Case Manager RN

Acentra Health, LLC•UNAVAILABLE, Oregon

6d•Remote

About The Position

Acentra seeks a Case Manager RN to join our growing team. 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 is a remote position within the State of Oregon.

Requirements

Current, active and unrestricted Oregon Registered Nursing license
Associate's degree in nursing or bachelor's degree from an accredited college or university
2+ years clinical experience
1+ years case management or home care experience
Must reside in Oregon

Nice To Haves

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

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