Lead Case Manager

🕒 il y a 10 jours

🌲 Oregon – Distant

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💵 $80 000 - $95 000 / an

⏰ Temps Plein

🟠 Senior

👔 Manager

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Comagine Health

Comagine Health

201 - 500 employés

Fondée en 1973

💼 Conseil

🏥 Santé

🤝 À but non lucratif

Consulting • Healthcare • Non-profit

Comagine Health est une organisation nationale à but non lucratif de conseil en soins de santé qui s'associe avec des fournisseurs, des payeurs, des agences publiques, des organisations communautaires et des consommateurs pour améliorer la qualité, l'équité et les résultats des soins de santé. Elle offre des services d'amélioration de la qualité à l'échelle du système, de gestion des soins, de solutions de données, de recherche et d'évaluation, ainsi que de réponse à la COVID-19, en utilisant l'échange d'informations sur la santé et les technologies de l'information en santé pour éclairer la surveillance de la santé publique et la conception de programmes. Comagine se concentre sur le soutien à la santé communautaire, la santé comportementale et les initiatives centrées sur le patient à travers une assistance technique, une évaluation et un travail collaboratif à l'échelle des systèmes.

Description

• Conduct initial, annual, and as-needed face-to-face assessments using standardized, evidence-based assessment tools and review relevant records • Create and maintain individualized person-centered service plans (PCSPs) • Ensure care and services are delivered as described in the PCSP • Work with providers and individuals to address service concerns or adjust the PCSP when needed • Help individuals access appropriate care and services by collaborating with providers, facilities, social service organizations, and community organizations • Perform prior authorizations for services • Assist with eligibility determinations as needed • Coordinate services and resources supporting each individual’s person-centered care plan • Provide clinical and case management process subject matter expertise to the Behavioral Health Case Manager team • Assist with team member orientation and ongoing training • Support timely completion of daily assignments and reassign cases when appropriate • Provide case consultation on challenging and complex cases • Serve as a resource regarding clinical and case management processes

🎯 Exigences

• Candidates must meet the requirements for a Qualified Mental Health Professional (QMHP) through one of the following: • Graduate degree in social work, psychology, or another behavioral health science field; or • Bachelor’s degree in nursing and licensure by the State of Oregon, with relevant training in behavioral health service delivery; or • Bachelor’s degree in occupational therapy and licensure by the State of Oregon, with relevant training in behavioral health service delivery • Qualified Mental Health Professional (QMHP) status is required

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