This is a Fully Remote JobAbout Our Client: Comagine Health is a national nonprofit organization focused on improving health care systems and outcomes. Operating for over 50 years, the organization collaborates with health care providers, government agencies, health plans, and communities. Their work includes quality improvement, care management, research, evaluation, and data solutions aimed at enhancing care delivery and supporting community health.
About the Opportunity:
The LEAD, CLINICAL CARE MANAGEMENT role in Oregon involves conducting assessments and developing individualized, person-centered service plans. This position serves as an Oregon Independent Qualified Agent (IQA) and requires collaboration with individuals, providers, facilities, and community organizations to ensure appropriate service delivery. The role also provides leadership and expertise to a Behavioral Health Case Manager team through training, daily assignment support, and consultation on complex cases, contributing significantly to service quality and team effectiveness.
Responsibilities:
Conduct initial, annual, and as-needed face-to-face assessments using standardized tools and record reviews.
Develop and maintain individualized person-centered service plans (PCSPs).Ensure care and services align with the PCSP.Collaborate with providers and individuals to address service concerns and adjust PCSPs as necessary.
Coordinate with providers, facilities, and community organizations to facilitate access to appropriate care and services.
Perform prior authorizations for services.
Assist with eligibility determinations as needed.
Support Behavioral Health Case Manager team with clinical and case management expertise.
Assist with orientation and ongoing training of team members.
Support timely completion of assignments and reassign cases when appropriate.
Provide consultation on challenging and complex cases.
Serve as a resource on clinical and case management processes.
Requirements:
Qualified Mental Health Professional (QMHP) status as defined by one of the following:
- Graduate degree in social work, psychology, or behavioral health science; orBachelor’s degree in nursing with Oregon state licensure and relevant behavioral health training; orBachelor’s degree in occupational therapy with Oregon state licensure and relevant behavioral health training.
- Pay Range and Compensation Package:
- The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors.
Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.
