Case Manager jobs at Community Health Plan of Washington - 23 jobs

This position is a hybrid of remote from home and field work. The candidate will need to reside in and travel throughout the North Sound region (Snohomish, Skagit, Whatcom, San Juan and Island counties). 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. * Create an equitable work environment. About the Role This position works under the general direction of the Supervisor of Care Management and is responsible for the plan's regional field care management and coordination programs and processes. The Regional Field Case Manager will provide care management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness. The Regional Field Case Manager resides within the assigned region to effectively coordinate care between members, providers and community resources. This role also provides care management services for CHPW members with highly complex medical/behavioral and social conditions where advocacy and coordination are required. This role represents CHPW in the community to provide education on care management programs and provide in-person support for members. The Regional Field Case Manager coordinates with internal and external partners to support members, providers and initiatives in the assigned region. To be successful in this role, you: * Possess a Bachelor's degree in nursing or a master's degree in social work and/or a related behavior health field (required). * Have a current, unrestricted license in the state of Washington as a registered nurse (RN) (required) OR * Have a current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required) OR * Current, unrestricted license in the State of Washington as a Mental health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required) * Have a minimum of one (1) year case management experience; home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR * Have a minimum of one (1) year in an acute care, facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families. * Have experience with those who have disabilities and knowledge of Child and Families Services. * Have a minimum three (3) years of clinical experience and/or outpatient setting (required). * Have a valid state issued drivers' license. Preferred * Have a case management certification. * Are bilingual. * Have experience in managed care (Medicaid/HCA). * Have previous experience in using Care Management software applications. * Have knowledge of, and experience with, community resources. * Experience in care management workflow systems Essential functions and Roles and Responsibilities: * Engages with members, providers and agencies in the assigned region to support field care management services. * Provides face-to-face visits to members where telephonic care management is a barrier, to foster effective participation in the care management program. * Identify and partner with emergency response services or other programs in a community that support members who are high utilizers of medical/behavioral health services. Field case management can include meeting members in acute care, emergency room, adult family home, Inpatient behavioral health facilities, shelters, community health centers, members home or member preferred location. * Assesses, evaluates, plans, implements, and documents the care of members within the organizations' clinical database system in accordance with organizational policies and procedures. * Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided. * Evaluates members' progress towards goals, identify potential barriers, assists members in navigating the healthcare system and expected outcomes in collaboration with member and the interdisciplinary care team. * Works within the multi-interdisciplinary care team that collaborates with providers, members, 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. * Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions. * Represents CHPW Care Management Department in the community to provide education on care management programs and collaborate with providers and community partners. Leads regional based projects as assigned * Participates in external care conferences and other d/c planning activities that may be needed to prevent a readmission as needed. * Participates in clinical case review with internal interdisciplinary team at Care Management Rounds. * Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. * Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion. * This position requires traveling on behalf of the Company and working in the field at least 50% of the time. It is essential that a current driver's license, proof of insurance and an acceptable driving record are maintained. Knowledge, Skills, and Abilities: * Knowledge of regulatory and certification requirements and their impact on the organization such as CMS, HCA, HEDIS, CAHPS, and NCQA. * Knowledge of and experience with community and other resources * Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data * Organizational, time management, and project management skills * Ability to handle multiple priorities * Ability to multi-task and deal with complex assignments on a frequent basis * Proficiency and experience with Microsoft Office products * Written and verbal communication skills; able to communicate with and collaborate effectively with internal departments, physicians and allied health care providers * Ability to work independently * Perform all functions of the job with accuracy, attention to detail and within established timeframes. * Ability to maintain confidentiality Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn't perfectly check every box in the , we encourage you to apply anyway. As part of our hiring process, the following criteria must be met: * Complete and successfully pass a criminal background check 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 Exempt and is not eligible for overtime and has a 10% 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*: * Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: * Extended periods of sitting, computer use, talking, and possibly standing * Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion Mental: * Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities. Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. * 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. * The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

