Job Information

Providence Behavioral Health Care Manager in Beaverton, Oregon

Description

Providence is calling a Behavioral Health Care Manager who will:

  • Provide case management and care coordination services for at-risk patients, including patients with complex medical, behavioral and psychosocial issues

  • Complete population-based case and disease management approaches and application of clinical protocols

  • Ensure a systematic approach to the coordination of health services for patients along the care continuum in order to improve the patient experience, contain health expenditures and improve quality

  • Assist members with coordinating access to appropriate care and services in an effort to improve or maintain the psychosocial, functional status and independence

Primary Responsibilities:

  • Uses a systematic process and clinical skills to assess, plan, implement and evaluate an individual plan of care for a patient that spans the continuum of care. The plan of care is developed in conjunction with the Primary Care Provider, individualized care team, the member and the member’s family or caregiver(s)

  • Uses principles of utilization management in the decision-making process to assure both quality and cost-effectiveness

  • Considers alternatives to requested care

  • Acts as a patient advocate to assure that needed health services are provided in a timely manner

  • Identifies, researches, and/or reports potential quality of care issues

  • Monitors and reassesses the plan of care to ensure that quality, quantity and goal achievement are appropriate and cost-effective

  • Demonstrates positive interactions with members, physicians, behavioral health specialists, and staff so that productivity and coordination of services are maximized

  • Actively supports continuous quality improvement and population condition management activities

  • Participates in clinical protocol and guideline development

  • Maintains, updates and improves clinical expertise and care management skills

  • Provides appropriate education for members, family and staff regarding community support systems

  • Demonstrates the ability to assess and utilize population risk stratification information to identify appropriate members for enrollment into case management in collaboration with clinicians and other members of the care team

  • Independently and proactively completes chart reviews, screening calls and full assessments related to anticipated level of care and documents findings using standardized approved EHR documentation tools and custom assessments

  • Prioritizes findings from member assessments, identifying member needs and potential issues and/or barriers to care

  • Engage members to define and set patient centered goals as part of the plan of care and appropriate level of self-management, and interventions

  • Advocates and provides care coordination and management services for members with identified needs

  • Documents ongoing follow-up and monitoring of effectiveness of the interventions and reinforce the treatment plan

  • Participates in the education of members/family members/staff and clinicians

  • Develops and distributes health literate education, tools, and materials for patient care

  • Contributes to ongoing process improvement including related procedures, policies, and patient support and documentation tools

  • Other duties as assigned

Required qualifications for this position include:

  • Bachelor's Degree in Nursing or a related health care field of study - OR- a Master's Degree in Social Work, Counseling, Psychology or equivalent behavioral health field of study

  • 3 years clinical experience in a behavioral health related field

  • 1 year managed care experience or care management experience

  • Unrestricted Licensure (LCSW, LPC, LMSW, RN) as applicable

Preferred qualifications for this position include:

  • Behavioral Health Related Certification

  • Direct Experience in providing Behavioral Health Care Management

  • Upon hire - within six months of start date: A Oregon Clinical Social Worker License

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

Requsition ID: 110945
Company: Providence Jobs
Job Category: Behavioral Health
Job Function: Clinical Care
Schedule: Full time
Shift: Day
Career Track: Business Professional
Department: 5018 HCS MEDICAL MANAGEMENT OR REGION
Address: OR Beaverton 3601 SW Murray Blvd

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.