Supervisor Case Management

This position is available fully remote in Washington State 

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 Supervisor of Care Management provides clinical and administrative leadership to care management team(s). Responsible for direct daily oversight of both medical and behavioral health clinicians and non-clinical staff in the delivery of care management services to identified Plan members with a range of physical health, behavioral health, and social service needs. Implements care management programs and ensures program operations and documentation support regulatory standards.

To be successful in this role, you:

• Are committed to advancing diversity, equity, and inclusion across CHPW.
• Have a minimum of three (3) years clinical experience in an acute care or public health setting, AND a minimum of three (3) years as a case manager in a Accountable Care Organization (ACO), Managed Care Organization (MCO) , or Behavioral Health Organization (BHO) required, AND three (3) years supervisory or leadership experience in a healthcare or managed care setting preferred.
• Have a bachelor’s degree in nursing or a master’s degree in social work and/or a related behavior health field.
• Have a current, unrestricted RN license in the State of Washington OR a current, unrestricted LICSW license in the State of Washington.
• Have or will obtain a Case Management Certification within the first two (2) years of employment.
• Have experience with Microsoft Office applications such as Outlook, Word, and Excel.

Essential functions and Roles and Responsibilities:

• Prioritizes daily workflows, assignments, and triage priorities to meet state and Federal regulatory requirements and established organizational performance metrics.
• Monitors performance and productivity of team and team members to ensure guidelines are followed and goals are met.
• Facilitates collaboration with internal partners for a coordinated approach to care coordination for members.
• Supports regionalized care team structure to coordinate care across Integrated Managed Care (IMC) regions.
• Responsible for a strong understanding of health plan benefits for assigned …