Remote Case Manager I (MSW/RN) — Care Coordination & Outcomes

Community Health Plan of Washington; Washington; Remote; USD 85,000 - 120,000; Full time

Benefits offered by this job

Medical, Prescription, Dental, Vision

Telehealth app

401(k) retirement and employer match

Paid time off & holidays

Employee Assistance Program

Job summary

Community Health Plan of Washington is seeking a Case Manager I to deliver telephonic and field-based case management for members with acute, chronic, and complex needs. You will collaborate with clinicians, caregivers, and community resources to improve quality of life and achieve cost-effective outcomes.

The role requires WA licensure eligibility (RN, SW, LMHC/LMHP/LMFT) and at least 1 year of related experience.

Qualifications

• Bachelor’s degree in nursing or Master’s degree in social work preferred.
• Current, unrestricted license in WA as RN, or WA Social Worker license (LSWAA/LSWAIC) or WA LMHC/LMHP/LMFT as applicable.
• Minimum 1 year case management, home health, discharge planning, or equivalent experience.
• Minimum 3 years of clinical experience in acute care or outpatient setting.
• Experience with Microsoft Office products.
• Case Management Certification preferred.

Responsibilities

• Perform telephonic case management for members with acute, chronic, and complex needs.
• Coordinate with providers, members, caregivers, vendors, and community resources.
• Assess, plan, implement, document, and revise care plans.
• Initiate and manage care plans with patient/family input.
• Collaborate with multidisciplinary team to meet goals and access services.
• Document all case activity in CHPW care management system.
• Attend interdisciplinary meetings and coordinate with TOC when needed.
• Travel to member homes, offices, hospitals, or community settings as required.

Skills

Managed care experience

Care management software

Medicare/Medicaid knowledge

Care management workflow systems

Verbal & written communication

Organizational & time management

Independent work

Group facilitation / presentation

Education

Bachelor’s degree in nursing

Master’s degree in social work

Tools

Care Management software

Job description

Community Health Plan of Washington is seeking a Case Manager I to deliver telephonic and field-based case management for members with acute, chronic, and complex needs. You will collaborate with clinicians, caregivers, and community resources to improve quality of life and achieve cost-effective outcomes.

The role requires WA licensure eligibility (RN, SW, LMHC/LMHP/LMFT) and at least 1 year of related experience.