9 Clinical Care Manager II Jobs in Corvallis, OR
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Samaritan Health Services is Hiring a Clinical Care Manager II Near Corvallis, OR
- JOB SUMMARY/PURPOSE
- Serves as a single entry or "easy access" point to help members and providers navigate through managed care. Applies knowledge of applicable regulations, identifies resources (internal or community partners) and eliminates barriers where possible. Provides care management interventions and seamless support across transitions of care.
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- 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.
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- EXPERIENCE/EDUCATION/QUALIFICATIONS
- Current unencumbered Oregon RN License required.
- Associate's degree in a health care related field required. BSN preferred.
- Five (5) years nursing experience required.
- Experience and/or training in the following required:
- Team leadership.
- Case Management.
- Electronic medical information systems and documentation.
- Medicare and Medicaid rules and regulations and health plan benefit structure and policy.
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- National Case Management Certification (CCM) or successful completion of an approved School of Nursing Case Management program required within one (1) year of hire.
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- KNOWLEDGE/SKILLS/ABILITIES
- Communication - Effective written and verbal communication skills provided to members, providers and organization staff. Able to tactfully discuss issues, and listen to and understand complex information/situations. Ability to apply motivational interview techniques when working with members. Proactively resolve conflicts in positive and constructive manner.
- Confidentiality - Knowledge of State and Federal (HIPAA) laws pertaining to confidentiality of protected health information. Ability to comply with laws and maintain confidentiality of patient information.
- Critical Thinking - Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions in a member centric manner.
- Social Perceptiveness - Ability to work with a diverse population from pediatrics to geriatrics. Basic understanding of age-related differences in caring for and/or communicating with members and caregivers. Possess personal sensitivity to the needs and experiences of others and a non-judgmental attitude towards persons of differing standards, values, lifestyles, and ages.
- Knowledge of Medicare and Medicaid rules and regulations and health plan benefit structure and policy. Ability to appropriately apply evidence based clinical practice and criteria to authorization requests.
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- PHYSICAL DEMANDS
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Rarely
(1 - 10% of the time)Occasionally
(11 - 33% of the time)Frequently
(34 - 66% of the time)Continually
(67 – 100% of the time)CLIMB - STAIRS
LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
LIFT (Knee to chest: 24"-54") 0 – 20 Lbs
LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
CARRY 1-handed, 0 - 20 pounds
BEND FORWARD at waist
KNEEL (on knees)
STAND
WALK – LEVEL SURFACE
ROTATE TRUNK Standing
REACH - Upward
PUSH (0 - 20 pounds force)
PULL (0 - 20 pounds force)
SIT
CARRY 2-handed, 0 - 20 pounds
ROTATE TRUNK Sitting
REACH - Forward
MANUAL DEXTERITY Hands/wrists
FINGER DEXTERITY
PINCH Fingers
GRASP Hand/Fist
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Job Summary
Other
Ambulatory Healthcare Services
$88k-116k (estimate)
09/21/2023
09/22/2023
samhealth.org
LINCOLN CITY, OR
3,000 - 7,500
1997
NGO/NPO/NFP/Organization/Association
MARILYN J FRASER
$1B - $3B
Ambulatory Healthcare Services
Related Companies
About Samaritan Health Services
Samaritan owns and operates a network of hospitals that provides health care services for the communities.
The job skills required for Clinical Care Manager II include Health care, Case Management, Effective Communication, HIPAA, Confidentiality, pediatric, etc. Having related job skills and expertise will give you an advantage when applying to be a Clinical Care Manager II. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Clinical Care Manager II. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Clinical Care Manager II positions, which can be used as a reference in future career path planning. As a Clinical Care Manager II, it can be promoted into senior positions as a House Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Clinical Care Manager II. You can explore the career advancement for a Clinical Care Manager II below and select your interested title to get hiring information.
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