
501 - 1000 employees
Founded 1992
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
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.
🔥 1 hour ago
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501 - 1000 employees
Founded 1992
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
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.
• Assist with and coordinate care management activities under the direction of an RN or LICSW Case Manager, Supervisor, or Manager • Participate as an interdependent team member in member assessment, planning, facilitation, and advocacy • Communicate with providers to arrange follow-up appointments and obtain clinical records • Assist members with care coordination • Coordinate member transportation and access to community resources such as food pantries and housing • Coordinate and facilitate physical and behavioral health services within an episode of care • Document and manage case identification, assessment, planning, goal prioritization, monitoring, support, and case closure • Participate in clinical outcome data monitoring and collection • Assess members’ medical, behavioral, and social health status, history, risks, gaps, and utilization • Develop member-centric plans of care and interventions • Provide behavioral health support and interventions to members in crisis • Collaborate with PCPs, specialists, and community resources/vendors • Document care coordination activities in the medical record system • Support staff in answering member calls, including participation in the 5 p.m. crisis-call rotation • Perform other duties as assigned
• Bachelor’s degree in social work, Practical Nursing Certificate, or an equivalent bachelor’s degree in a relevant health care field • Candidates with a bachelor’s degree in a relevant health care field must have a minimum of 1 year of experience in care coordination or care management preferred • Previous experience as a medical assistant, behavioral health technician, or other social welfare services, or equivalent combination of education and highly relevant experience preferred • Valid Washington State Licensed Practical Nurse (LPN), or qualifying education pathway • Minimum of 1 year of clinical and/or care management experience required • Proficiency and experience with Microsoft Office products • Knowledge of Medicare and Medicaid regulations • 1 year in care management in a health plan, community agency, or Accountable Care Organization preferred • Knowledge of care management systems and planning techniques • Experience in care management workflow systems preferred • Knowledge of medical terminology, electronic medical records, developmental disability services, special education IDEA/ADA, and healthcare processes preferred • Understanding and experience with healthcare systems, regulations, policies, functions, and documentation standards • Strong written and verbal communication skills; ability to communicate and collaborate effectively with physicians and allied healthcare providers • Comfortable presenting in a group setting • Successfully pass a criminal background check • Must not be sanctioned or excluded from participation in federal or state healthcare programs • Meet vaccination requirement, subject to medical or religious exemptions • Ability to perform essential functions and meet sensory, physical, and mental requirements, with reasonable accommodation where applicable
• 5% annual incentive target based on company, department, and individual performance goals • 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 • 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 • Overtime eligibility • Remote work arrangement
Apply Now🔥 3 hours ago
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