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Regional Case Manager

4 weeks ago


Seattle, Washington, United States Community Health Plan of Washington Full time
Job Summary

We are seeking a highly skilled Regional Case Manager to join our team at Community Health Plan of Washington. As a Regional Case Manager, you will be responsible for coordinating care management services for our members with complex medical and behavioral conditions. You will work closely with our care management team, providers, and community resources to ensure our members receive the best possible care.

Key Responsibilities:

  • Coordinate care management services for members with complex medical and behavioral conditions
  • Work closely with care management team, providers, and community resources to ensure members receive best possible care
  • Develop and implement care plans in conjunction with members, providers, and community resources
  • Monitor and evaluate member outcomes and make adjustments to care plans as needed
  • Represent Community Health Plan of Washington at regional meetings and conferences

Requirements:

  • Bachelor's degree in nursing, social work, or related field
  • Current, unrestricted license in Washington state as RN, LSWAA, LSWAIC, LMHC, LMHP, or LMFT
  • Minimum 1 year of case management experience
  • Minimum 2 years of experience in care management workflow systems, NCQA standards, and presenting to organizations

Preferred Qualifications:

  • Case management certification
  • Bilingual
  • Experience in managed care (Medicaid/HCA)
  • Experience with Care Management software applications

What We Offer:

  • Competitive salary and benefits package
  • Opportunity to work with a dynamic and growing organization
  • Professional development and growth opportunities

How to Apply:

Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you