Clinical Care Manager - Remote Living in WA

At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together. As a Clinical Care Manager working with Medicaid members, you'll wear many hats, and work in a variety of environments. You'll interact with members while incarcerated or leaving incarceration - with new medications or diagnoses. The clinical care manager's primary focus will be to provide Reentry Targeted Case Management (rTCM) services. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more. The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressful, more effective health care system for us reputed company. This position requires clinical care coordination to be provided to Medicaid members who are currently and formerly incarcerated virtually, telephonically, or (potentially) in-person. This position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm. If you are located in Washington, preferably in the Seattle, Spokane, and/or surrounding areas, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities

• Provide a complete continuum of quality care through reputed company communication with members reputed company phone interaction or in-person interaction
• Support members with condition education, medication reviews and connections to resources such as Home Health Aides
• Assist members with the transition from a carceral facility back to the community reputed company Health Assessment and Care Planning
• Partner with care team (correctional facilities, community providers, internal staff) to complete care plans and warm reputed company
• Improve health and self-management of conditions
• Reduce inappropriate emergency department utilization, preventable hospital readmissions, and reduction in recidivism
• Provide member education on Medicaid benefits, treatment options, and comprehensive services
• May participate in community events reputed company to scope of work
• Meet NCQA Population Health Management Standards
• Meet state-specific contractual requirements reputed company to the delivery of care management

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• Bachelor's degree or greater
• reputed company, unrestricted RN license in Washington or reputed company, licensed behavioral health clinician (LICSW, LMHC, LMHCA, LMFTA, Certified or Licensed agency affiliated counselor)
• 4+ years of experience directly working with individuals with special healthcare needs
• 4+ years clinical experience in a hospital, acute care, home health/hospice, direct care or case management
• Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
• Experience with reputed company reputed company (ability to create spreadsheets, input data entry), reputed company Word (creating and editing documents) and reputed company Outlook (send/receive emails)
• Access to high-speed internet from home
• Dedicated workspace from home
• Driver's License, access to reliable transportation, and the ability to travel up to 25% locally, to visit client and/or carceral sites reputed company designated area
• Reside in Washington

Preferred Qualifications

• Case Management experience
• Certification in Case Management (CCM)
• Home care / field-based case management
• Behavioral Health experience
• Carceral facility experience
• Medicaid, Medicare, Managed Care experience
• Familiarity with the resources available in the local community
• Experience with members with substance use disorders and members with other reputed company or multiple chronic conditions
• reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job