RN Case Manager (Remote within Oregon)

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

RN Case Manager (Remote within Oregon + potential travel)

• Are you an experienced RN Case Manager looking for a new challenge?
• 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 is a full-time, direct hire, exempt (salary), Remote opportunity with Benefits. **

** The selected candidate must reside in the state of Oregon. **

** This role may require Travel in the future, including reliable transportation and a valid unrestricted driver’s license. **

** Positions are available in one of the following four (4) Service Areas/Regions where you must also reside. Please select the Service Area where you reside:

Service Areas (Regions):

1. Klamath Falls, Lakeview, Bend, Burns, Jordan Valley.
2. Portland, Gresham, Beaverton, Salem, Tillamook, Seaside, Newport, Albany, Florence, Springfield.
3. Ontario, Baker City, La Grande, Pendleton, The Dalles, Canyon City.
4. Eugene, Florence, North Bend, Coos Bay, Roseburg, Redmond, Brookings, Medford, Ashland.

** The primary COVID-19 vaccination is required as you will work with beneficiaries in person.

** This position is contingent upon the award of a Request for Proposal (RFP). **

Who we need:

The RN Case Manager will:

• Provide telephonic care coordination in the state of Oregon from a remote setting. An integrated care management model is used (includes care coordination/case management and disease management) to assist the Health-Related Social Needs (HRSN) program.

• Foster an environment that incorporates all aspects of the care management process and coordinates care with the beneficiary to stabilize their health status with the goal of maximizing their functional capacity and improving overall quality of life.
• Be responsible for assessing, planning, implementing, 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 CMSA definition, philosophy, and guiding principles for case management.

• Provide comprehensive assessments and periodic reassessment of individual needs, to determine that need for any medical, education, social, or other services.
• Provide communication activities including but not limited to, weekly 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. 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.

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 rewar