Lpn Jobs

About The Position

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
• Complete and successfully pass a criminal background check
• Vaccination requirement (CHPW offers a process for medical or religious exemptions)
• Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.

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 knowledge of care management systems and planning techniques
• 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.

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