Health Homes Care Coordinator- Spokane County

2 months ago

Spokane, United States CHPW Full time
Who we are

Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration.

Our commitment is to:
  • Strive to apply an equity lens to all our work.
  • Reduce health disparities.
  • Become an anti-racist organization
  • Create an equitable work environment.
About the Role

The primary responsibility of the Health Home Care Coordinator is to work with enrolled members to develop and implement Health Action Plans (HAPs) that move members along a pathway to improved quality of life, health, and engagement. The coordinator will work with members over time to seek and use resources that match the members' needs and provide the six Health Home services of comprehensive care management, care coordination, health promotion, individual and family support, care transitions, and referrals to community and social support services. This position is field based.

To be successful in this role, you:
  • Possess current license as registered nurses, practical nurses, mental health counselors; and/or
  • Master's or bachelor's in social work, psychology, social services, human services, and behavioral sciences.
  • Possess current WA state driver's license required.
  • Have at least two (2) years of related experience in social services, health care or case management, preferably with fieldwork required.
  • Are experienced working with people with mental illness and/or substance use preferred.
  • Have two (2) years' experience with Medicare, Medicaid, and NCQA strongly preferred.
  • And two (2) years' experience working with screening tools, evidenced based techniques, complex and chronic mental illness, and substance abuse strongly preferred.
  • Must have reliable transportation, a clean driving record, be able to drive, and have motor vehicle insurance that meets state required minimums.
Essential functions and Roles and Responsibilities:
  • Responsible for engaging prospective Health Homes participants who have been identified through referrals received by Health Home Lead to likely benefit from Health Home program offerings.
  • Manage a caseload of 50 members by taking initiative with managing the needs of the caseload, scheduling and organizing time
  • Conducted telephonic and face-to-face outreach and coordination of care activities for Health Homes members.
  • Increase members' ability for self-management and shared decision-making.
  • Coordinate and oversee the Health Home benefit by actively engaging the member via completion of Health Action Plan and supporting the member to achieve their short-term and long-term goals.
  • Improve continuity of care by helping members navigate relationships with providers and outside resources.
  • Provides follow up services via telephonic or face-to-face engagement with members and service planning partners as needed to coordinate reminder calls, medications, and medical appointments.
  • Provides community outreach services including home visits, assisting members with accessing transportation services, educating members on healthy behaviors, and providing information on community resources.
  • Provides information to increase the member's knowledge about their health conditions and improve adherence to prescribed treatment.
  • Track meetings with the members monthly and actively assist and coach them to meet their goals and assist them with assessed needs.
  • Observes safety and security procedures; determines appropriate action beyond guidelines; reports potentially unsafe conditions.
  • Complete required documentation within deadlines.
  • Attend on-site internal meetings as required, including 1:1s, department meetings, staff meetings, etc.
  • Maintain appropriate confidentiality of all member health information.
  • This position requires traveling on behalf of the Company and working in the field at least 50% of the time. It is essential that a current driver's license, proof of insurance and acceptable driving record be maintained.
  • Travel to member location in varied environments required.
  • Complete Monthly Billing for services
  • Non-Exempt - Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards.
  • Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.
Knowledge, Skills, and Abilities:
  • Ability to travel to meet members where they reside, periodically for trainings, and meetings.
  • Ability to effectively manage work and prioritize productivity standards to maintain fifty (50) open cases and meet deadlines.
  • Ability to build a rapport and establish trust with members; presents solutions that meet member objectives.
  • Ability to take initiative and work independently.
  • Detailed-oriented.
  • Excellent organizational and planning skills
  • Ability to work well with others in a collaborative and respectful manner.
  • Proficiency in Microsoft Office applications.
  • Ability to maintain a professional demeanor and confidentiality.
  • Excellent written and verbal communication skills.
  • Bilingual ability.
Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn't perfectly check every box in the job description, we encourage you to apply anyway.

As part of our hiring process, the following criteria must be met:
  • Complete and successfully pass a criminal background check.
Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant's criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees.
  • 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)
  • Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.
Compensation and Benefits:

The position is FLSA Non-Exempt and is eligible for overtime. Based on market data, this position grade is 45 (see full range below) and has a 5% annual incentive target based on company, department, and individual performance goals.

CHPW offers the following benefits for Full and Part-time employees and their dependents:
  • 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 pay.
Sensory/Physical/Mental Requirements:

Sensory*:
  • Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance.
Physical*:
  • Extended periods of sitting, computer use, talking and possibly standing.
  • Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion.
  • Frequent torso/back static position; occasional stooping, bending, and twisting.
  • Some kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching.
Mental:
  • Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities. Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines.

Work Environment:

Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.

*Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.

*The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

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