Requisition ID: 1153
Remote | Oregon
Who is Comagine Health?
Comagine Health is a national, mission-driven nonprofit organization dedicated to improving health and creating a better health care system. For more than 50 years, we have partnered with health care providers, government agencies, health plans, and communities to improve care delivery and health outcomes.
Our work spans quality improvement, care management, research and evaluation, and data solutions. At Comagine Health, our employees have the opportunity to do meaningful work that helps people and communities flourish.
About the Role
Comagine Health is seeking a Lead, Clinical Care Management to support our work in Oregon.
In this role, you will serve as an Oregon Independent Qualified Agent (IQA), conducting assessments and developing individualized, person-centered service plans for the individuals we serve. You will collaborate with individuals, providers, facilities, and community organizations to help ensure appropriate services and supports are available and delivered according to each individual’s needs.
This position also provides leadership and subject matter expertise to our Behavioral Health Case Manager team, supporting team members with training, daily assignments, and consultation on challenging or complex cases.
What You’ll Do
Assessments & Person-Centered Service Planning
- Conduct initial, annual, and as-needed face-to-face assessments using standardized, evidence-based assessment tools and reviews of relevant records.
- Create and maintain individualized person-centered service plans (PCSPs).
- Ensure care and services are being delivered as described in the PCSP.
- Work with providers and individuals to address service concerns or adjust the PCSP when needed.
Care Coordination & Access to Services
- Work closely with individuals, providers, facilities, and social service and community organizations to help individuals access appropriate care and services.
- Perform prior authorizations for services.
- Assist with eligibility determinations as needed.
- Help coordinate services and resources that support each individual’s person-centered care plan.
Team Leadership & Clinical Support
- Provide clinical and case management process subject matter expertise to the Behavioral Health Case Manager team.
- Assist with the orientation and ongoing training of team members.
- Support the timely completion of daily assignments by helping Behavioral Health Case Managers complete activities and reassigning cases when appropriate.
- Provide case consultation to Behavioral Health Case Managers regarding challenging and complex cases.
- Serve as a resource to team members regarding clinical and case management processes.
Required Qualifications
Candidates must meet the requirements for a Qualified Mental Health Professional (QMHP) through one of the following:
- Graduate degree in social work, psychology, or another behavioral health science field; or
- Bachelor’s degree in nursing and licensure by the State of Oregon, with relevant training in behavioral health service delivery; or
- Bachelor’s degree in occupational therapy and licensure by the State of Oregon, with relevant training in behavioral health service delivery.
Qualified Mental Health Professional (QMHP) status is required.
Equal Opportunity Employer
Comagine Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability.
