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Remote Case Management Processor Jobs in Oregon (NOW HIRING)

Behavioral Health Care Manager

OR · On-site +1

$70K - $77K/yr

Facilitate case management and support that requires clinical expertise in various systems with ... Role is remote with 10% travel necessary for training/education purposes * Ability to work ...

Senior Compliance Investigator

OR · On-site +1

$70K - $126K/yr

Thoroughly documents, organizes, and reviews case files within centralized case management systems ... and the investigative process. * Prepares and analyzes departmental metrics, including ...

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Remote Case Management Processor information

What is the difference between Remote Case Management Processor vs Remote Claims Processor?

AspectRemote Case Management ProcessorRemote Claims Processor
CredentialsTypically requires case management certifications or healthcare-related credentialsOften requires insurance or claims processing certifications
Work EnvironmentHealthcare or social services settings, remote or office-basedInsurance companies, healthcare providers, remote or office-based
Industry UsageHealthcare, social services, insuranceInsurance, healthcare, financial services
Job FocusManaging patient or client cases, coordinating servicesProcessing insurance claims, verifying coverage

While both roles involve processing information remotely, the Remote Case Management Processor focuses on managing client cases and coordinating services, often in healthcare or social services. In contrast, the Remote Claims Processor primarily handles insurance claims, verifying coverage and processing payments. Understanding these differences helps job seekers identify the right role based on their credentials and career interests.

Behavioral Health Care Manager

Imagine Pediatrics

OR • On-site, Remote

$70K - $77K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago


Job description

The primary location for this role is remote, and expected schedule requirements are Monday to Friday, 8:00am - 5:00pm and 10:30 am - 7:00pm EST. Active FL, NJ or NC licensure required. 

What You'll Do 

As a Behavioral Health Care Manager (BHCM) with Imagine Pediatrics, you will work with the families of medically complex children providing case management for members enrolled in Imagine Pediatrics behavioral health program. You will work alongside pediatricians, nurses, care coordinators, and other healthcare professionals. Your primary responsibilities will include:

  • Monitor high-risk pediatric patients (up to 21 years old), some recently discharged from the hospital, ensuring appropriate follow-up and adjusting care plans as needed.
  • Conduct biopsychosocial assessments to address behavioral, social, emotional, and systemic needs of the patient and family.
  • Create and evaluate the effectiveness of the patient/family's care plan and modify based on families evolving needs and goal progression.
  • Provide intervention that is consistent with the social/emotional/physical needs of patients and caregivers such as mental health crises, behavioral issues, and family conflict.
  • Facilitate case management and support that requires clinical expertise in various systems with focus on helping patients and families negotiate the complexities involved with a mental health diagnosis and potentially co-occurring medical conditions.
  • Resource validated external services requested by the family to meet behavioral and social needs such as social services agencies and behavioral specialists.
  • Provides interventions in response to crisis to de-escalate and stabilize patient and family members
  • Provides psychoeducation on the nature of mental health diagnosis and progression, the importance of treatment adherence, and related information as appropriate
  • Collaborate with external care team members regularly including school systems, specialists, and child welfare agencies as needed.
  • Participate in ongoing scheduled consultations with an interdisciplinary team to monitor patient progress
  • Represent Imagine Pediatrics commendably to patients, families, providers, and community
  • Performs other duties and assumes other responsibilities as assigned by manager

What You Bring & How You Qualify 

First and foremost, you're passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly on priorities. In this role, you will need: 

  • Masters' degree with major course work in social work or related field required
  • LMSW required
  • Active FL, NJ, or NC license required. 
  • Minimum 3-5 years of post-graduate experience in health care social work/Case management in behavioral health required.
  • Experience working with pediatric population and family systems required
  • Proficiency in motivational interviewing practices and/or techniques; goal setting and intervention; assessment of needs
  • Knowledge of social work including crisis prevention and intervention
  • Experience with providing telehealth services
  • Knowledge of MS Office Suite and ability to work in online platforms
  • Strong knowledge of behavioral health principles and practices
  • Proficient in trauma-informed care practices
  • Strong knowledge of pediatric/adolescent mental health common signs and symptoms and able to identify difficulties with coping
  • Role is remote with 10% travel necessary for training/education purposes
  • Ability to work afternoons and evenings
  • Bilingual Spanish strongly preferred

What We Offer (Benefits + Perks)

The role offers a base salary range of $70,000 - $77,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.  

We provide these additional benefits and perks:

  • Competitive medical, dental, and vision insurance 
  • Healthcare and Dependent Care FSA; Company-funded HSA
  • 401(k) with 4% match, vested 100% from day one
  • Employer-paid short and long-term disability 
  • Life insurance at 1x annual salary
  • 20 days PTO + 10 Company Holidays & 2 Floating Holidays 
  • Paid new parent leave
  • Additional benefits to be detailed in offer