Behavioral Health Case Manager; HRSN

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem‑solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Case Manager of Behavioral Health (HRSN) will evaluate beneficiaries' needs, develop individualized care plans, and coordinate healthcare team members to ensure optimal client outcomes while adhering to payer requirements. They also facilitate integrated case and disease management activities based on CMSA principles, aiming to stabilize beneficiaries' health and avoid long‑term care placement.

• Assess, plan, implement, monitor, and evaluate options and services to affect an appropriate, individualized plan with the beneficiary across the continuum of care.
• Utilize clinical knowledge and competence, communication skills, problem‑solving, and conflict resolution to ensure optimal beneficiary outcomes with consideration to client requirements effectively.
• Develop beneficiary‑centered care plans.
• Demonstrate shared accountability between beneficiaries, caregivers, and providers.
• Work collaboratively with the beneficiary, provider, and other Funds Health Care team members to coordinate care.
• Address identified gaps in care or compliance.
• Maintain strict standards for client confidentiality and client‑related information.
• Comply with all organizational, state, and federal regulations and policies on confidentiality.
• Manage caseload to ensure all required documentation and entry of assessment results into the web‑based database are completed accurately and timely, following regulatory requirements and company policies and procedures.
• Maintain open communication with all appropriate parties.
• 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.

Required Qualifications

• Bachelor's degree in Social Work, Public Health, Human Services, Healthcare Administration, or a related field.
• Current, unrestricted license or certification to practice a health or human services discipline in the State of Oregon that allows the health professional to independently conduct an assessment as permitted within the scope of practice of the discipline (LMHP licensure such as LCP, LPC, LSW, LCSW, LSATP, LMFT) OR be a Qualified Mental Health Professional (QMHP).
• 3+ years of Social Work experience with older adult population.
• 3+ years of clinical experience.
• 1+ year of case management review experience.

Preferred Qualifications

• Proficiency in using Microsoft Word, Excel, and other applications in the Microsoft Office suite.
• Assist members and conduct outreach to members without prior engagement.
• Experience with commercial health plans.
• Strong problem‑solving and decision‑making skills with the ability to multitask, prioritize competing deadlines, and maintain attention to detail.
• Strong written and verbal communication, interpersonal, organizational, and time management skills with a strong customer service focus, including the ability to build and maintain relationships with internal and external customers and facilitate meetings.
• Demonstrated professionalism, flexibility, dependability, and the ability to manage competing priorities while maintaining attention to detail and sound judgment under pressure.
• Ability to research/identify and apply appropriate standards of care.
• Interest in continuous learning and a commitment to staying informed on regulatory changes.

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