Care Coordinator Behavioral Health

Job DescriptionJOB TITLECare Coordinator-Behavioral HealthREPORTS TODirector, Behavioral HealthSTATUSFTE- ExemptWAGE RANGE17 (2024)DEPARTMENTBehavioral HealthWORK LOCATIONMust reside in Douglas County, OR POSITION PURPOSEThe Care Coordinator in Umpqua Health’s Behavioral Health department plays a key role in delivering trauma-informed, culturally responsive care coordination across a range of settings, including inpatient facilities, in-home services, and community-based programs. This position works collaboratively with members, families, providers, and community partners to assess individual needs, create personalized care plans, connect members to essential services, and support smooth, coordinated transitions throughout the continuum of care. ESSENTIAL JOB RESPONSIBILITIES

The role involves conducting member outreach and building rapport by engaging individuals in environments that are most comfortable and accessible to them. This includes meeting members in their homes, through telehealth, or in community-based settings, with a focus on establishing trust and transparency from the very first interaction. A key responsibility is performing comprehensive, trauma-informed assessments that evaluate behavioral, physical, and social health needs. These assessments include reviewing mental health history, substance use, functional ability, environmental safety, and available support systems.

Based on these assessments, individualized and strengths-based care plans are developed, tailored to each member’s goals, risk factors, and clinical needs. The objective is to improve overall well-being, reduce avoidable healthcare utilization, and promote member autonomy. Ongoing care coordination and coaching are provided to support member engagement, encourage behavior change through motivational interviewing, and reinforce adherence to treatment plans in alignment with evidence-based practices.

Transitions of care are actively managed by coordinating discharge planning and follow-up for members moving between care settings such as hospitals, residential treatment facilities, and long-term care. This ensures continuity of care and helps reduce the risk of readmissions. Collaboration with multidisciplinary teams and community partners—including behavioral health providers, primary care, DHS, developmental disability programs, crisis services, and local housing or food support agencies—is essential to delivering integrated and holistic care.

The role also includes monitoring and tracking service referrals and follow-through, with thorough documentation of member engagements, home visits, and all relevant activities in compliance with case management standards and regulatory requirements. Facilitating access to critical services and supports is another important function, which may involve assisting members with completing forms, coordinating emergency assistance, and submitting requests for flexible spending funds to address social determinants of health.

Compliance with state and federal guidelines is maintained by staying current with Oregon Administrative Rules, Medicaid and Medicare requirements, and member rights under the Oregon Health Plan. Educating members and their families on healthcare navigation, consent for information sharing, treatment options, rights and responsibilities, and how to access behavioral health and community-based services is also a vital part of the role. Participation in Interdisciplinary Team meetings is expected, where updates are shared, goals are aligned, and collaborative problem-solving takes place to support positive health outcomes. Additional duties may be assigned to support Umpqua Health’s Vision, Mission, and Organizational Values.

CHALLENGES

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

QUALIFICATIONSMinimum Qualifications

• Bachelor’s degree in behavioral science, social science, or a related field and a current license that qualifies you to sit for the Certified Case Manager (CCM) exam (e.g., RN, LCSW, LPC, CRC, CDMS, or MA)
• Minimum of two (2) years of health case management experience
• Must obtain Certified Case Manager (CCM) certification within one year of hire
• Knowledge of trauma-informed care, motivational interviewing, and behavioral health service delivery systems
• Strong interpersonal skills with the ability to build rapport and trust with members from diverse backgrounds
• Effective communication skills, both verbal and written, to clearly collaborate across care teams and engage with members
• Excellent organizational and time management skills, with the ability to prioritize competing demands and meet deadlines
• Problem-solving mindset with the ability to adapt to complex and evolving member needs
• Demonstrated cultural humility and ability to work respectfully with individuals of varied backgrounds, identities, and experiences
• Comfortable working independently in a remote setting, with a reliable internet connection (minimum 50 Mbps download / 10 Mbps upload)
• No suspension/exclusion/debarment from participation in federal health care programs (e.g. Medicare/Medicaid)
• Proficient computer skills, including MS Office suite
  
  

Preferred Qualifications

• LCSW will have preference
• Experience considering the impacts of the work on multiple communities, including communities of color, in technical analysis.
• Experience working on a diverse team with different communication styles.
• Bi-lingual translation or translation capabilities a plus
  
  

PHYSICAL DEMANDS & WORK CONDITIONS

• A typical office environment requires standing, sitting, walking, bending, and lifting up to 25 plus pounds.
• Ability to travel and drive to in-person meetings or be on-site as required
• May be exposed to patient and environment conditions such as unpleasant sights, smells and contagious diseases (clinic only)
  
  

EQUAL EMPLOYMENT OPPORTUNITYUH is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. UH makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, read through our EEO Policy.JOB DESCRIPTION ACKNOWLEDGEMENTI have reviewed the attached job description as outlined above and understand that I am responsible for all duties as outlined and other tasks as may be assigned. I understand that if I need accommodation to perform the essential functions of my job that I must contact my supervisor or Human Resources as soon as possible to begin an interactive process.Note: This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship.

About Umpqua Health

At Umpqua Health, we're more than just a healthcare organization; we're a community-driven Coordinated Care Organization (CCO) committed to improving the health and well-being of individuals and families throughout our region. Umpqua Health serves Douglas County, Oregon, where we prioritize personalized care and innovative solutions to meet the diverse needs of our members. Our comprehensive services include primary care, specialty care, behavioral health services, and care coordination to ensure our members receive holistic, integrated healthcare. Our collaborative approach fosters a supportive environment where every team member plays a vital role in our mission to provide accessible, high-quality healthcare services. From preventative care to managing chronic conditions, we're dedicated to empowering healthier lives and building a stronger, healthier community together. Join us in making a difference at Umpqua Health.

Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.

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