
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.
🔥 8 minutes ago
🗣️🇪🇸 Spanish Required
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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.
• Responsible for supporting CHPW’s Medicaid, Cascade Select, and Dual Special Needs Plan (DSNP) members in navigating benefits and health care systems to promote optimal health and a positive experience with the Health Plan • Conduct new member outreach such as welcome calls and Health Risk Assessments, as well as routine outreach to complete annual Health Risk Assessments, promote health screenings and engage members in the Care Management programs • May serve as a primary contact for the Care Teams, receiving inbound calls from members to resolve members needs or triage to the appropriate CHPW staff or team • Conduct telephonic outreach to identified members to complete Welcome Calls, member satisfaction surveys, and Health Risk Assessments (HRAs) • Educate members on accessing benefits, routine health screenings, program requirements (e.g., face-to-face visits, individualized care plans, interdisciplinary care team meetings), and how to engage with the Care Team • Schedule and coordinate in-home assessments with Community Health Workers (CHWs), and telehealth or in-person provider visits with participating Community Health Centers (CHCs) • Support members in closing care gaps and scheduling appointments with community or in-home providers • Triage inbound calls from members, families, and caregivers; resolve issues or refer to appropriate staff • Participate in Care Team meetings and interdisciplinary team (ICT) conferences to support member care
• Have three (3) years in administrative, customer service, and/or patient services coordination (referrals, appointments, etc.) in a healthcare services field required • Have one (1) year as a Medical Assistant or related field, preferred • Are certified through an accredited medical assistant program, Allied Health education program, or other related certification, preferred • Have working knowledge of medical terminology, electronic medical records, and healthcare process preferred • Ability to speak Spanish preferred • Effective verbal and written communication skills • Ability to use Microsoft Office products such as Outlook, Word, and Excel
• 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
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