Behavioral Health Case Manager Jobs in Oregon

Behavioral Health Integration Manager

This position leads the strategic development and operational implementation of Behavioral Health integration across CareOregon to improve whole-person outcomes and advance high-value care in alignment with Quintuple Aim outcomes. In partnership with line of business and functional leaders, the role designs, develops, and spreads learning networks, outcomes-based care initiatives, quality improvement activities, and system transformation programs across CareOregon’s provider network. Additionally, the position advances Behavioral Health services by developing and deploying technical assistance resources to key partners and leveraging data insights to guide implementation, evaluation, and continuous improvement of programs and procedures.

NOTE: This position is remote, work from home, but you must reside in Oregon or SW Washington. The schedule is M-F or 4 tens.

Estimated Hiring Range:

$113,940.00 - $139,260.00

Bonus Target:

Bonus - SIP Target, 5% Annual

Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.

Essential Responsibilities

• Lead the development and implementation of new initiatives and collaboratives to improve delivery system outcomes of improved whole health, cost reduction, and the reduction of nonvalue-added care activities.
• Collaborate with internal data teams and external providers to develop and implement quality metrics that support behavioral health integration and align with provider programs, contracts, and Quintuple Aim outcomes.
• Collect, analyze, and communicate data insights to guide implementation and continuous improvement of plans, programs, and procedures.
• Develop, test, and improve curriculum and training materials to support implementation and spread of new models of care, evidence-based practices, and data-informed quality improvement activities across multiple lines of business.
• Direct the development and implementation of training sessions, collaboratives, and learning systems that support and drive improvement.
• Lead functional workgroups, committees, and stakeholder engagement efforts to support Behavioral Health integration, achieve consensus, and drive system-level outcomes.
• Serve as a representative of CareOregon in external partnerships to develop contracts for technical assistance, create partnerships, and foster collaboration and organizational learning.
• Research and monitor clinical and process improvement best practices and integrate learnings into current work.
• Develop strategies for creating and supporting a network of provider-based improvement advisors and provide coaching to support implementation and spread of best practices.
• Evaluate program effectiveness and outcomes and recommend adjustments to improve impact, scalability, and sustainability.

Employee Supervision

• Manages team and recommends team direction and goals in alignment with the organizational mission, vision, and values.
• Identifies work and staffing needs to meet work expectations; recruits and hires, using an equity, diversity, and inclusion lens.
• Plans, organizes, schedules, and monitors work; ensures employees have information and resources to meet job expectations.
• Leads the development, communication, and oversight of team and individual goals; ensures goals, expectations, and standards are clearly understood by staff.
• Trains, supervises, motivates, and coaches employees; provides support toward employee development.
• Incorporates guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, and decision making.
• Ensures team adheres to department and organizational standards, policies, and procedures.
• Evaluates employee performance and provides regular feedback to support success; recognizes strong performance and addresses performance gaps and accountability (corrective action).
• Performs supervisory tasks in collaboration with Human Resources as needed.

Experience and/or Education

Required

• Master’s degree in behavioral health-related field (e.g., social work, counseling, psychology, etc.) - or - healthcare administration, business administration, or public health
• Minimum 5 years’ experience in behavioral health field including developing and implementing strategy in support of organizational goals

Preferred

• Minimum 2 years’ experience in a supervisory position or minimum 1 year experience in a supervisory position with completion of CareOregon’s Aspiring Leaders Program
• Experience in one or more of the following areas:
• Organizational process improvement and program development and/or project management
• Quality measurement and evaluation (e.g., HEDIS, clinical program evaluation)
• Outcomes measurement and feedback informed care (e.g., PHQ-9, GAD-7, ORS/SRS)
• Adult learning theory and training design
• Medicaid or related managed care environment

Knowledge, Skills and Abilities Required

Knowledge

• Knowledge of clinical workflows and electronic health record systems the specialty behavioral health system
• Knowledge of Medicaid quality metrics and variation, including interpretation of control and run charts
• Working knowledge of outcomes-based care frameworks and behavioral health quality measurement approaches, including application of metrics to support program design, evaluation, and continuous improvement
• Knowledge of adult learning principles and their application in the design and delivery of training programs and learning collaboratives

Skills and Abilities

• Ability to lead and influence cross-functional and external stakeholders to advance behavioral health integration, quality improvement, and initiatives
• Skill in facilitating alignment and building consensus across diverse stakeholders
• Ability to represent the organization in external partnerships and collaborative efforts
• Accountability for program performance outcomes, including oversight of evaluation processes, identification of gaps, and implementation of corrective actions to improve results
• Skill in analyzing, synthesizing, and communicating complex data insights, translating findings into actionable recommendations to inform decision-making and program performance
• Ability to set strategic direction and priorities for programs and initiatives, including resource allocation and alignment with enterprise goals
• Ability to translate organizational strategy into actionable plans and ensure effective execution across teams and stakeholders
• Ability to develop team and partner capabilities through coaching, mentoring, and feedback, fostering a learning environment
• Skill in developing, facilitating, and evaluating training and technical assistance to support adoption of new practices and improvement initiatives
• Strong analytical and problem-solving skills
• Expertise in the policy and regulatory environment for specialty behavioral health providers
• Excellent verbal and written communication and facilitation skills
• Excellent people leader and team management skills, including accountability for performance and development
• People management skills, including the ability to provide effective leadership to direct reports, matrixed staff and other internal and external stakeholders
• Strong emotional intelligence and navigating collaboration (for self and for team)
• Ability to effectively analyze program goals and objectives to determine successes and opportunities for improvement
• Ability to develop, test, and evaluate programmatic initiatives
• Skill in applying continual improvement, project management, change management, and program development principles to achieve program goals
• Ability to work independently or as part of a team
• Ability to work in an environment with diverse individuals and groups
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day

Working Conditions

Work Environment(s): Indoor/Office Community Facilities/Security Outdoor Exposure

Member/Patient Facing: No Telephonic In Person

Hazards: May include, but not limited to, physical and ergonomic hazards.

Equipment: General office equipment and/or mobile technology

Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used.

Work Location: Work from home

We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information.

We are an equal opportunity employer

CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.