PacificSource
Care Management Clinician - Marion/Polk RN (Monday - Friday)
PacificSource, Portland, Oregon, United States, 97204
Care Management Clinician - Marion/Polk RN (Monday - Friday) page is loaded
Care Management Clinician - Marion/Polk RN (Monday - Friday)
Apply locations Portland, OR time type Full time posted on Posted 3 Days Ago job requisition id 2025-1315
Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each persons talents and strengths. Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the client's health and human service needs. It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes. Clinicians incorporate the essential functions of professional case management concepts to enhance patients quality of life and maximize health plan benefits. These functions include but are not limited to: coordination and delivery of healthcare services, consideration of physical, psychological, and cultural factors, assessment of the patients specific health plan benefits, and additional medical, community, or financial resources available.
Qualified candidates must be acceptable to the following available work schedule: Monday - Friday 8:00am to 5:00pm Essential Responsibilities: Clinician Care Managers facilitate the achievement of client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation. Collect and assess patient information pertinent to patients history, condition, and functional abilities in order to develop a comprehensive, individualized care management plan that promotes appropriate utilization, and cost-effective care and services. Based on the needs and values of the client, and in collaboration with all service providers, the clinician links clients with appropriate providers and resources throughout the continuum of health and human services and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable. Clinicians have direct communication among, the client, the payer, the primary care provider, and other service delivery professionals. The case manager is able to enhance these services by maintaining the client's privacy, confidentiality, health, and safety through advocacy and adherence to ethical, legal, accreditation, certification, and regulatory standards or guidelines. Interact with other PacificSource personnel to assure quality customer service is provided. Act as an internal resource by answering questions requiring medical or contract interpretation that are referred from other departments, as well as physicians and providers of medical services and supplies. Assist employers and agents with questions regarding healthcare resources and procedures for their employees and clients. Practice and model effective communication skills: both written and verbal. Utilize and promote use of evidence-based tools. Utilize lean methodologies for continuous improvement. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience:
Minimum of three (3) years of clinical experience, including case management. Insurance industry experience preferred. Education, Certificates, Licenses:
Clinical Social Worker, Licensed Professional Counselor, or Licensed Independent Clinical Social Worker with unrestricted license required in current state of residence. OR Registered Nurse with current appropriate unrestricted state license based on line of business: Commercial and Medicare: Oregon, Idaho or Montana, and Washington; Medicaid and DSNP: Oregon. Certified Case Manager Certification (CCM) as accredited by CCMC (The Commission for Case Management) strongly desired at time of hire. CCM certification required within two years of hire. Knowledge:
Knowledge of health insurance and state mandated benefits. Experience and expertise in case management practice including advocacy, assessment, planning, communication, education, resource management and service facilitation. Ability to deal effectively with people who have various health issues and concerns. Knowledge and understanding of contractual benefits and options available outside contractual benefits. Knowledge of community services, providers, vendors and facilities available to assist members. Ability to use computerized systems for data recording and retrieval. Assures patient confidentiality, privacy, and health records security. Establishes and maintains relationships with community services and providers. Maintains current clinical knowledge base and certification. Ability to work independently with minimal supervision. Competencies Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork
Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions.Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times. Similar Jobs (4)
Care Management Clinician - Lane County Behavioral Health (Monday - Friday)
locations Portland, OR time type Full time posted on Posted 23 Days Ago
Care Management Clinician - Lane County RN (Tuesday - Saturday)
locations Portland, OR time type Full time posted on Posted 23 Days Ago
Care Management Clinician - Health Related Social Needs (Monday - Friday)
locations Portland, OR time type Full time posted on Posted 30+ Days Ago
PacificSource is anything but a typical health insurance company. Founded in 1933, were an independent, not-for-profit organization that puts our members, and their communities firstacross Idaho, Oregon, Montana, and Washington. It's our 1,800+ employees who make it happen: promoting health equity and partnering with providers to deliver better access to optimal, affordable care.
