Behavioral Health Social Work Case Manager (U.S. Remote)

CNSI and Kepro are now Acentra Health! 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 company’s mission, actively engage in problem-solving, and take ownership of your work daily. 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.

Acentra seeks a Social Worker Case Manager to join our growing team.

** Contractually Required Work Hours:  Monday - Friday 8:00 AM to 5:00 PM Pacific. **

** This is a full-time, direct hire, exempt (salary), remote-based opportunity with Benefits. **

The Social Worker Case Manager will: 

• Provide telephonic care coordination in the state of Oregon from a remote setting. An integrated care management model (including care coordination/case management) is used to assist the Community Mental Health Program (CMHP)/Behavioral Health Care Coordination with assessing member-related social needs. This program includes Medicaid-eligible, Open Card, and Coordinated Care Organization (CCO) populations who may have special needs and considerations given their current health treatment and/or needs.

• Foster an environment that incorporates all aspects of the care management process and coordinates care with the beneficiary to stabilize their health status to maximize their functional capacity and improve overall quality of life.
• Be responsible for outreach, assessing, planning, implementing, case manager referrals for processing, referrals for care, and evaluating options and services to affect an appropriate, individualized plan for the beneficiary across the continuum of care.
• Facilitate, coordinate, integrate, and manage integrated case management and disease management activities based on the Case Management Society of America (CMSA) definition, philosophy, and guiding principles for case management.
• Provide comprehensive assessments and periodic reassessment of individual needs to determine the need for medical, educational, social, or other services.

• Outreach assigned members to coordinate all care needs, ensure utilization of interpreter services for appointments, coordinate benefits, and facilitate warm hand-off notifications to all necessary stakeholders.
• Provide communication activities including, but not limited to, face-to-face meetings, telephone interactions, caregiver interactions, rounds, interdisciplinary team meetings, and other related evidence-based practices.
• Coordinate referrals and related activities (such as scheduling appointments for the individual) to help the eligible individual obtain needed services.
• Ensure quality-driven outcomes through best practices and motivational interviewing. 
• Ensure accuracy and timeliness of all applicable review-type cases within contract requirements.
• Always maintain medical records confidentiality through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies.
• Attend training and scheduled meetings to maintain and use current/updated information for review.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary per contractual requirements.

Job Responsibilities:

• Outreach to assigned members based on access or lack of access to Behavioral Healthcare.
• Coordinate health and social services, coach the beneficiary and families, advocate for the beneficiary, educate the beneficiary and family, clarify and assist with physician’s care plans, and communicate status and plans among the care team and resources, as indicated.
• Use independent social worker judgment and discretion to address, resolve, and process problems impeding the treatment plan.
• Seek consultation from community physicians, specialists, pharmacists, and other disciplines to facilitate care to optimize beneficiary function or prevent further decline in health.
• Develop beneficiary-centered care plans demonstrating shared accountability between beneficiaries, caregivers, and providers, as necessary.
• Review the care plan and progress in regular care conferences, emphasize transitions to other programs, and teach self-management/family caregiver management of chronic conditions to optimize functions, improve health, prevent further decline, or remain in the community.

The above list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.

Requirements

Required Qualifications/Experience:

• Active Social Work License.
• Degree in Social Work from an accredited college or university.

Preferred Qualifications/Experience: 

• Previous workload care coordination and case management experience.
• Experience with Managed Care OR Medicaid/Medicare payor experience. 
• 3+ years of experience working in a multicultural community setting.
• Some field-based work or telephonic case management experience.
• Experience with care coordination related to multiple physical, developmental, behavioral, dental, and social needs.
• Experience working with individuals with mental health, substance use, or various social determinants of health needs.
• Knowledge of medical technology.
• Proficiency with Microsoft Office Suite, SharePoint, and Atrezzo.

Required Knowledge, Skills, Abilities 

• Comfortable working within a remote work-from-home environment and electronic health system.
• Knowledge of the Oregon Department of Health Care Services and Oregon Mental Health Services. 
• Strong clinical assessment and critical thinking skills.
• Medical record abstracting skills.
• Proficient in Internet/Web Navigation and research.
• Excellent verbal/written communication skills.
• Flexibility and strong organizational skills.
• Proficient in using electronic medical record systems/electronic documentation and navigating multiple computer systems and applications.
• Maintain competency in conducting a variety of physiological assessments.

Preferred Knowledge, Skills, Abilities

• Ability to multi-task and prioritize with variable and sometimes conflicting deadlines; superior attention to detail and demonstrated decision-making ability.
• Demonstrated initiative and judgment in performing job responsibilities while maintaining professionalism, flexibility, and dependability under pressure.
• Strong communication (written/verbal), interpersonal, organizational, time management, and communication skills with a strong focus on customer service, including building and maintaining relationships with internal/external customers and facilitating meetings.
• Ability to work independently and as part of a team.
• Ability to research/identify and apply appropriate standards of care.
• Interest in continuous learning and a commitment to staying informed on regulatory changes.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.

Thank You!

We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

EOE AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide additional protection, security, and support for your career and life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.  

Compensation

The pay range for this position is $65,000-80,000 annually. 

“Based on our compensation philosophy, an applicant’s placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”