Samaritan Health Services Hiring For Behavioral Health Care Coordinator I at Corvallis, OR, United States Full Time

Job Description

JOB SUMMARY/PURPOSE

• Under the oversight of a Master’s degree level Manager, 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.

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.

EXPERIENCE/EDUCATION/QUALIFICATIONS

• Bachelor’s degree in Psychology, Mental Health, Social Work, or a closely related field required.
• QMHA required or eligible.
• Experience and/or training in the following required:
  • Behavioral Health care delivery systems and/or managed care patients.
  • Computer applications including electronic documentation.
• Experience in Medicare and Medicaid rules and regulations and health plan benefit structure and policy preferred.

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.

PHYSICAL DEMANDS

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
KNEEL (on knees)
SQUAT Static (hold >30 sec)

• LIFT (Floor to Waist: 0″-36″) 40 – 60 Lbs

SIT
ROTATE TRUNK Sitting
REACH – Upward
CARRY 2-handed, 20 – 40 pounds
LIFT (Floor to Waist: 0″-36″) 20 – 40 Lbs

STAND
WALK – LEVEL SURFACE
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
LIFT (Overhead: 54″ and above) 0 – 20 Lbs
CARRY 1-handed, 0 – 20 pounds
CARRY 2-handed, 0 – 20 pounds
BEND FORWARD at waist
ROTATE TRUNK Standing
REACH – Forward
PUSH (0 – 20 pounds force)
PULL (0 – 20 pounds force)

MANUAL DEXTERITY Hands/wrists
FINGER DEXTERITY
PINCH Fingers
GRASP Hand/Fist

Location: Samaritan Health Services · SHS Health Plan Ops – CMO
Schedule: 1.0 (80 hrs/pp), Day