Work in Washington Veterans 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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Director Care Management, Medicaid

*This position is a hybrid remote from home and travel position. Travel across the state to meet with community partners and to the main office may be required. Candidates from all areas of Washington state are welcome to apply.* **

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[About the role:]{.underline}

Responsible for the direction and coordination of care management activities to manage the care of the member over the continuum of care, including both physical and behavioral health services, for assigned lines of business.  These activities include proactive identification of members in need of care management services, application of case management for identified members, care coordination and condition-specific management for certain populations with an emphasis on equity.  The focus is on supporting access to medically necessary and high quality of care and efficient utilization of available healthcare resources, facilities and services and collaboration with community programs and agencies for effective utilization of social services in the community. This role encompasses the effective and efficient management of human, fiscal and other resources, development of staff competency through assessment and education, compliance with regulatory and professional standards and strategic planning, improvement of quality, service levels, safety, customer satisfaction and of collaborative relationships within CHPW and CHNW. * *

[Qualifications:]{.underline}

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

Have a bachelor's degree in nursing or a master's degree in social work and/or a relevant health field, required

Have a master's degree in nursing, Healthcare Administration, Public Health, or Business strongly preferred

Have a current, unrestricted license in the State of Washington as an RN required, if applicable

Have a current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) required, if applicable

Have a certification as a Case Manager, required

As this position involves traveling on behalf of the Company, a current driver's license and an acceptable driving record is required

A minimum of seven (7) years progressively responsible management experience in the areas of case management, population health and/or disease m