Think Beyond The Label 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"}.

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Field Case Manager I - Spokane

This position is remote; however, the candidate will need to reside in and travel throughout the Spokane region.

[POSITION PURPOSE:]{.underline}

Responsible for the operational delivery of the plan's case management and coordination programs and processes. Provides case management services for CHPW members with short-term, long-term, stable, unstable, and predictable course of illness, and/or highly complex medical/behavioral and social conditions. The goal is to improve members' quality of life and ensure cost-effective outcomes by using internal and community-based resources.

[PRINCIPAL DUTIES:]{.underline}

Advocates on behalf of and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions.

Work on a multi-interdisciplinary care team that collaborates 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.

Assesses, evaluates, plans, implements, and documents the care of members within the organizations' clinical database system in accordance with organizational policies and procedures.

Responsible for the assessment of members, including identifying and coordinating access to the appropriate level of care and treatment. Uses the assessment information to assign the appropriate risk and complexity level, create and document a care plan in coordination with the member, family/caregiver and provider input.

Initiates a plan of care based on member-specific needs, assessment data and the medical/behavioral plan of care.

Plans care in collaboration with members of the multidisciplinary care team, and considers the physical, behavioral, cultural, psychosocial, spiritual, age specific and educational needs of the member in the plan of care.

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 because of reassessment.

Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided. Engages commu