Case Manager, Licensed Registered Nurse or Social Worker - Remote Oregon

Company: Kepro
Location: Portland
Posted on: January 16, 2022

Job Description:

Description

KEPRO is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. KEPRO is seeking resumes for a highly experienced professional.

Case Manager

Note: This is a remote position, but you must live within the state or Oregon. There may occassional field visits required.

Summary Description

Case managers are responsible for determining the needs of the member and coordinating services to ensure that needs are met in an individualized manner. Case managers coordinate multiple services for members through comprehensive assessment, care plan development, care plan implementation, follow-up activities, and referrals to other needed services. As a part of the delivery of case management services, this case manager role is field based and meets with members face-to-face in the community when applicable. The population served by Kepro OHPCC is the Oregon FFS Medicaid population under the OHP.

Accountabilities
Comprehensive assessments and periodic reassessment of individual needs, to determine that need for any medical, education, social or other services.
Development (and periodic revision) of a specific care plan that is based on the information collected through the assessment and medical records for the purpose of person-centered action plans.
Collaboration with internal and external stakeholders to promote the Triple Aim.
Communication activities which include face to face meetings, telephone interactions, caregiver interactions, rounds, interdisciplinary team meetings, and other related evidence-based practices.
Referrals and related activities (such as scheduling appointments for the individual) to help the eligible individual obtain needed services
Ensuring quality driven outcomes through best practice and motivational interviewing.
The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

Qualifications
Preferred Bachelor's degree in Nursing or a related field from an accredited college with active Oregon RN License.
- Or if not RN -
Preferred Master's degree in Social Work from an accredited college with active Oregon License.

Knowledge, Skills, Abilities
Working knowledge of Federal, State and private health related activities.
Must have demonstrated experience working with severely and mentally ill population.
Must be comfortable working within a remote work from home environment, and electronic health system, working proficiency with Microsoft Office software, and ability to also work in the field (community of residence), and hours are M-F/8-5.
Knowledge of case management methods, procedures and practices.
Ability to assess and reassess continuing member need.
Ability to develop and implement member Plan and determine the services most appropriate to meet the assessed need(s).
Ability to monitor the implementation of the plan of care.
Provide guidance to assist members in utilizing community services effectively and appropriately.
Promote members' self-determination through a person-centered approach and evidence-based practice.
Must have valid driver's license and private transportation.
Must have personal cell phone and home internet connection.
Must have experience interacting with individuals, service providers, family members, other professionals, and community stakeholders, etc.

Experience
At least three years field based or telephonic case management or at least three years managed care or Medicaid/Medicare payor experience.
At least 5 years clinical experience.

Mental And Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.

KEPRO offers challenging careers, excellent benefits and opportunities for advancement. For consideration, please submit resume and cover letter with salary requirements. Only those candidates identified for an interview will be contacted. No Phone Calls Please. Visit our website at www.KEPRO.com for more information on the KEPRO Family of Companies.

EOE AA M/F/Vet/Disability

KEPRO is an E-Verify employer. E-Verify is an internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States.

Experience

Requirements

At least three years field based or telephonic case management or at least three years managed care or Medicaid/Medicare payor experience.

At least 5 years clinical experience.

Mental and Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.

Keywords: Kepro, Portland , Case Manager, Licensed Registered Nurse or Social Worker - Remote Oregon, Executive , Portland, Oregon