Behavioral Health Case Manager (HRSN)

Acentra Health, LLC•UNAVAILABLE, Oregon

3d•Remote

About The Position

Acentra Health is seeking a Behavioral Health Case Manager (HRSN) to evaluate beneficiaries’ needs, develop individualized care plans, and coordinate healthcare team members to support optimal outcomes while meeting payer requirements. The role facilitates integrated case and disease management activities based on CMSA principles, with the goals of stabilizing beneficiaries’ health and avoiding long-term care placement. This is a remote position, and applicants must reside in Oregon. The case manager works across the continuum of care with beneficiaries, caregivers, providers, and other Funds Health Care team members. They manage a caseload, complete documentation and assessment entries in a web-based database, maintain communication with appropriate parties, and follow applicable confidentiality, regulatory, and company requirements, including HIPAA policies.

Requirements

Master’s degree in Social Work, or a current, unrestricted Oregon license or certification in a health or human services discipline that permits independent assessments within the professional scope of practice, such as LCSW, QHMP, or equivalent.
At least 2 years of experience in Medicaid-funded case management or care coordination.
Experience working with individuals from diverse backgrounds and marginalized communities.
Training and experience addressing health disparities and promoting equitable health outcomes.
Training and experience integrating cultural competencies and providing culturally appropriate care.
Experience communicating with people whose primary language is not English, people with limited English proficiency, or people who use sign language.
Experience actively engaging underserved communities and individuals in their own healthcare planning and goals.

Nice To Haves

Bilingual in English and Spanish.
Certified Case Manager (CCM).
At least 2 years of 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, including 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, including 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 about regulatory changes.

Responsibilities

Assess, plan, implement, monitor, and evaluate options and services to develop an appropriate, individualized plan with the beneficiary across the continuum of care.
Use clinical knowledge, communication, problem-solving, and conflict-resolution skills to support optimal beneficiary outcomes while considering client requirements.
Develop beneficiary-centered care plans.
Promote shared accountability among beneficiaries, caregivers, and providers.
Collaborate with beneficiaries, providers, 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 organizational, state, and federal confidentiality regulations and policies.
Manage caseloads and accurately and promptly complete required documentation and enter assessment results into the web-based database in accordance with regulatory requirements and company policies and procedures.
Maintain open communication with appropriate parties.
Pursue ongoing education, certification, and self-development to remain current with case management standards.
Read, understand, and adhere to corporate policies, including HIPAA Privacy and Security Rules.