Manager - Behavioral Health Care Coordination Health Plans - Corvallis
1 month ago
Job Description:
We are open to considering remote out-of-state candidates and are able to employ in the following states: Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
The selected candidate may be required to be onsite in Corvallis 4-6 times a year or based on business need. Otherwise, would be required to work Pacific Time Zone hours.
We are needing someone that has strong leadership experience.
Job Summary/Purpose
Utilizes clinical knowledge and system improvement skills to support SHP Behavioral Health Care Coordination services. Supports
contract compliance, OAR's, and system transformation. Seeks system coordination with the focus on whole person health
integration. Utilizes knowledge of Medicaid, continuum of care, knowledge of state and CCO regulations and gap identification for
constructive support and change. Supports the oversight and monitoring of treatment-based services.
Department Description
Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity
Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan
Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is
also the third-party administrator for Samaritan Health Services' self-funded employee health benefit plan. As part of an Integrated
Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services' mission of
Building Healthier Communities Together.
Experience/Education/Qualifications
1. Master's degree in Mental Health, Social Work, Clinical Psychology or a closely related field required.
2. Current unencumbered Oregon credential/licensure in one (1) of the following required:
a. Licensed Clinical Social Worker (LCSW).
b. Licensed Professional Counselor (LPC).
c. Licensed Psychologist (PhD or PsyD).
d. Clinical Social Work Associate (CSWA).
e. Licensed Master of Social Work (LMSW).
f. Licensed Marriage and Family Therapist (LMFT).
3. Five (5) years care management experience that included three (3) years leadership experience required.
Experience in the following required:
4.
a. Development and application of public policy.
b. Data analytics, project management and process design.
c. Health care delivery systems and/or managed care patients.
Computer applications including electronic documentation (e.g., MS Office, EPIC, Clinical d. Care Advanced).
e. Medicare and Medicaid rules and regulations and health plan benefit structure and policy.
f. Health equity and trauma informed care practices.
Position Urgency:
Normal
Shifts:
Days, Full Time
State License Details:
Upon Acceptance
Minimum Years of Experience:
5
Specialty Type:
Health Sciences
Sub Specialty:
Social Worker
Bilingual:
No
Holiday Coverage Required:
No
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