Providence Health & Services Behavioral Health Case Manager in Beaverton, Oregon
Providence St. Joseph Health is calling a Behavioral Health Case Manager to our location in Beaverton, OR.
We are seeking a Behavioral Health Case Manager to provide case management and care coordination services for at-risk patients, including patients with complex medical, behavioral and psychosocial issues. Population-based case and disease management approaches and application of clinical protocols are integral to the program. The goals for this position are to 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. BHCs assist members with coordinating access to appropriate care and services in an effort to improve or maintain the psychosocial, functional status and independence.
In this position you will have the following responsibilities:
Use 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).
Use principles of utilization management in the decision-making process to assure both quality and cost-effectiveness.
Consider 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.
Monitor and reassess the plan of care to ensure that quality, quantity and goal achievement are appropriate and cost-effective.
Demonstrate positive interactions with patients, physicians and staff so that productivity and coordination of services are maximized.
Actively support continuous quality improvement and population disease management activities. Participates in clinical protocol and guideline development.
Maintain updates and improves clinical expertise and care management skills.
Provide appropriate education for patient, family and staff regarding community support systems.
Demonstrate the ability 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 complete chart reviews, screening calls and full assessments related to anticipated level of care and documents findings using standardized approved EHR documentation tools.
Prioritize 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.
Advocate and provides care coordination and management services for patients with identified needs.
Document ongoing follow-up and monitoring of effectiveness of the interventions and reinforce the treatment plan.
Participate in the education of patients/family members/staff and clinicians.
Develop and distribute health literate education, tools, and materials for patient care.
Contribute to ongoing process improvement including related procedures, policies, and patient support and documentation tools.
Required qualifications for this position include:
Master's degree in Social Work; from a school of social work accredited by the Council on Social Work education.
3 years clinical experience.
1 year managed care experience and/or utilization management experience.
Current Oregon or Washington driver's license.
Preferred qualifications for this position include:
Home health, skilled nursing facility and/or community health nursing (OR) clinical social work.
Licensed Clinical Social Worker (LCSW) in good standing in Oregon.
About the department you will serve.
Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence Health & Services from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. 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.
Job Category: Social Work
Req ID: 261678