Case Manager (LPN or RN)

Acentra Health, LLC•UNAVAILABLE, Oregon

3d•Remote

About The Position

Acentra Health is seeking a Case Manager (LPN or RN) to support personalized care planning, improve beneficiary outcomes, and ensure compliance with payer standards. The role coordinates care across the healthcare system according to beneficiaries’ social, physical, vision, dental, behavioral, pharmacy, and preventive health needs. The Case Manager works with a multidisciplinary team and advocates for beneficiaries while supporting their overall well-being. This is a remote position, and applicants must reside in Oregon. The role requires maintaining caseload, documentation, confidentiality, and program standards; completing health and social assessments; and using motivational interviewing, trauma-informed care, and equity principles in beneficiary engagements. The Case Manager must also maintain current knowledge of case management standards through ongoing education and development. The listed pay range is USD $67,300 to $93,050 per year. Placement within the range depends on factors such as applicable experience and skill level.

Requirements

Current, active, unrestricted Oregon Registered Nursing (RN) or Licensed Practical Nursing (LPN) license.
Associate’s degree, practical nursing diploma, or practical nursing certificate program, in accordance with state requirements.
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

Certified Case Manager (CCM).
Bilingual in English and Spanish.
At least 2 years of clinical experience.
Strong organizational and time-management skills, attention to detail, and ability to manage competing priorities, adapt to changing demands, and remain professional and dependable under pressure.
Initiative, sound judgment, and effective decision-making skills.
Excellent written and verbal communication, interpersonal, and customer service skills, including the ability to build relationships with stakeholders and facilitate meetings.
Ability to work independently and collaboratively as part of a team.
Ability to research, identify, and apply appropriate standards of care.
Commitment to continuous learning and staying informed about regulatory changes.

Responsibilities

Provide care coordination and case management for beneficiaries, supporting clinical knowledge and performance across the clinical team.
Promote a caring philosophy in leadership and throughout the care management process.
Coordinate beneficiaries’ care through the healthcare system based on individual social, physical, vision, dental, behavioral, pharmacy, and preventive health needs.
Use independent judgment to identify and proactively address barriers to diagnostic, social, or treatment progress.
Collaborate with multidisciplinary team members, including physicians, nurses, case managers, OHA staff, and social workers or educators, and participate in IDT meetings to share beneficiary needs and preferences.
Educate beneficiaries about community resources and options, and advocate on their behalf.
Complete health and social assessments for care planning using motivational interviewing, trauma-informed care, and equity principles.
Coordinate assessment, planning, facilitation, care coordination, evaluation, and advocacy to meet individuals’ and families’ comprehensive health needs.
Meet operational requirements for caseload management, PHI security, care plans, documentation, and other program standards.
Maintain client confidentiality and comply with organizational, state, and federal confidentiality policies and regulations.
Prepare beneficiary documentation, status updates, event notifications, and other records in accordance with regulations and company policies and procedures.
Monitor caseloads to ensure required documentation, care plans, and assessment results are entered accurately and promptly in a web-based database.
Pursue ongoing education, certification, and professional development to remain current with case management standards.
Read, understand, and follow corporate policies, including HIPAA Privacy and Security Rules.
Perform other duties as assigned.