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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Member Engagement Specialist

This position is remote in Washington State only* *

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[POSITION PURPOSE:]{.underline}

Provides technical and administrative support to the case management team.  Conducts member outreach to encourage and facilitate enrollment in the Case Management program.* *

[PRINCIPAL DUTIES:]{.underline}

• Assists with intake of new members and informs potential members of the services available to them.
• Provides telephonic triage of inbound member, family, and/or caregiver calls; triages to appropriate staff, or resolves issues directly.
• Provides educational material as directed by case manager.
• Schedules outreach calls; maintains and verifies member contact information in Jiva.
• Alert case managers of new case management referrals
• Serves as a liaison between providers, vendors and the member and/or member's representative as needed.
• Uploads medical documentation as directed. Ensures all case coordination activities are included in the medical record system per established guidelines.
• Works with other departments to resolve member provider issues; notify management of outcomes.
• Assist with various administrative tasks, including discharge preparations, request/collection of clinical information, provider authorizations as directed.
• Prioritize, organize, and complete daily work both independently.
• Reporting to work on time and for all scheduled shifts is essential to this position.
• Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.

[QUALIFICATIONS:]{.underline}

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

•  Have three (3) years in administrative, customer service, and/or patient services coordination (referrals, appointments, etc.) in a healthcare services field, required.
• Have one (1) year as a Medical Assistant or related field, required.
• Have a certification through an accredited medical assistant program, Allied Health education program, or other related certification, preferred.

[Employment Eligibility:]{.underline}

Candidate has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcemen