Community Health Plan Of Washington Seattle , WA 98113
Posted 4 weeks ago
This position is available fully remote within Washington state.
Who we are
Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration.
Our commitment is to:
Strive to apply an equity lens to all our work.
Reduce health disparities.
Become an anti-racist organization.
Create an equitable work environment.
About the Role
The Jail Transitions Case Manager (JT CM) is responsible for pre-release planning and short-term case management of members releasing from city and county jails, Department of Corrections, and Juvenile Rehabilitation facilities, ensuring they are safely and effectively transition back into community settings. Provides short-term case management services for members with highly complex behavioral health, medical, and social conditions. Working within a multi-functional team, the JT CM will connect with members, correctional facility staff, providers, caregivers, contracted vendors, community resources, and health plan partners to assess the member's reentry into the community, identify care needs, and ensure access to appropriate services to achieve positive health outcomes.
To be successful in this role, you:
Have background in behavioral health, experience working with diverse populations, or collaborating with justice involved individuals.
Have experience with community resources such as Regional Centers, Medicaid mental health and substance abuse services.
You have a Bachelor's Degree or an equivalent combination of education and highly relevant experience required.
Have a current, unrestricted license in the State of Washington as a Registered Nurse, Social Worker, Mental Health Professional required.
May have a Case Manager Certificate.
Essential functions and Roles and Responsibilities:
Identifies, locates, and determine custody status of Community Health Plan of Washington's (CHPW) justice involved members. Advocates on behalf of and facilitates coordination of resources required to help justice involved members reach optimum functional levels upon reentry to the community during transition and provides short-term case management.
Works with the city and county jails, Department of Corrections facilities, and Juvenile Rehabilitation facilities and a multi-functional team to connect with providers, caregivers, contracted vendors, community resources, and health plan partners to assess the member's health status, identify care needs and ensure access to appropriate services to achieve positive health outcomes upon reentry to the community.
Performs the primary functions of assessment, planning, facilitation, and advocacy through collaboration with the member, city and county jails, Department of Corrections, and Juvenile Rehabilitation facilities and other health care resources involved in the member's transition post-release.
Meets with the justice involved members via phone or video conferencing at city and county jails, Department of Corrections, and Juvenile Rehabilitation facilities.
Maintains CM records and documents within the JIVA system.
Telephonic participation in discharge planning meetings and interdisciplinary care conferences, when appropriate and necessary.
Schedule medical, mental health, dental, and/or vision appointments in accordance with the members release date. Schedule transportation to appointments if required.
Communicate with members pertinent providers to discuss discharge plans and provide update on status.
Coordinate with UM intake coordinators for referral authorizations of services indicated for release to the home setting, transitions to alternate level of care setting, and specialty visits as applicable.
Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.
Knowledge, Skills, and Abilities:
Excellent clinical research and assessment skills.
Ability to work independently.
Strong project and work plan management skills.
Knowledge of business processes and workflows.
Strong analytical skills and critical thinking skills.
Excellent written and verbal communication skills.
Proficiency in Microsoft Office applications.
Ability to travel as necessary.
As part of our hiring process, the following criteria must be met:
Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant's criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees.
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)
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.
Compensation and Benefits:
The position is FLSA Non-Exempt and is eligible for overtime and has a 5% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors.
CHPW offers the following benefits for Full and Part-time employees and their dependents:
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
Sensory/Physical/Mental Requirements:
Sensory*:
Physical*:
Extended periods of sitting, computer use, talking and possibly standing
Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion
Frequent torso/back static position; occasional stooping, bending, and twisting.
Mental:
Work Environment:
Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.
Community Health Plan Of Washington