Regional Field Case Manager - North Sound

Overview

This position is a hybrid of remote from home and field work. The candidate will need to reside in and travel throughout the North Sound region (Snohomish, Skagit, Whatcom, San Juan and Island counties).

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.

• Strive to apply an equity lens to all our work.
• Reduce health disparities.
• Create an equitable work environment.

This position works under the general direction of the Supervisor of Care Management and is responsible for the plan’s regional field care management and coordination programs and processes. The Regional Field Case Manager will provide care management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness. The Regional Field Case Manager resides within the assigned region to effectively coordinate care between members, providers and community resources.

This role also provides care management services for CHPW members with highly complex medical/behavioral and social conditions where advocacy and coordination are required. This role represents CHPW in the community to provide education on care management programs and provide in-person support for members. The Regional Field Case Manager coordinates with internal and external partners to support members, providers and initiatives in the assigned region.

• Possess a Bachelor’s degree in nursing or a master’s degree in social work and/or a related behavior health field (required).
• Have a current, unrestricted license in the state of Washington as a registered nurse (RN) (required) OR
• Have a current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required) OR
• Current, unrestricted license in the State of Washington as a Mental health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required)
• Have a minimum of one (1) year case management experience; home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR
• Have a minimum of one (1) year in an acute care, facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families.
• Have experience with those who have disabilities and knowledge of Child and Families Services.
• Have a minimum three (3) years of clinical experience and/or outpatient setting (required).
• Have a valid state issued drivers’ license.

• Have a case management certification.
• Are bilingual.
• Have experience in managed care (Medicaid/HCA).
• Have previous experience in using Care Management software applications.
• Have knowledge of, and experience with, community resources.
• Experience in care management workflow systems

• Engages with members, providers and agencies in the assigned region to support field care management services.
• Provides face-to-face visits to members where telephonic care management is a barrier, to foster effective participation in the care management program.
• Identify and partner with emergency response services or other programs in a community that support members who are high utilizers of medical/behavioral health services. Field case management can include meeting members in acute care, emergency room, adult family home, Inpatient behavioral health facilities, shelters, community health centers, members home or member preferred location.
• Assesses, evaluates, plans, implements, and documents the care of members within the organizations’ clinical database system in accordance with organizational policies and procedures.
• Implements the plan of care through direct member care, coordination, and delegation of the activities of…