Supervisor, Case Management

🔥 2 minutes ago

☕ Washington – Remote

☕ Washington – Remote

💵 $93.2k - $148.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Community Health Plan of Washington

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1992

⚕️ Healthcare Insurance

👥 B2C

Healthcare Insurance • B2C

Community Health Plan of Washington is a nonprofit health plan founded in 1992 by Washington’s community health centers that provides Medicaid (Apple Health), Medicare Advantage, Dual-eligible, and Individual & Family insurance plans across Washington state. It offers care management, behavioral health, virtual care, member support and community services, and programs such as rewards, language assistance, and provider networks to serve members and community health needs.

📋 Description

• Provides clinical and administrative leadership to care management team(s) • Responsible for direct daily oversight of both medical and behavioral health clinicians and non-clinical staff in the delivery of care management services • Implements care management programs and ensures program operations and documentation support regulatory standards • Prioritizes daily workflows, assignments, and triage priorities to meet state and Federal regulatory requirements • Monitors performance and productivity of team and team members to ensure guidelines are followed and goals are met • Facilitates collaboration with internal partners for a coordinated approach to care coordination for members • Supports regionalized care team structure to coordinate care across Integrated Managed Care (IMC) regions • Responsible for a strong understanding of health plan benefits • Participates in Care Management Rounds to support a productive and collaborative discussion and provide clinical input

🎯 Requirements

• A minimum of three (3) years clinical experience in an acute care or public health setting • A minimum of three (3) years as a case manager in a Accountable Care Organization (ACO), Managed Care Organization (MCO), or Behavioral Health Organization (BHO) required • Three (3) years supervisory or leadership experience in a healthcare or managed care setting preferred • A bachelor’s degree in nursing or a master’s degree in social work and/or a related behavior health field • A current, unrestricted RN license in the State of Washington OR a current, unrestricted LICSW license in the State of Washington • Have or will obtain a Case Management Certification within the first two (2) years of employment • Experience with Microsoft Office applications such as Outlook, Word, and Excel

🏖️ Benefits

• Medical, Prescription, Dental, and Vision • Telehealth app • Flexible Spending Accounts, Health Savings Accounts • Basic Life AD&D, Short and Long-Term Disability • Voluntary Life, Critical Care, and Long-Term Care Insurance • 401(k) Retirement and generous employer match • Employee Assistance Program and Mental Fitness app • Financial Coaching, Identity Theft Protection • Time off including PTO accrual starting at 17 days per year. • 40 hours Community Service volunteer time • 10 standard holidays, 2 floating holidays • Compassion time off, jury duty