the health system. The role emphasizes privacy, regulatory compliance, and collaboration with payers and providers to ensure high-quality, cost-effective care.

The position requires at least three years of clinical case management experience, and an active RN, LPC, LMFT, or LCSW credential with CCM certification within two years of hire.