If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws. Job Title Health Resilience Specialist Department Care Management Exemption Status Exempt Requisition # 24658 Direct Reports N/A Manager Title Care Team Supervisor Pay & Benefits Estimated hiring range $79,430 - $97,080 /year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This role has a community presence 3+ days per week in Portland and provides critical support to a new high-risk Substance Use Disorder (SUD) initiative. Job Summary The Health Resilience Specialist (HRS) works independently and collaboratively with a team of health professionals to provide members with opportunities to improve self-management abilities, health outcomes, and satisfaction with health care. The HRS performs a variety of key services such as intensive case management, short-term problem solving, counseling, referrals to community resources and health literacy education. The HRS has specialized training in Evidence Based Practices providing behavioral changes, as well as experience working with diverse populations that have experienced obstacles and barriers associated with marginalization either in mental health and/or addictions work. With the knowledge of Trauma Informed Care and the skills of Motivational Interviewing, the HRS is responsible for engaging with members whose use of costly acute care services, such as the emergency department and hospital, are driven significantly by complex psychosocial issues. This position may be focused on specific populations such as American Indian/Alaska Native, transgender members, or other groups. Essential Responsibilities Case Management + Work independently to perform multidisciplinary assessment of members in multiple settings (e.g., home, hospital, clinic, etc.), by evaluating all relevant information to determine needs in health care, social supports, and access to behavioral health services. + Utilize the Electronic Medical Records system for documentation if located at the Primary Care Clinic. + Make independent decisions regarding client care and care management. + Complete appropriate documentation in a timely manner. Barrier Review and Reduction + Meet with members to identify and reduce or eliminate barriers to care (e.g., social, cultural, linguistic, education), and set effective goals with members. + Utilize a person-centered approach in working with clients by respecting their self-determination and autonomy and exploring their ambivalence by utilizing Motivational Interviewing principles. + Ensure that clients get timely access to appropriate services by promoting and modeling advocacy skills. Provider and Member Integration + Collaborate with medical and auxiliary providers in the community to develop health care plans/goals based on identified needs and employ creative strategies to address psychosocial issues. + Educate providers about social determinants of health of each individual client by attending appointments with individuals and participating in clinic multidisciplinary huddles. + Facilitate communication and positive relationship building between clients and medical providers. Work Management and Evaluation + Work autonomously in identifying tasks, developing plans, following through on needs, and evaluating outcomes. + Report on progress and concerns as appropriate. Improvement and Innovation + Support improvement and innovation in the workplace. + Identify and participate in the development of new alternative care resources not offered by the health plan and creatively utilize community resources. Project Participation and Leadership + Take an active role within Care Oregon by participating on and leading development teams and projects that are piloting quality improvement related to Triple Aim. Program Representation + Represent the Health Resilience Program to internal and external customers by maintaining the highest level of respect and professionalism. Organizational Responsibilities + Perform work in alignment with the organization’s mission, vision and values. + Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. + Strive to meet annual business goals in support of the organization’s strategic goals. + Adhere to the organization’s policies, procedures and other relevant compliance needs. + Perform other duties as needed. Experience and/or Education Required + Master’s Degree in Counseling Psychology, Social Work, Marriage and Family Counseling, or related clinical field + Minimum 2 years’ experience in behavioral health, care management, and care coordination and/or social services + Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle Preferred + Experience working with Oregon Health Plan members, utilization of motivational interviewing and trauma informed care + Specialized training in Evidence Based Practices providing behavioral changes + Experience working with diverse populations that have experienced obstacles and barriers associated with marginalization either in mental health and/or addictions work Knowledge, Skills and Abilities Required Knowledge + Working knowledge and use of Trauma Informed language and principles + Knowledge of managed health care principles + Knowledge of impact of generational poverty and other social determinants of health on clients’ ability to develop and follow self-care goals to improve health outcomes + HRS (Trans Health): will have specific knowledge of specific needs of gender affirming care, resources available to this population and an understanding of unique needs of the transgender experience Skills and Abilities + Demonstrated skill in word processing and computer skills and ability to learn new technological means of communication and various data bases + Excellent time management skills and attention to details to maintain focus and meet case load expectations are essential to this position + Excellent verbal and written communication skills + Employees in this position are subject to drug screening, as well as a physical and vaccination assessment + Ability to exercise sound clinical judgment, independent analysis and critical thinking skills and knowledge of medical and behavioral health conditions when identifying clients’ multidisciplinary needs, developing health goals, and communicating with providers + Ability to ensure and respect clients’ rights to self-determination and choices in health care + Ability to implement health promotion activities with clients by setting and reviewing health improvement goals + Ability to teach positive communication and problem-solving skills + Ability to coordinate with health plans and providers to ensure consideration is given to unique clients’ needs in care planning + Ability to establish effective collaborative working relationships with state, county, and community agencies that provide services + Ability to work with clients from various cultural and ethnic backgrounds demonstrating cultural knowledge and sensitivity to populations being served + Ability to adapt to fast paced environment and demonstrated flexibility in operating in different work settings communicating with specialists from various educational backgrounds + Demonstrated ability to work independently and be self-motivated by seeking input from peers and supervisors when in doubt + Ability to work effectively with diverse individuals and groups + Ability to learn, focus, understand, and evaluate information and determine appropriate actions + Ability to accept direction and feedback, as well as tolerate and manage stress + Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day + Ability to pinch small objects for at least 3-6 hours/day + Ability to stand, walk, sit, bend, lift, carry, push, pull, crouch, crawl, reach, and climb stairs for at least 1-3 hours/day + Ability to operate a motor vehicle Working Conditions Work Environment(s): ☒ Indoor/Office ☒ Community ☐ Facilities/Security ☒ Outdoor Exposure Member/Patient Facing: ☐ No ☒ Telephonic ☒ In Person Hazards: May include, but not limited to, physical, ergonomic, and biological hazards. Equipment: General office equipment Travel: Requires travel outside of the workplace at least weekly; the employee’s personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy. Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment. Veterans are strongly encouraged to apply. We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status. Visa sponsorship is not available at this time.