BlueCross BlueShield of Tennessee seeks an experienced RN to provide compassionate, member-centered care for women navigating women's health conditions; from pregnancy to perimenopausal related. This role involves telephonic and digital outreach, education, and care coordination with providers to ensure timely, personalized support. In this role, you will: Assess member needs and create individualized care plans. Educate and support members through some of life's most complex transitions. Coordinate care with OB/GYNs, PCPs, and behavioral health specialists Monitor progress, adjust plans, and advocate for access and adherence You will be an ideal candidate for this role, if, in addition to the required qualifications, you: Are passionate about women's health, skilled at building trust, and motivated to empower members through complex health transitions. Have 3+ years of experience in women's healthcare (maternity, GYN, women's health) Are tech-savvy, adaptable, and comfortable in a remote setting Have excellent communication, empathy, and problem-solving skills Appreciate continuous program improvement Job Responsibilities Supporting utilization management functions for more complex and non-routine cases as needed. Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs. Overseeing highly complex cases identified through various mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefits Performing the essential activities of case management: assessment: planning, implementation, coordinating, monitoring, outcomes and evaluation. Digital positions must have the ability to effectively communicate via digital channels and offer technical support. Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions. Various immunizations and/or associated medical tests may be required for this position. This job requires digital literacy assessment. Job Qualifications License Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law. Experience 3 years - Clinical experience required 5 years - Experience in the health care industry For Select Community & Katie Beckett: 2 years experience in IDD for Select Community is required Skills\Certifications Currently has a Certified Case Manager (CCM) credential or must obtain certification within 2 years of hire. For Select Community & Katie Beckett: In addition to CCM, Certification in Developmental Disabilities Nursing (CDDN) is required at hire, or must be attained within 3 years. Excellent oral and written communication skills PC Skills required (Basic Microsoft Office and E-Mail) Grade 10 BBEX Incentive Plan AEP Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

This position is a hybrid of remote from home and field work. The candidate will need to reside in and travel throughout the North Sound region (Snohomish, Skagit, Whatcom, San Juan and Island counties). 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. Create an equitable work environment. About the Role This position works under the general direction of the Supervisor of Care Management and is responsible for the plan's regional field care management and coordination programs and processes. The Regional Field Case Manager will provide care management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness. The Regional Field Case Manager resides within the assigned region to effectively coordinate care between members, providers and community resources. This role also provides care management services for CHPW members with highly complex medical/behavioral and social conditions where advocacy and coordination are required. This role represents CHPW in the community to provide education on care management programs and provide in-person support for members. The Regional Field Case Manager coordinates with internal and external partners to support members, providers and initiatives in the assigned region. To be successful in this role, you: Possess a Bachelor's degree in nursing or a master's degree in social work and/or a related behavior health field (required). Have a current, unrestricted license in the state of Washington as a registered nurse (RN) (required) OR Have a current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required) OR Current, unrestricted license in the State of Washington as a Mental health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required) Have a minimum of one (1) year case management experience; home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR Have a minimum of one (1) year in an acute care, facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families. Have experience with those who have disabilities and knowledge of Child and Families Services. Have a minimum three (3) years of clinical experience and/or outpatient setting (required). Have a valid state issued drivers' license. Preferred Have a case management certification. Are bilingual. Have experience in managed care (Medicaid/HCA). Have previous experience in using Care Management software applications. Have knowledge of, and experience with, community resources. Experience in care management workflow systems Essential functions and Roles and Responsibilities: Engages with members, providers and agencies in the assigned region to support field care management services. Provides face-to-face visits to members where telephonic care management is a barrier, to foster effective participation in the care management program. Identify and partner with emergency response services or other programs in a community that support members who are high utilizers of medical/behavioral health services. Field case management can include meeting members in acute care, emergency room, adult family home, Inpatient behavioral health facilities, shelters, community health centers, members home or member preferred location. Assesses, evaluates, plans, implements, and documents the care of members within the organizations' clinical database system in accordance with organizational policies and procedures. Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided. Evaluates members' progress towards goals, identify potential barriers, assists members in navigating the healthcare system and expected outcomes in collaboration with member and the interdisciplinary care team. Works within the multi-interdisciplinary care team that collaborates with providers, members, 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. Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions. Represents CHPW Care Management Department in the community to provide education on care management programs and collaborate with providers and community partners. Leads regional based projects as assigned Participates in external care conferences and other d/c planning activities that may be needed to prevent a readmission as needed. Participates in clinical case review with internal interdisciplinary team at Care Management Rounds. