Integrated Care Manager

CONFEDERATED TRIBES OF CLUSI•Coos Bay, OR

14h•$90,000 - $124,017•Onsite

About The Position

The Integrated Care Manager leads the development, implementation, and oversight of integrated, culturally responsive care coordination across medical, behavioral health, substance use, social services, and community wellness programs. The position directly supervises Traditional Health Workers, Care Navigators, and Case Managers, strengthening team alignment, documentation, and culturally grounded service delivery. The role coordinates the startup and ongoing administration of Tribal Best Practices, including service workflows, billing readiness, compliance, and quality improvement, while supporting grant-funded program requirements. The role leads planning, startup, implementation, and improvement of integrated care services in coordination with Tribal Health leadership. It establishes workflows, referral processes, documentation standards, and operational procedures; coordinates billing readiness and reimbursement processes; and oversees person-centered coordination and warm handoffs across clinical, social, and community services. It collaborates with Cultural Services, Elders, traditional practitioners, community partners, IHS, and other healthcare providers to incorporate Tribal values and traditional healing pathways. The manager ensures timely, confidential documentation and compliance with applicable requirements, monitors grant deliverables, outcomes, utilization, billing, and performance measures, and supports reporting, evaluation, and funding sustainability. The position identifies service and training gaps and implements quality improvement initiatives. It supervises its assigned team through work assignments, coaching, training, performance management, and operational decisions within delegated authority. Decisions requiring higher-level approval are referred to Health Services leadership. Work is primarily on-site in clinical healthcare and office settings, with frequent interruptions and cross-department collaboration. Occasional evening or weekend work and local travel within the CTCLUSI service delivery area may be required. The role may involve entering patient care areas with potential communicable-illness exposure, following infection prevention procedures and using protective equipment when required. The position requires managing moderate stress, effective communication, computer use, extended sitting and typing, and movement throughout clinical and office settings; occasional standing, walking, reaching, and lifting routine office materials may be required.

Requirements

Must be 25 years of age or older per the vehicle use policy.
Bachelor's degree in Nursing, Social Work, Behavioral Health, Public Health, Healthcare Administration, or a related field.
Minimum of three years of experience in care coordination, case management, integrated healthcare, or related healthcare services.
Minimum of one year of supervisory, team leadership, or program management experience.
Experience working with Tribal communities or Indigenous populations and knowledge of trauma-informed, culturally responsive service delivery.
Knowledge of healthcare documentation, billing processes, regulatory compliance, and quality improvement.
Ability to coordinate multidisciplinary programs, supervise staff, and communicate clearly and effectively.
Valid driver's license and eligibility to be insured to drive Tribal Government vehicles.
Experience and proficiency using Microsoft products, including Excel, Outlook, PowerPoint, and Word, and electronic documentation systems.
Ability to communicate clearly and effectively in English, verbally, in writing, or by other acceptable means.
Must meet the condition of employment requiring a state criminal background check and fingerprint-based background check.
Subject to pre-employment and other authorized drug and alcohol testing in accordance with company policy.
Must have employment eligibility in the U.S.

Responsibilities

Lead the planning, startup, implementation, and ongoing improvement of integrated care services and Tribal Best Practices programs in coordination with Tribal Health leadership.
Develop and maintain service workflows, referral processes, documentation standards, and operational procedures for Tribal Best Practices and other integrated care activities.
Coordinate with billing, finance, and clinical teams to establish billing readiness, service tracking, coding and reimbursement workflows, and processes for resolving documentation or claim issues.
Directly supervise Traditional Health Workers, Care Navigators, and Case Managers, including assigning work, coaching, training, evaluating performance, and ensuring consistent service delivery.
Oversee person-centered care coordination and warm handoffs across medical, behavioral health, pharmacy, Purchased/Referred Care, housing, social services, and community resources.
Collaborate with Cultural Services, Elders, traditional practitioners, and community partners to incorporate Tribal values, traditional healing pathways, and culturally appropriate practices into services.
Facilitate interdisciplinary meetings, care planning, referrals, and communication with internal teams and external partners, including IHS and other healthcare providers.
Ensure accurate, timely, confidential documentation and monitor compliance with applicable Tribal, federal, state, grant, payer, and organizational requirements.
Monitor grant deliverables, program outcomes, service utilization, billing processes, and performance measures; support required reporting, program evaluation, and funding sustainability.
Identify gaps in services, workflows, and staff training; recommend and implement quality improvement initiatives that strengthen continuity of care and member experience.
Collaborate efficiently and effectively while demonstrating professionalism and maintaining positive, respectful relationships with internal teams, external partners, and Tribal members.
Perform other duties as directed by management.