Social Work Case Manager

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.

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

Job Summary:

The Case Manager, Social Worker will evaluate beneficiaries' needs, develop individualized care plans, and coordinates 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.

*Position is hybrid within the State of Oregon. Work will be performed remotely along with statewide field-based travel.

Job Responsibilities:

• 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.

Required Qualifications/Experience:

• Bachelor's degree in social work Required
• Active, unrestricted social Work license OR be a Qualified Mental Health Professional (QMHP)
• Minimum 3 years of Social Work experience w/older adult population in a healthcare environment OR a minimum of 3 yearsof clinical experience
• Minimum of 1 year of case management review experience

Preferred Qualifications/Experience:

• Master of social work (MSW) orCase Management Certificate (CCM)
• Proficiency in using Microsoft Word, Excel, and other applications in the Microsoft Office suite
• Excellent written and verbal communication skills
• Maintain a high level of confidentiality
• Good problem-solving skills
• Ability to maintain metrics and goals within the department
• Work telephonically, and with computer systems
• Assist members, and conduct outreach to members without prior engagement
• Flexibility and strong organizational skills
• Strong understanding of cultural competency when working with the population
• Experience with commercial health plans
• Ability to multi-task and prioritize with variable and sometimes conflicting deadlines; superior attention to detail and demonstrated ability in decision-making
• Demonstrated initiative and judgment in the performance of job responsibilities
• Maintain professionalism, flexibility, and dependability under pressure
• 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 careers.acentra.com/jobs

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

Please see the pay range for this position (below):

"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."