Clinical Care Coordinator LPN or BSW

Community Health Plan of Washington•Seattle, WA

13d•$69,720 - $106,670•Onsite

About The Position

Assists with and coordinates care management activities under the direction of an RN or LICSW Case Manager, Supervisor, or Manager. Functions as an interdependent team member in the areas of member assessment, planning, facilitation, and advocacy.

Requirements

Possess a Bachelor’s degree in social work, Practical Nursing Certificate, or an equivalent bachelor’s degree in a relevant health care field.
Have a minimum of one (1) year of clinical and/or care management experience (required)
Have proficiency and experience with Microsoft Office products
Knowledge of Medicare and Medicaid regulations
Have knowledge of care management systems and planning techniques
Complete and successfully pass a criminal background check
Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency
Vaccination requirement (CHPW offers a process for medical or religious exemptions)

Nice To Haves

Candidates with a bachelor’s degrees in a relevant health care field must have a minimum of (1) year experience in care coordination or care management either in a managed care organization, community-based organization, or related workplace preferred
Have previous experience as a medical assistant, behavior health technician, or other social welfare services or an equivalent combination of education and highly relevant experience preferred or valid Washington State Licensed Practical Nurse (LPN).
Have one (1) year in care management in a health plan, community agency or Accountable Care Organization (ACO) (preferred)
Have experience in care management workflow systems (preferred).
Knowledge of medical terminology, electronic medical records, developmental disability services, special education IDEA/ADA and healthcare process (preferred)
Understanding and experience with health care systems, regulations, policies, functions, and documentation standards
Strong written and verbal communication skills; able to communicate with and collaborate effectively with physicians and allied health care providers
Comfortable presenting in a group setting

Responsibilities

Communicates with providers to arrange follow up appointments, obtain clinical records, and assist members with care coordination
Ensures appropriate coordination of services to members such as any necessary member transportation needs, obtaining community resources such as food pantries and housing.
Coordinates and facilitates services with physical and behavior health care providers within an episode of care.
Documents and manages the care management process to include case identification, assessment, planning and goal prioritization, monitoring, support, and case closure.
Participates in clinical outcome data monitoring and collection.
Assess member health care status and health (medical, behavioral, and social) history, risks, gaps and utilization.
Develops plans of care with appropriate member centric interventions.
Provides behavioral health support and interventions to members in crisis.
Collaborates with member PCP, specialists, and community resources/vendors to leverage community resources
Ensures all care coordination activities are documented medical record system per established guidelines.
Support staff in answering member calls including participation in the 5pm call rotation for crisis calls.
Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.