Shire Jobs

Working Each Day to Make a Difference

At Community Health Plan of Washington, we're driven by our belief that everyone deserves access to quality health care.

More than 25 years ago, we made a commitment to improve the health of our communities by making quality health care accessible to all Washington state residents.

We continue that pledge today by providing affordable comprehensive coverage to more than 315,000 individuals and families throughout the state.

• We are a local not-for-profit health plan in Washington State.
• We are committed to keeping Washington families healthy.
• We connect our communities to the health resources they need.
• We provide access to high-quality care for our members.
• We connect and empower our members through technology.
• The Community Health Centers we partner with strive to support members with a comprehensive mix of medical resources in one convenient location.
• Our partnerships with Community Health Centers and our extended provider network help us improve the health care delivery system.

To learn more about how you can make a difference working at Community Health Plan of Washington, visitwww.chpw.org{rel="nofollow"}.

* *

Clinical Care Coordinator (BSW or LPN) -- Remote, WA

* *

[POSITION PURPOSE:]{.underline}

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.  [ PRINCIPAL DUTIES:]{.underline}

• 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.

[QUALIFICATIONS:]{.underline}

[Education]{.underline} & [Prior Related Experience]{.underline}:

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 preferred.

Have previous experience as a medical assistant, behavior health technician, or other