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Acentra Health

Modernizes public healthcare with claims solutions

Behavioral Health Case Manager

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-timeOregon, USA$67.3k - $85k /yr

About the Job

Requirements

  • Hold a current, unrestricted Oregon license or certification to practice a health or human services discipline independently and conduct assessments within the scope of practice, such as LMHP licensure (LCP, LPC, LSW, LCSW, LSATP, or LMFT) or QMHP qualification.
  • Hold a Bachelor's degree in Social Work, Public Health, Human Services, Healthcare Administration, or a related field, or meet the stated experience-in-lieu alternative where applicable: six years of directly relevant professional experience, or three years with an Associate's degree.
  • Have at least two years of experience in Medicaid-funded case management, care coordination, or community health programs.
  • Have experience working with high-need populations, such as people with intellectual or developmental disabilities, aging adults, serious mental illness, justice-involved individuals, rural communities, or chronic disease.
  • Demonstrate the ability to build partnerships with community mental health programs, community developmental disabilities programs, healthcare providers, and community organizations.
  • Have experience or skills providing technical assistance, including provider education and best-practice implementation support.

Responsibilities

  • Assess, plan, implement, monitor, and evaluate options and services to create an appropriate individualized plan with the beneficiary across the continuum of care.
  • Use clinical knowledge and competence, communication, problem-solving, and conflict-resolution skills to support beneficiary outcomes while considering client requirements.
  • Develop beneficiary-centered care plans.
  • Promote shared accountability among beneficiaries, caregivers, and providers.
  • Collaborate with the beneficiary, provider, and other Funds Health Care team members to coordinate care.
  • Address identified gaps in care or compliance.
  • Maintain strict confidentiality of client-related information and comply with organizational, state, and federal confidentiality regulations and policies.
  • Manage the caseload and ensure required documentation and assessment results are entered accurately and on time in the web-based database, following regulatory requirements and company policies and procedures.
  • Maintain open communication with appropriate parties.
  • Pursue ongoing education, certification, and self-development to remain current with case management standards.
  • Understand and comply with corporate policies, including HIPAA Privacy and Security Rules.

Desired Qualifications

  • Knowledge of Medicaid policy, including Oregon Health Authority standards and regulatory compliance.
  • Knowledge of person-centered planning principles.
  • Knowledge of Home and Community-Based Services and Long-Term Services and Supports, including eligibility pathways and case management best practices.
  • Experience with behavioral health and disability services, including intellectual or developmental disabilities, serious mental illness, and co-occurring conditions.
  • Knowledge of equity and trauma-informed care practices.
  • Experience collaborating across interdisciplinary teams with community mental health programs, housing supports, and community providers.
  • Ability to use service utilization and outcomes data for data-informed decision-making.
  • Knowledge of regulatory compliance with Centers for Medicare & Medicaid Services Home and Community-Based Services rules, Oregon Health Authority policies, and Medicaid processes.

About the Company

Acentra Health

Modernizes public healthcare with claims solutions

Acentra Health helps public-sector health programs run better by combining deep knowledge of government health programs with clinical expertise and technology. It designs and delivers software and services for claims, encounter, and provider data to improve processing efficiency and reduce costs, while offering care-management and quality-oversight services that focus on clinically informed decision making. Its products connect providers, payers, and government agencies to streamline workflows and oversight across state and federal programs. The company differentiates itself through its blend of public-sector know-how, clinical focus, and technology, accelerated by the backing of Carlyle, with a goal of delivering measurable outcomes for priority populations. Overall, Acentra Health aims to improve health outcomes, increase program efficiency, and lower costs for government healthcare programs.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
McLean, VA
Founded
2023

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