Acquisition Hire: Case Mangr-Val Based Prog

Please note: This position is based at our off-site clinic located at 2315 8th Street – Lewiston, ID and is not at the main hospital campus.

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

The Case Manager for the Value Based Program (VBP) functions as a core member of a collaborative care team, including the patient’s primary care provider and other clinic-based health providers. The role coordinates and supports healthcare transitions, manages quality and incentive-based programming, develops and oversees care plans, and fosters community and provider engagement. The Case Manager supports strategic and operational goals related to value-based care initiatives and chronic disease management.

Essential Functions

• Coordinate care across the healthcare continuum to ensure smooth transitions for patients
• Collaborate with discharge planning teams, physicians, and facilities for continuity of care
• Engage primary care providers in transition and discharge planning processes
• Conduct post-discharge outreach and support patients for at least 90 days
• Educate patients on conditions, treatments, medications, and follow-up care
• Document care plans and treatment recommendations in the patient record
• Communicate and facilitate referrals to internal and external providers and services
• Develop and manage care plans for chronic disease management
• Serve as a patient experience advocate and support quality documentation practices
• Support quality improvement programs and ensure provider engagement in quality initiatives
• Act as clinic liaison for value-based care and community partnerships
• Promote practice improvements through assessment, feedback, and planning
• Participate in ongoing process improvement and support strategic initiatives

Knowledge/Skills/Abilities/Expectations

• Strong communication and interpersonal skills
• Ability to work collaboratively with multidisciplinary teams
• Understanding of value-based care models and chronic disease management
• Organizational and leadership skills in quality programming and patient-centered care
• Adaptability and initiative in dynamic healthcare settings
• Frequent standing and walking required. Manual dexterity needed for computer use and chart handling.
• Occasional lifting and carrying of materials weighing 8–10 pounds.
• Ability to stoop and bend for retrieving files.
• Must be able to drive to area facilities.
• Office and clinical care settings with adequate lighting and minimal hazards.
• Regular patient and family interaction.
• Participation in care coordination across various departments and external organizations. 

Education

• High School Diploma or equivalent
• Bachelor of Science in Nursing (BSN) Preferred

Licenses/Certifications

• Certified or Registered Medical Assistant, or Licensed Practical Nurse (LPN), or Licensed Social Worker (BSW or MSW)
• Must meet current licensure/certification requirements per role.

Experience

• Minimum 3 years of clinical experience with demonstrated clinical judgment and communication skills