Care Coordinator (Remote within Oregon Preferred)

Company Description

Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose.

Job Description

Care Coordinator (REMOTE WITHIN OREGON PREFERRED)

• Are you qualified as an experienced Care Coordinator preferably living in the Oregon metro area and looking for a new challenge?
• Do you value care management and quality improvement?
• Are you motivated, energetic, and excited to become part of the Acentra team?
• Are you looking to join a team that ensures a collaborative and inviting culture where everyone can thrive?

If so, you might be our next new team member!

PLEASE NOTE:

** This position is contingent upon the award of RFP**

Who we need:

• Ensure the responsible delivery of comprehensive services to enrollees.
• Conduct general assessments for supervisor/lead interpretation/evaluation and assignment to case manager/health coach based on results.
• Participate in interdisciplinary case reviews for collaborative assessment and coordination planning to ensure quality care.
• Proactively engage in the delivery of quality management program activities that are the direct responsibility of the Health Services team. Assists in the achievement and ongoing maintenance of accreditations for defined programs.
• Referrals and related activities (such as scheduling appointments for the individual) to help the eligible individual obtain needed services.
• Ensuring quality-driven outcomes through best practices and motivational interviewing. Assure 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.
• Perform all applicable review types as workload indicates.
• 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.

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.

Singularly Focused. Mission Driven.

Accelerating Better Outcomes is our Mantra! We are mission-driven to innovate health solutions that deliver maximum value and impact.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

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

What you’ll do:

• Ensure the responsible delivery of comprehensive services to enrollees.
• Conduct general assessments for supervisor/lead interpretation/evaluation and assignment to case manager/health coach based on results.
• Plan and participate in interdisciplinary team meetings for collaborative assessment and coordination planning to ensure quality care.
• Proactively engage in the delivery of quality management program activities that are the direct responsibility of the Health Services team.
• Assist in the achievement and ongoing maintenance of accreditations for defined programs.
• Provide education and resources to beneficiaries/families/providers.
• Review and interpret patient records and compare against criteria to determine medical necessity and appropriateness of care; determine if the medical record documentation supports the need for services.
• Determine approval or initiate a referral to the physician consultant and process physician consultant decisions, ensurin