We are a not-for-profit offering Medicaid, Medicare Advantage, and Individual & Family health plans in Washington state.
Case Manager I – MSW/RN, Medicare/DSNP
Location
Washington
Posted
1 day ago
Salary
$79.0K - $122.4K / year
Seniority
Junior
Job Description
Case Manager I – MSW/RN, Medicare/DSNP
Community Health Plan of Washington
• 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. • Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions. • Works within a multi-functional team to connect 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 care of members within the organization’s 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, and create and document a care plan in coordination with the member, family and health team input. • Initiates a plan of care based on member-specific needs, assessment data and the medical/behavioral plan of care. • Goals for members are measurable and developed in conjunction with the patient/family to improve quality of life. • Plans care in collaboration with members of the multidisciplinary 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 as a result 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 community resources where applicable. • Conducts interdisciplinary care team meetings with the member/family to assess care plan and recommend adjustments as indicated. • Continuously evaluate members’ progress towards goals, identify potential barriers to attaining goals and expected outcomes in collaboration with other health care team members. • Documents all case activity using the CHPW care management system and follows documentation standards and protocols. • Collaborates with the Transition of Care (TOC) team if a member is hospitalized. • Serves as a liaison at various local and statewide meetings and/or workgroups and provides clinical support to providers’ network to enhance integrated care coordination. • Assesses barriers to care and assist members and health care team to address concerns. • Implements developed workflow activities and activities for designated programs. • Conduct member case management in the field at Provider(s) office, member’s home, inpatient medical or psychiatric hospitals, skilled nursing facilities, adult family homes, or in a community setting. • Attend member appointments or care conferences in collaboration with the members care team when indicated. • This position may requires traveling on behalf of the Company and working in the field. • Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. • Other duties as assigned.
Job Requirements
- Have a Bachelor’s degree in nursing, or a master’s degree in social work and/or related behavior health field (preferred)
- Possess Current, unrestricted license in the State of Washington as a registered nurse (RN) (required) OR 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, 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 facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse/substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families.
- Experience with those who have disabilities and knowledge of Child and Families Services
- Have a minimum three (3) years of clinical experience in an acute care and/or outpatient setting (required)
- Experience and proficiency with Microsoft Office products
- Possess a Case Management Certification (preferred)
- Have Bilingual abilities (preferred)
Benefits
- Medical, Prescription, Dental, and Vision
- Telehealth app
- Flexible Spending Accounts, Health Savings Accounts
- Basic Life AD&D, Short and Long-Term Disability
- Voluntary Life, Critical Care, and Long-Term Care Insurance
- 401(k) Retirement and generous employer match
- Employee Assistance Program and Mental Fitness app
- Financial Coaching, Identity Theft Protection
- Time off including PTO accrual starting at 17 days per year
- 40 hours Community Service volunteer time
- 10 standard holidays, 2 floating holidays
- Compassion time off, jury duty
Related Guides
Related Categories
Related Job Pages
More Manager Jobs
Contracts Manager
PanoptoStop Typing. Start Recording. Panopto is trusted by millions as the easiest way to record and share videos.
• Accelerate Deal Velocity: Review, redline, and negotiate customer, vendor, and partner agreements, balancing robust risk management with a pragmatic approach to closing business. • Optimize Legal Infrastructure: Manage the legal department’s intake queue within Salesforce, establishing clear triage patterns and conducting initial assessments to resolve inquiries efficiently. • Drive Process Automation: Utilize and continuously improve contract management and automation software to streamline initial reviews and eliminate manual administrative friction. • Collaborate Cross-Functionally: Align with Sales, Finance, Executive leadership, and InfoSec to ensure all necessary compliance approvals are smoothly achieved during the transactional lifecycle. • Conduct an audit of the existing legal case queue and contract data to identify the primary bottlenecks slowing down sales cycles. • Achieve full autonomy over the intake, initial triage, and standard redlining of standard customer NDAs and vendor agreements. • Reduce the contract-to-close latency for standard agreements by implementing structured playbooks and workflow improvements within the contract management system. • Build out a highly automated, self-sustaining commercial contract framework that scales effortlessly alongside Panopto’s global expansion.
Guest Experience Manager
EMERALD STAY®Tech company offering exclusive properties for rent, with à la carte services.
• Manage, coach, and develop a team of Guest Experience Representatives. • Oversee guest communications before, during, and after their stay. • Serve as the escalation point for complex guest complaints. • Gather and analyze guest feedback to identify areas for improvement. • Onboard new properties, ensuring listings, systems, and processes are set up accurately. • Utilize short-term rental management tools like Guesty for operational efficiency.
