Case Manager I

1 week ago

Yakima, Washington, United States CHPW Full time
About the Role

This is a unique opportunity to join Community Health Plan of Washington (CHPW) as a Case Manager I. In this role, you will be responsible for the operational delivery of the plan's case management and coordination programs and processes.

Key Responsibilities
  • Provides case management services for CHPW members with short-term, long-term, stable, unstable, and predictable courses of illness, and/or highly complex medical/behavioral and social conditions.
  • Assesses, evaluates, plans, implements, and documents care of members within the organization's clinical database system, in accordance with organizational policies and procedures.
  • Works within a multi-functional team to connect with providers, members, caregivers, contracted vendors, community resources, and health plan partners to assess the member's health status, identify care needs, and ensure access to appropriate services to achieve positive health outcomes.
  • Initiates a plan of care based on member-specific needs, assessment data, and the medical/behavioral plan of care. Goals for members are measurable and developed in conjunction with the patient/family to improve quality of life.
  • Reviews and revises the plan of care with the interdisciplinary care team to reflect changing member needs based on evaluation of the members' status, and/or as a result of reassessment.
  • Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team.
Requirements
  • Bachelor's degree in nursing, or a master's degree in social work and/or related behavior health field (preferred)
  • Current, unrestricted license in the State of Washington as a registered nurse (RN) (required) OR Current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required), OR Current, unrestricted license in the State of Washington as a Mental Health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required)
  • Minimum of one (1) year case management, home health, or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR Minimum of one (1) year facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse/substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families.
  • Experience with those who have disabilities and knowledge of Child and Families Services
  • Minimum three (3) years of clinical experience in an acute care and/or outpatient setting (required)
  • Experience and proficiency with Microsoft Office products
  • Possess a Case Management Certification (preferred)
  • Have Bilingual abilities (preferred)
What We Offer
  • Competitive salary and benefits package
  • Opportunity to work with a dynamic and growing organization
  • Collaborative and supportive work environment
  • Professional development and growth opportunities
How to Apply

If you are a motivated and compassionate individual who is passionate about delivering high-quality care to our members, please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you

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