Working Each Day to Make a Difference

At 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, visitwww.chpw.org{rel="nofollow"}.

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*Regional Case Manager I - Pierce County *

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[POSITION PURPOSE:]{.underline}

This position works under the general direction of the Manager of Case Management and is responsible for the plan's regional care management coordination programs and processes. The Regional Case Manager will provide case management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness. This role also provides case management services for CHPW members with highly complex medical/behavioral and social conditions where advocacy and coordination are required. This role represents CHPW during regional meetings regarding care management / care coordination, including presenting / speaking at these meetings. The Regional Case Manager coordinates with the CHPW Regional Manager to provide external representation at community and program-based meetings and initiatives.

[PRINCIPAL DUTIES:]{.underline}

Coordinate all case management services within assigned areas in order to assure appropriate coordination of services to CHPW members.

Perform the primary functions of assessment, planning, facilitation and advocacy through collaboration with the member and other health care resources involved in the member's care.

Representation of CHPW Care Management Department at regional meetings

Research meeting agenda and planned topics for effective representation.

Effectively prepare and design presentations for regional meetings

Present information on Care Management programs to regional stakeholders, and brings back information to CHPW

Collaborate with HSD / CHPW leadership for presentation preparation

Follow up with appropriate department leadership for any commitments / requests that came from meetings

Work with providers (specialists, CHC, community resources) and vendors to implement programs and monitor health outcomes of case managed members (both complex and non-complex).

Responsible for assessment (HRA) review of members assigned and appropriateness of the level of care and treatment and participate in clinical outcome data collection. Perform other pertinent condition specific assessments as indicated

Develop member interdisciplinary care plans in conjunction with the member's PCP, specialists, and community resources/vendors..

Coordinate with family and caregivers as appropriate.

Coordinate the interdisciplinary/integra