So yes , with PacificSource, you get to do great things. In our effort to put members firstmore than 600,000 of theminitiative, commitment, and hard work are supported and rewarded with excellent benefits, competitive wages, and opportunities for personal growth and advancement. Benefits:
F lexible telecommute policy, m edical, vision, and dental insurance, incentive program, paid time off and holidays, 401(k) plan, volunteer opportunities, tuition reimbursement and training, life insurance, and options such as a flexible spending account. Why PacificSource
We love our common purpose. Empowerment, flexibility, and sharing success make for a great place to work. Heres what else we feel good about: A mission with a real sense of shared values Competitive wages and outstanding benefits, including telecommuting Opportunities for learning development and career advancement Organizational leadership style rooted in servant and transformational leadership A commitment to support the communities we serve A belief in the importance of work-life balance Upcoming career fairs and events
September 3: Salem Veteran Stand Down, 9a-4p PST, Salem YMCA (685 Court St NE, Salem OR) September 12: Eugene Veteran Stand Down, 7a-4p PST, Lane County Fairgrounds (796 W 13th Ave, Eugene OR) September 18: Albany Veteran Stand Down, 10a-2p PST, (3700 Knox Butte Rd E, Albany OR) September 20: Salem Pride in the Park, 11a-6p PST, Riverfront Park (200 Water St NE, Salem, OR) October 15: Oregon State University Fall Career Fair, 11a-3p PST, (1500 SW Jefferson Way, Corvallis, OR) October 23: University of Oregon Fall Career Fair, 12-4p PST, (1585 E. 13th Ave, Eugene OR) October 29: Western Oregon University Fall Career Fair, 11a-2p PST, (345 Monmouth Ave N, Monmouth OR) November 7: Portland Veteran Stand Down, 10a-2p PST, (6701 NE Campus Way, Hillsboro OR)
Grow your career with us
PacificSource is an equal opportunity employer and a company that loves helping people. We work with our employees to understand their goals, and provide training, individual development, and career advancement opportunities to help them achieve just that. In 2023 alone we had 407 internal promotions! Recognitions
Top Workplace 2025 and 2024 USA |
USA Today # 6 Healthiest Employer of Oregon 2025 |
Portland Business Journal Top Workplace 2024, 2023 and 2022 for Oregon and SW Washington |
The Oregonian Top Workplace 2024, 2023 and 2022 for Boise and the Treasure Valley |
Idaho Press Certified Age Friendly Employer, 2023 |
Age Friendly Institute Affirmative Action Program Policy Statement
PacificSource is an equal opportunity employer. Click here to review our AAP Policy Statement. #J-18808-Ljbffr
Apply locations Portland, OR time type Full time posted on Posted 3 Days Ago job requisition id 2025-1315
Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each persons talents and strengths. Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the client's health and human service needs. It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes. Clinicians incorporate the essential functions of professional case management concepts to enhance patients quality of life and maximize health plan benefits. These functions include but are not limited to: coordination and delivery of healthcare services, consideration of physical, psychological, and cultural factors, assessment of the patients specific health plan benefits, and additional medical, community, or financial resources available.
Qualified candidates must be acceptable to the following available work schedule: Monday - Friday 8:00am to 5:00pm Essential Responsibilities: Clinician Care Managers facilitate the achievement of client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation. Collect and assess patient information pertinent to patients history, condition, and functional abilities in order to develop a comprehensive, individualized care management plan that promotes appropriate utilization, and cost-effective care and services. Based on the needs and values of the client, and in collaboration with all service providers, the clinician links clients with appropriate providers and resources throughout the continuum of health and human services and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable. Clinicians have direct communication among, the client, the payer, the primary care provider, and other service delivery professionals. The case manager is able to enhance these services by maintaining the client's privacy, confidentiality, health, and safety through advocacy and adherence to ethical, legal, accreditation, certification, and regulatory standards or guidelines. Interact with other PacificSource personnel to assure quality customer service is provided. Act as an internal resource by answering questions requiring medical or contract interpretation that are referred from other departments, as well as physicians and providers of medical services and supplies. Assist employers and agents with questions regarding healthcare resources and procedures for their employees and clients. Practice and model effective communication skills: both written and verbal. Utilize and promote use of evidence-based tools. Utilize lean methodologies for continuous improvement. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience:
