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Community Health Plan of Washington Supervisor, Case Management in Seattle, Washington

Working Each Day to Make a DifferenceAt 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,, Case ManagementPOSITION PURPOSE: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.PRINCIPAL DUTIES: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 IMC regions.Responsible for a strong understanding of health plan benefits for assigned line(s) of business.Participates in Care Management Rounds to support a productive and collaborative discussion and provide clinical input on cases.Responsible for onboarding new staff and monitoring performance to ensure competency of new skills.Conducts staff audits according to internal policies and procedures in order to identify opportunities for improvement and alignment with program expectations.Assists in the development of team metrics; implements workflows to achieve assigned metrics. Utilizes data to monitor clinician productivity.Assists management in the identification, implementation, and maintenance of standardized operations to ensure compliance standards are met.Works with management to establish efficiency and quality standards for the team; conducts routine audits and uses data to drive performance improvement.Reviews quality audits and shares results with associates in a timely manner; provides education and coaching to improve performance as needed.Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards.Ensures that staff are adequately trained to achieve goals and outcomes for the program. This includes onboarding new staff and ongoing training for existing staff.Assists in performing direct member outreach and care