Clinical Care Coordinator, LPN/BSW

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🔥 2 hours ago

☕ Washington – Remote

☕ Washington – Remote

💵 $33 - $51 / hour

⏰ Full Time

🟢 Junior

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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

• Assists with and coordinates care management activities under the direction of an RN or LICSW Case Manager, Supervisor, or Manager • Functions as an interdependent team member in the areas of member assessment, planning, facilitation, and advocacy • Communicates with providers to arrange follow up appointments, obtain clinical records, and assist members with care coordination • Ensures appropriate coordination of services to members such as any necessary member transportation needs, obtaining community resources such as food pantries and housing • Coordinates and facilitates services with physical and behavior health care providers within an episode of care • Documents and manages the care management process to include case identification, assessment, planning and goal prioritization, monitoring, support, and case closure • Participates in clinical outcome data monitoring and collection • Assesses member health care status and health (medical, behavioral, and social) history, risks, gaps and utilization • Develops plans of care with appropriate member centric interventions • Provides behavioral health support and interventions to members in crisis • Collaborates with member PCP, specialists, and community resources/vendors to leverage community resources • Ensures all care coordination activities are documented medical record system per established guidelines • Support staff in answering member calls including participation in the 5pm call rotation for crisis calls

🎯 Requirements

• Possess a 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 degrees in a relevant health care field must have a minimum of (1) year experience in care coordination or care management • Have previous experience as a medical assistant, behavior health technician, or other social welfare services • Have a minimum of one (1) year of clinical and/or care management experience (required) • Have proficiency and experience with Microsoft Office products • Knowledge of Medicare and Medicaid regulations • Have one (1) year in care management in a health plan, community agency or Accountable Care Organization (ACO) (preferred) • Have knowledge of care management systems and planning techniques • Have experience in care management workflow systems (preferred)

🏖️ 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