Associate Dean School of Allied Health

Comagine Health is looking for a Behavioral Health Case Manager to work remotely, with regional travel to perform in-person assessments. Comagine Health partners with the Oregon Health Authority (OHA) to provide statewide eligibility determination, service coordination, medical appropriateness reviews, and transition planning for individuals diagnosed with serious and persistent mental illness (SPMI). Our goal is to support adults with SPMI to live in the least-restrictive settings possible by ensuring that necessary and desired supports and services are in place.

Ideally candidates will reside in the Portland metro area with travel of up to 50% throughout the region.

Who is the Comagine Health?

Comagine Health is a non-profit consulting firm that seeks to improve health and to increase the effectiveness and quality of health care. As a recognized Quality Improvement Organization (QIO), we support providers, plans, purchasers, and consumers, and offer services to state and federal agencies and others to help them better manage health care under the existing system and to assess, plan for and implement broader system transformation. We collaborate with academic, government, and nonprofit partners on initiatives funded by NIH, CDC, AHRQ, BJA, SAMHSA, and others. In short, we are changing healthcare at a fundamental level.

What you’ll be doing for us :

• Conducts initial, annual, and as needed face-to-face assessments to create and maintain a tailored PCSP, utilizing LOCUS, the LSI, and review of records.
• Provides advocacy to individuals (and authorized representatives and supports) regarding assessment, patient-centered service planning, service coordination, and transition planning.
• Assists in eligibility determinations as needed.
• Works closely with individuals, providers, facilities, and social service and community organizations to assist individuals in accessing appropriate care.
• Ensures care is being delivered as described in the PCSP, working with providers and individuals to correct services or adjust the PCSP as needed.
• Performs prior authorizations for services.
• Applies clinical review criteria, guidelines, and screens to determine the medical necessity of health care services.
• Consults with physicians or practitioner consultants when reviews fail clinical review criteria, guidelines, and screens
• Follow all determinations, appeals and hearings policies, processes, and contract requirements.

Competencies :

Required Qualifications :

Desired Qualifications :

Salary Range : $71,000 - $88,000

The salary range posted reflects the range that Comagine is willing to pay for this position. Salary is determined by many factors, including but not limited to geographic location of where the employee will perform their job duties in addition to their knowledge, skills, education, and relevant work experience.

Required Skills

Required Experience

Salary : $71,000 - $88,000