Care Management Clinician (Monday-Friday)
$70,950–$106,425 year
On-siteSpringfield, Oregon, United States
Job Summary
Facilitate client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation. Collect and assess patient information to develop comprehensive, individualized care management plans that promote appropriate utilization and cost-effective care. Link clients with appropriate providers and resources throughout the continuum of health and human services while ensuring safe, effective, and equitable care. Maintain client privacy and confidentiality through adherence to ethical, legal, and regulatory standards. Act as an internal resource by answering questions requiring medical or contract interpretation for other departments, physicians, and providers. Assist employers and agents with questions regarding healthcare resources and procedures. Utilize evidence-based tools and lean methodologies for continuous improvement. Work inside in a general office setting with approximately 5% travel required.
Required Qualifications
- Minimum of three (3) years of clinical experience, including case management
- Active, unrestricted Registered Nurse (RN) license
- Licensed Professional Counselor (LPC)
- Licensed Marriage and Family Therapist (LMFT)
- Licensed Clinical Social Worker (LCSW) credential
- Certified Case Manager Certification (CCM) as accredited by CCMC (The Commission for Case Management)
- Knowledge of health insurance and state mandated benefits
- Experience and expertise in case management practice including advocacy, assessment, planning, communication, education, resource management and service facilitation
- Ability to deal effectively with people who have various health issues and concerns
- Knowledge and understanding of contractual benefits and options available outside contractual benefits
- Knowledge of community services, providers, vendors and facilities available to assist members
- Ability to use computerized systems for data recording and retrieval
- Ability to work independently with minimal supervision
- Travel is required approximately 5% of the time
- Ability to read and comprehend both written and spoken English
- Ability to communicate clearly and effectively
Desired Qualifications
- Insurance industry experience
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