Social Work Case Manager (hybrid within Oregon)

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 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. 

Requirements

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 years of clinical experience 
• Minimum of 1 year of case management review experience

Preferred Qualifications/Experience: 

• Master of social work (MSW) or Case 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 t