Clinical Care Coordinator (BSW or LPN)

This position is available fully remote in either King or Pierce County.  

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

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. 

To be successful in this role, you:

• 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 social welfare services or an equivalent combination of education and highly relevant experience preferred or valid Washington State Licensed Practical Nurse (LPN).
• Have a minimum of one (1) year of clinical and/or care management experience (required)
• Have proficiency and experience with Microsoft Office products
• Knowledge of Medicare and Medicaid regulations
• Have one (1) year in care management in a health plan, community agency or Accountable Care Organization (ACO) (preferred)
• Have knowledge of care management systems and planning techniques
• Have experience in care management workflow systems (preferred).

Essential functions and Roles and 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 …