Case Manager

Department of Health and Human Services • Portland, OR

13d • Hybrid

About The Position

This is a full-time, limited-period position located in our Portland office. This position allows for partial telework with management approval. The Case Manager will support the operations team in case management work, performing casework that is escalated primarily from the Consumer Assistance Center. This position will also play a supporting role in user acceptance testing of changes to the eligibility and enrollment platform. The position will monitor the service provided, evaluating the data that comes from client interactions, to aid in planning and policy development. This position will report directly to the Consumer Experience Manager.

Requirements

• A Bachelor’s Degree in Public/Community Health, Health Administration, Health Sciences or Health Education; Public Administration, Government, Social Work, or a closely related field and three (3) years professional experience in the planning, development, coordination and/or evaluation of health programs or services -OR- an equivalent seven (7) year combination of education, training, and experience.
• Knowledge of healthcare coverage programs (e.g., private insurance, MaineCare or Medicare).
• Strong verbal and written communication skills.
• Ability to use independent judgment, initiative, and discretion to problem solve and make determinations on varied matters.
• Ability in providing kind, courteous, and exceptional customer service.

Responsibilities

• Monitor non-routine consumer related work regarding eligibility and enrollment.
• Utilize the internal policy manual to recommend decisions, when relevant.
• Provide casework support for escalated cases from brokers and Maine Enrollment Assisters (MEAs).
• Provide results and feedback to broker and navigator program coordinator so she can communicate findings and recommendations to brokers, MEAs and navigators.
• Discuss health insurance issues with appropriate senior manager in order to ensure the accuracy and credibility of insurance enrollments.
• Organize and write plans, decision documentation, and other documents in order to provide information.
• Present and explain reports to various groups in order to increase understanding and achieve support for conclusions.
• Assist in identifying areas of opportunity for consumer and stakeholder education based on frequent types of escalated cases.
• Communicate these opportunities to consumer communication team.
• Assist in User Acceptance Testing (UAT) for defects, system enhancements, features, and functionality.
• Other duties as assigned.

Benefits

• 13 paid holidays
• 12 days of sick leave
• 3+ weeks of vacation leave annually
• Health Insurance Coverage (State pays 85%-100% of employee-only premiums)
• Health Insurance Premium Credit (decreases employee-only premiums by 5%)
• Dental Insurance (State pays 100% of employee-only dental premiums)
• Retirement Plan (State contributes 14.11% of employee's pay towards MainePERS)
• Six weeks of fully paid parental leave
• Additional, unpaid leave may also be available, under the Family and Medical Leave Act.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level