Minimum of three (3) years of clinical experience, including case management. Insurance industry experience preferred. Education, Certificates, Licenses:
Clinical Social Worker, Licensed Professional Counselor, or Licensed Independent Clinical Social Worker with unrestricted license required in current state of residence. OR Registered Nurse with current appropriate unrestricted state license based on line of business: Commercial and Medicare: Oregon, Idaho or Montana, and Washington; Medicaid and DSNP: Oregon. Certified Case Manager Certification (CCM) as accredited by CCMC (The Commission for Case Management) strongly desired at time of hire. CCM certification required within two years of hire. Knowledge:
Knowledge of health insurance and state mandated benefits. Experience and expertise in case management practice including advocacy, assessment, planning, communication, education, resource management and service facilitation. Ability to deal effectively with people who have various health issues and concerns. Knowledge and understanding of contractual benefits and options available outside contractual benefits. Knowledge of community services, providers, vendors and facilities available to assist members. Ability to use computerized systems for data recording and retrieval. Assures patient confidentiality, privacy, and health records security. Establishes and maintains relationships with community services and providers. Maintains current clinical knowledge base and certification. Ability to work independently with minimal supervision. Competencies Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork
Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions.Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times. Similar Jobs (4)
Care Management Clinician - Lane County Behavioral Health (Monday - Friday)
locations Portland, OR time type Full time posted on Posted 23 Days Ago
Care Management Clinician - Lane County RN (Tuesday - Saturday)
locations Portland, OR time type Full time posted on Posted 23 Days Ago
Care Management Clinician - Health Related Social Needs (Monday - Friday)
locations Portland, OR time type Full time posted on Posted 30+ Days Ago
PacificSource is anything but a typical health insurance company. Founded in 1933, were an independent, not-for-profit organization that puts our members, and their communities firstacross Idaho, Oregon, Montana, and Washington. It's our 1,800+ employees who make it happen: promoting health equity and partnering with providers to deliver better access to optimal, affordable care.
So yes , with PacificSource, you get to do great things. In our effort to put members firstmore than 600,000 of theminitiative, commitment, and hard work are supported and rewarded with excellent benefits, competitive wages, and opportunities for personal growth and advancement. Benefits:
F lexible telecommute policy, m edical, vision, and dental insurance, incentive program, paid time off and holidays, 401(k) plan, volunteer opportunities, tuition reimbursement and training, life insurance, and options such as a flexible spending account. Why PacificSource
We love our common purpose. Empowerment, flexibility, and sharing success make for a great place to work. Heres what else we feel good about: A mission with a real sense of shared values Competitive wages and outstanding benefits, including telecommuting Opportunities for learning development and career advancement Organizational leadership style rooted in servant and transformational leadership A commitment to support the communities we serve A belief in the importance of work-life balance Upcoming career fairs and events
September 3: Salem Veteran Stand Down, 9a-4p PST, Salem YMCA (685 Court St NE, Salem OR) September 12: Eugene Veteran Stand Down, 7a-4p PST, Lane County Fairgrounds (796 W 13th Ave, Eugene OR) September 18: Albany Veteran Stand Down, 10a-2p PST, (3700 Knox Butte Rd E, Albany OR) September 20: Salem Pride in the Park, 11a-6p PST, Riverfront Park (200 Water St NE, Salem, OR) October 15: Oregon State University Fall Career Fair, 11a-3p PST, (1500 SW Jefferson Way, Corvallis, OR) October 23: University of Oregon Fall Career Fair, 12-4p PST, (1585 E. 13th Ave, Eugene OR) October 29: Western Oregon University Fall Career Fair, 11a-2p PST, (345 Monmouth Ave N, Monmouth OR) November 7: Portland Veteran Stand Down, 10a-2p PST, (6701 NE Campus Way, Hillsboro OR)
Grow your career with us
PacificSource is an equal opportunity employer and a company that loves helping people. We work with our employees to understand their goals, and provide training, individual development, and career advancement opportunities to help them achieve just that. In 2023 alone we had 407 internal promotions! Recognitions
Top Workplace 2025 and 2024 USA |
USA Today # 6 Healthiest Employer of Oregon 2025 |
Portland Business Journal Top Workplace 2024, 2023 and 2022 for Oregon and SW Washington |
The Oregonian Top Workplace 2024, 2023 and 2022 for Boise and the Treasure Valley |
Idaho Press Certified Age Friendly Employer, 2023 |
Age Friendly Institute Affirmative Action Program Policy Statement
PacificSource is an equal opportunity employer. Click here to review our AAP Policy Statement. #J-18808-Ljbffr