Senior Construction Cost Manager – Benchmarking Lead
Turner & TownsendA global consultancy business serving clients in the real estate, infrastructure and natural resources sectors.
• Act as the primary client interface, delivering clear, executive-level cost reporting, variance analysis, and strategic commercial guidance. • Lead cost planning, estimating, and financial governance across the full project lifecycle, including preparing and presenting detailed cost plans, forecasts, and cash flow projections. • Oversee project cost control processes, including managing change orders, valuations, contractor applications, and final account negotiations with a defensible, auditable approach. • Review contractor and subcontractor pricing, lead commercial negotiations, and ensure accuracy and alignment of project cost data. • Participate in design development, providing commercial input into design optioneering, value engineering, and engineering prioritization based on cost impact. • Coordinate and consolidate cost information from multiple sources, including contractors, consultants, and suppliers, to support informed decision-making. • Manage post-contract cost variances, change control processes, and contingency tracking to ensure effective project delivery. • Prepare monthly cost reports, funding updates, and executive summaries for client presentation. • Lead and contribute to the development of Turner & Townsend’s internal benchmarking strategy, including compiling built cost data and establishing consistent cost baselines across programs. • Track market trends (labor, materials, and economic conditions) and apply insights to forecasting and risk mitigation. • Drive the use of digital cost management and benchmarking tools to standardize data, improve reporting, and enhance delivery efficiency. • Oversee remote delivery teams, ensuring consistent execution of best practices, governance standards, and company methodologies. • Mentor and support junior team members, fostering a collaborative, high-performance culture. • Contribute to the development and implementation of internal business management systems and delivery frameworks. • Support financial management activities, including fee tracking, resource forecasting, and margin reporting.
Role Description Nous recherchons une ou un cadre chevronné avec une expérience de la fonction publique, des politiques publiques ou de la mise en œuvre de programmes stratégiques pour faire valoir les priorités nationales en matière d’intelligence artificielle (IA), de gouvernance des données et d’économie numérique. Le poste est pensé pour une ou un gestionnaire avec un riche parcours, sachant se repérer dans des environnements complexes réunissant de nombreuses parties intéressées, capable d’interpréter les enjeux émergents pour poser des gestes concrets et souhaitant mener une action d’envergure nationale. La personne retenue collaborera avec des cadres de haut rang de la sphère publique, du secteur privé et du milieu innovant pour aider le Canada à se positionner avantageusement dans un paysage numérique en pleine évolution. Si vous possédez une expertise de l’IA, des politiques encadrant les données, de la réglementation du numérique, de l’innovation ou des collaborations intergouvernementales, voici l'occasion de faire jouer vos acquis dans un rôle hautement stratégique et tourné vers l'avenir. Qualifications - Bilinguisme français-anglais à l’oral et à l’écrit. - Baccalauréat dans un domaine pertinent ou expérience professionnelle comparable. - Expérience de la gestion d’une équipe et de l’encadrement d’équipes interfonctionnelles. - Connaissance approfondie des organismes de normalisation internationaux. - Compréhension des accords, des règlements et des lois ayant une incidence sur le commerce et la normalisation au Canada. Requirements - Capacité à nouer des relations et à inspirer confiance et respect auprès de représentantes et représentants d’administrations, d’entreprises et des membres du réseau de normalisation mondial. - Aptitude à préparer des rapports, des propositions, des documents d’orientation, des présentations et des réponses à l’intention des représentantes et représentants externes. - Capacité à préparer des stratégies, des plans et des rapports pour les Directions et la haute direction du CCN en ce qui a trait aux priorités et aux objectifs de la Direction. - Excellentes capacités à négocier, à influencer les autres et à nouer des relations, y compris inciter les autres à apporter des changements. - Solides compétences en gestion de projets, y compris la capacité de mener plusieurs projets de front. - Excellentes aptitudes en communication écrite et verbale, dont la capacité de présenter des arguments convaincants. - Maîtrise des applications Microsoft Office et facilité à apprendre de nouveaux programmes et systèmes informatiques. Benefits - Le CCN est responsable du processus d’autorisation de sécurité du personnel. - Le processus comprend habituellement la vérification des références, des compétences, du casier judiciaire et du dossier de crédit (au besoin). - Le CCN tient à créer et à favoriser un environnement de travail diversifié, équitable et inclusif.
