Case Management RN Lead

2 weeks ago

Salem, Oregon, United States Acentra Health Full time
Job Title: Case Management RN Lead

Acentra Health is seeking a highly skilled and experienced Case Management RN Lead to join our team. As a Case Management RN Lead, you will play a critical role in supporting and contributing to the company's success through the enhancement of the case management function.

Job Summary:

The Case Management RN Lead will serve as a first-level touchpoint for case manager questions, issues, system discrepancies, and escalations. This role will require collaboration with healthcare team members to strengthen the overall effectiveness of care delivery, while leveraging expertise in coordinating diverse beneficiary needs and contract deliverables.

Key Responsibilities:
  • Resolve issues and escalations specific to case manager concerns with members and community interactions, recognizing when to involve manager or other leadership versus immediate resolution.
  • Ability to quickly recognize and categorize issues for resolution and appropriate next steps.
  • Become expert in OARs governing contract and case management services in the state of OR.
  • Comprehensive understanding of the case management program standards, deliverables, goals, and outcomes.
  • Ability to assist in system issues or barriers during outages or other service disruptions.
  • Ability to mentor colleagues and lead by example for optimized individual and team performance.
  • Backup for Supervisor or Manager for operational functions that do not involve direct employee supervision or management.
  • In addition to all of the case manager requirements below, the above requirements are key for this Lead role.
Requirements:
  • Bachelors of Science in Nursing.
  • 3+ years clinical experience.
  • Oregon RN License.
Preferred Qualifications:
  • Preferred Oregon resident.
  • 1+ years case management or home care experience.
  • Certified Case Manager (CCM) preferred.
  • Ability to multi-task and prioritize with variable and sometimes conflicting deadlines.
  • Superior attention to detail.
  • Demonstrated ability in decision-making.
  • Demonstrated initiative and judgment in performance of job responsibilities.
  • Maintain professionalism, flexibility and dependability under pressure.
  • Strong communication (written/verbal), interpersonal, organizational, time management and communication skills.
  • Exceptional customer service skills.
  • Ability to foster relationships with internal/external customers and facilitating meetings.
  • Ability to work independently and as part of a team.
  • Ability to research/identify and apply appropriate standards of care.
  • Interest in continuous learning and a commitment to staying informed on regulatory changes.
Why Acentra Health?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people. You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.

We are an Equal Opportunity Employer and welcome applications from diverse candidates. Our benefits package includes comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

The pay range for this position is $61,200-88,000. Based on our compensation philosophy, an applicant's placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.

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