Community Health Plan of Washington · 20 hours ago
Clinical Care Coordinator - LPN or BSW
United States
Full-time
Remote
Entry Level
$33.52/hr - $51.28/hr
1+ years expCommunity Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. The Clinical Care Coordinator assists with and coordinates care management activities under the direction of an RN or LICSW Case Manager, focusing on member assessment, planning, facilitation, and advocacy.
Health Care
Responsibilities
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
Assess 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
Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion
Qualification
Required
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 either in a managed care organization, community-based organization, or related workplace
Have a minimum of one (1) year of clinical and/or care management experience
Have proficiency and experience with Microsoft Office products
Knowledge of Medicare and Medicaid regulations
Have knowledge of care management systems and planning techniques
Have experience in care management workflow systems
Complete and successfully pass a criminal background check
Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency
Vaccination requirement (CHPW offers a process for medical or religious exemptions)
Preferred
Have previous experience as a medical assistant, behavior health technician, or other social welfare services or an equivalent combination of education and highly relevant experience
Have one (1) year in care management in a health plan, community agency or Accountable Care Organization (ACO)
Knowledge of medical terminology, electronic medical records, developmental disability services, special education IDEA/ADA and healthcare process
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
Company
Community Health Plan of Washington
For over 30 years, Community Health Plan of Washington (CHPW) has been providing quality health care to Washington families and supporting your choices for health care.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Leanne Berge
Chief Executive Officer
Stacy Kessel, CPA
Chief Financial Officer
Recent News
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