Case Manager; LPN or RN

Acentra seeks a Case Manager (LPN or RN) to join our growing team.

Job Summary:

The Case Manager 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 position is remote. However, applicants must reside within the state of Oregon.

Key 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

Required Qualifications /

Experience:

• Current, active and unrestricted Oregon Registered Nursing (RN) or Licensed Practical Nursing (LPN) license
• Associate's degree or practical nursing diploma or practical nursing certificate program, in accordance with state requirements
• 2+ years in Medicaid-funded case management or care coordination
• Experience working with individuals from diverse backgrounds and marginalized communities
• Have training and experience in addressing health disparities and promoting equitable health outcomes
• Have training on and experience with integrating cultural competencies and are capable of providing culturally appropriate care
• Experience in communicating with individuals who have a primary language other than English and those with limited English proficiency or who use sign language
• Experience in actively…