Manager, Care Navigation

Umpqua Health • Roseburg, OR

2d • Onsite

About The Position

The Care Coordination Navigator (CCN) Manager provides leadership and oversight of Care Coordination Navigators at Umpqua Health Alliance (UHA), ensuring services align with Oregon Health Authority (OHA) regulations and Coordinated Care Organization (CCO) requirements. This role supports the delivery of whole-person, trauma-informed, and culturally responsive care across physical, behavioral, dental, developmental, and social needs. The CCN Manager fosters a culture of collaboration, quality, and accountability to improve member outcomes and satisfaction ensuring alignment with care coordination goals and organizational priorities.

Requirements

• Bachelor’s degree in healthcare, social work, or a related field required; Master’s degree preferred.
• Strong clinical knowledge of health and/or social service needs of the served population, including medical terminology.
• Excellent interpersonal, written, and verbal communication skills, with the ability to interact professionally with diverse internal and external stakeholders.
• Demonstrated experience working effectively with individuals from diverse cultures and communities, including the ability to provide culturally responsive services.
• Strong analytical, critical thinking, and problem-solving skills, with a high level of attention to detail.
• Proven ability to organize, prioritize, and manage multiple responsibilities in a fast-paced environment while maintaining focus under pressure.
• Proactive and adaptable, with the ability to take initiative, follow through, and respond effectively to changing priorities and business needs.
• Ability to work both independently and collaboratively within a team environment, exercising sound judgment and maintaining strict confidentiality.
• Commitment to continuous learning, with a willingness to take on new responsibilities in support of organizational goals.
• Valid driver’s license, access to a reliable vehicle, and ability to maintain required automobile insurance.
• Must not be suspended, excluded, or debarred from participation in federal healthcare programs (e.g., Medicare/Medicaid).

Nice To Haves

• Prior experience in customer service and/or clinical settings.
• Bilingual or translation skills preferred

Responsibilities

• Supervise, mentor, and manage performance of Care Coordination Navigators, fostering a collaborative and high-performing team environment.
• Ensure care coordination activities meet OHA and CCO requirements, including timely Health Risk Screenings, rising risk identification, and care transitions.
• Oversee documentation, productivity, and quality standards in compliance with organizational and state regulations.
• Monitor compliance with OAR 410-141-3860, 410-141-3865, and 410-141-3870; conduct quality reviews and implement corrective actions as needed.
• Collaborate with interdisciplinary teams (physical, behavioral, dental, developmental, and social services) to support integrated, whole-person care.
• Participate in meetings, committees, and workgroups to support care coordination and system integration.
• Support recruitment, interviewing, hiring, onboarding, and ongoing training of staff.
• Promote trauma-informed, culturally responsive, and evidence-based care coordination practices.
• Identify process improvements to enhance workflows, efficiency, and member outcomes.
• Track, analyze, and report performance metrics and quality initiatives.
• Ensure professional, respectful, and trauma-informed communication with members, partners, and staff.
• Support resolution of escalated issues and provide guidance on complex cases.
• Effectively prioritize work, manage multiple responsibilities, and maintain strong attention to detail in a fast-paced environment.

Benefits

• Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave
• Medical, dental, and vision insurance
• 401(k) with company match (fully vested immediately)
• Company-sponsored life insurance and additional benefits
• Fitness reimbursement program
• Tuition reimbursement and more

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 11-50 employees