Manager, Care Navigation

• Supervise, mentor, and manage performance of Care Coordination Navigators, fostering a collaborative and high-performing team environment.
• Ensure care coordination activities meet OHA and CCO requirements, including timely Health Risk Screenings, rising risk identification, and care transitions.
• Oversee documentation, productivity, and quality standards in compliance with organizational and state regulations.
• Monitor compliance with OAR 410-141-3860, 410-141-3865, and 410-141-3870; conduct quality reviews and implement corrective actions as needed.
• Collaborate with interdisciplinary teams (physical, behavioral, dental, developmental, and social services) to support integrated, whole-person care.
• Participate in meetings, committees, and workgroups to support care coordination and system integration.
• Support recruitment, interviewing, hiring, onboarding, and ongoing training of staff.
• Promote trauma-informed, culturally responsive, and evidence-based care coordination practices.
• Identify process improvements to enhance workflows, efficiency, and member outcomes.
• Track, analyze, and report performance metrics and quality initiatives.
• Ensure professional, respectful, and trauma-informed communication with members, partners, and staff.
• Support resolution of escalated issues and provide guidance on complex cases.
• Effectively prioritize work, manage multiple responsibilities, and maintain strong attention to detail in a fast-paced environment.

• Working with a variety of personalities, maintaining a consistent and fair communication styles.
• Satisfying the needs of a fast-paced and challenging company.

• Bachelor’s degree in healthcare, social work, or a related field required.
• Strong clinical knowledge of health and/or social service needs of the served population, including medical terminology.
• Excellent interpersonal, written, and verbal communication skills, with the ability to interact professionally with diverse internal and external stakeholders.
• Demonstrated experience working effectively with individuals from diverse cultures and communities, including the ability to provide culturally responsive services.
• Strong analytical, critical thinking, and problem-solving skills, with a high level of attention to detail.
• Proven ability to organize, prioritize, and manage multiple responsibilities in a fast-paced environment while maintaining focus under pressure.
• Proactive and adaptable, with the ability to take initiative, follow through, and respond effectively to changing priorities and business needs.
• Ability to work both independently and collaboratively within a team environment, exercising sound judgment and maintaining strict confidentiality.
• Commitment to continuous learning, with a willingness to take on new responsibilities in support of organizational goals.
• Valid driver’s license, access to a reliable vehicle, and ability to maintain required automobile insurance.
• Must not be suspended, excluded, or debarred from participation in federal healthcare programs (e.g., Medicare/Medicaid).

• Master’s degree preferred.
• Prior experience in customer service and/or clinical settings.
• Bilingual or translation skills preferred

• Salary is dependent on skills, experience, and education
• Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave
• Medical, dental, and vision insurance
• 401(k) with company match (fully vested immediately)
• Company-sponsored life insurance and additional benefits
• Fitness reimbursement program
• Tuition reimbursement and more

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