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion. This position requires traveling on behalf of the Company and working in the field at least 50% of the time. It is essential that a current driver's license, proof of insurance and an acceptable driving record are maintained. Knowledge, Skills, and Abilities: Knowledge of regulatory and certification requirements and their impact on the organization such as CMS, HCA, HEDIS, CAHPS, and NCQA. Knowledge of and experience with community and other resources Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data Organizational, time management, and project management skills Ability to handle multiple priorities Ability to multi-task and deal with complex assignments on a frequent basis Proficiency and experience with Microsoft Office products Written and verbal communication skills; able to communicate with and collaborate effectively with internal departments, physicians and allied health care providers Ability to work independently Perform all functions of the job with accuracy, attention to detail and within established timeframes. Ability to maintain confidentiality Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn't perfectly check every box in the , we encourage you to apply anyway. As part of our hiring process, the following criteria must be met: Complete and successfully pass a criminal background check 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 Exempt and is not eligible for overtime and has a 10% 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*: Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: Extended periods of sitting, computer use, talking, and possibly standing Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion Mental: Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities. Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. *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. *The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

This position is a hybrid of remote from home and field work. The candidate will need to reside in and travel throughout the North Sound region (Snohomish, Skagit, Whatcom, San Juan and Island counties). 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. * Create an equitable work environment. About the Role This position works under the general direction of the Supervisor of Care Management and is responsible for the plan's regional field care management and coordination programs and processes. The Regional Field Case Manager will provide care management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness. The Regional Field Case Manager resides within the assigned region to effectively coordinate care between members, providers and community resources. This role also provides care management services for CHPW members with highly complex medical/behavioral and social conditions where advocacy and coordination are required. This role represents CHPW in the community to provide education on care management programs and provide in-person support for members. The Regional Field Case Manager coordinates with internal and external partners to support members, providers and initiatives in the assigned region. To be successful in this role, you: * Possess a Bachelor's degree in nursing or a master's degree in social work and/or a related behavior health field (required). * Have a current, unrestricted license in the state of Washington as a registered nurse (RN) (required) OR * Have a current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required) OR * Current, unrestricted license in the State of Washington as a Mental health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required) * Have a minimum of one (1) year case management experience; home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR * Have a minimum of one (1) year in an acute care, facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families. * Have experience with those who have disabilities and knowledge of Child and Families Services. * Have a minimum three (3) years of clinical experience and/or outpatient setting (required). * Have a valid state issued drivers' license. Preferred * Have a case management certification. * Are bilingual. * Have experience in managed care (Medicaid/HCA). * Have previous experience in using Care Management software applications. * Have knowledge of, and experience with, community resources. * Experience in care management workflow systems Essential functions and Roles and Responsibilities: * Engages with members, providers and agencies in the assigned region to support field care management services. * Provides face-to-face visits to members where telephonic care management is a barrier, to foster effective participation in the care management program. * Identify and partner with emergency response services or other programs in a community that support members who are high utilizers of medical/behavioral health services. Field case management can include meeting members in acute care, emergency room, adult family home, Inpatient behavioral health facilities, shelters, community health centers, members home or member preferred location. * Assesses, evaluates, plans, implements, and documents the care of members within the organizations' clinical database system in accordance with organizational policies and procedures. * Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided. * Evaluates members' progress towards goals, identify potential barriers, assists members in navigating the healthcare system and expected outcomes in collaboration with member and the interdisciplinary care team. * Works within the multi-interdisciplinary care team that collaborates with providers, members, 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. * Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions. * Represents CHPW Care Management Department in the community to provide education on care management programs and collaborate with providers and community partners. Leads regional based projects as assigned * Participates in external care conferences and other d/c planning activities that may be needed to prevent a readmission as needed. * Participates in clinical case review with internal interdisciplinary team at Care Management Rounds. * Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. * Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion. * This position requires traveling on behalf of the Company and working in the field at least 50% of the time. It is essential that a current driver's license, proof of insurance and an acceptable driving record are maintained. Knowledge, Skills, and Abilities: * Knowledge of regulatory and certification requirements and their impact on the organization such as CMS, HCA, HEDIS, CAHPS, and NCQA. * Knowledge of and experience with community and other resources * Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data * Organizational, time management, and project management skills * Ability to handle multiple priorities * Ability to multi-task and deal with complex assignments on a frequent basis * Proficiency and experience with Microsoft Office products * Written and verbal communication skills; able to communicate with and collaborate effectively with internal departments, physicians and allied health care providers * Ability to work independently * Perform all functions of the job with accuracy, attention to detail and within established timeframes. * Ability to maintain confidentiality Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn't perfectly check every box in the , we encourage you to apply anyway. As part of our hiring process, the following criteria must be met: * Complete and successfully pass a criminal background check 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 Exempt and is not eligible for overtime and has a 10% 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*: * Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: * Extended periods of sitting, computer use, talking, and possibly standing * Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion Mental: * Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities. Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. * 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. * The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

is available remotely in 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 Responsible for the operational delivery of the plan's case management and coordination programs and processes. Provides case management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness, and/or highly complex medical/behavioral and social conditions. The goal is to improve members' quality of life and ensure cost-effective outcomes by using internal and community-based resources. The Case Manager level will be determined by the hiring manager based on education, previous experience, and demonstrated leadership skills. To be successful in this role, you: * Have a Bachelor's degree in nursing, or a master's degree in social work and/or related behavior health field (preferred) * Possess Current, unrestricted license in the State of Washington as a registered nurse (RN) (required) OR * Current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required), OR * Current, unrestricted license in the State of Washington as a Mental Health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required) * Have a minimum of one (1) year case management, home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR * Have a minimum of one (1) year facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse/substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families. Experience with those who have disabilities and knowledge of Child and Families Services * Have a minimum three (3) years of clinical experience in an acute care and/or outpatient setting (required) * Experience and proficiency with Microsoft Office products * Possess a Case Management Certification (preferred) * Have Bilingual abilities (preferred) Essential functions and Roles and Responsibilities: The Case Manager I is responsible for performing telephonic case management for members with acute, chronic, and complex needs. Examples listed below are not necessarily exhaustive and may be revised by the employer. * Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions. * Works within a multi-functional team to connect with providers, members, 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. * Assesses, evaluates, plans, implements, and documents care of members within the organization's clinical database system, in accordance with organizational policies and procedures. * Responsible for the assessment of members, including identifying and coordinating access to the appropriate level of care and treatment. Uses the assessment information to assign the appropriate risk and complexity level, and create and document a care plan in coordination with the member, family and health team input. * Initiates a plan of care based on member-specific needs, assessment data and the medical/behavioral plan of care. Goals for members are measurable and developed in conjunction with the patient/family to improve quality of life. * Plans care in collaboration with members of the multidisciplinary team, and considers the physical, behavioral, cultural, psychosocial, spiritual, age specific and educational needs of the member in the plan of care. * Reviews and revises the plan of care with the interdisciplinary care team to reflect changing member needs based on evaluation of the members' status, and/or as a result of reassessment. * Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided. Engages community resources where applicable. * Conducts interdisciplinary care team meetings with the member/family to assess care plan and recommend adjustments as indicated. * Continuously evaluate members' progress towards goals, identify potential barriers to attaining goals and expected outcomes in collaboration with other health care team members. * Documents all case activity using the CHPW care management system and follows documentation standards and protocols. * Collaborates with the Transition of Care (TOC) team if a member is hospitalized. * Serves as a liaison at various local and statewide meetings and/or workgroups and provides clinical support to providers' network to enhance integrated care coordination. * Assesses barriers to care and assist members and health care team to address concerns. * Implements developed workflow activities and activities for designated programs. * Conduct member case management in the field at Provider(s) office, member's home, inpatient medical or psychiatric hospitals, skilled nursing facilities, adult family homes, or in a community setting. * Attend member appointments or care conferences in-person in collaboration with the members care team when indicated. * This position may require traveling on behalf of the Company and working in the field. It is required that a current driver's license, proof of insurance and an acceptable driving record are maintained. * Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. * 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: * Managed care (Medicaid and/or Medicare) experience * Previous experience using Care Management software applications * Knowledge of, and experience with, community resources preferred * Knowledge of Medicare and Medicaid regulations * Experience in care management workflow systems * Effective verbal and written communication skills * Strong organizational, time management, and project management skills * Ability to work independently * Comfortable presenting in a group setting * Perform all functions of the job with accuracy, attention to detail and within established timeframes. * Meet attendance and punctuality standards As part of our hiring process, the following criteria must be met: * Complete and successfully pass a criminal background check 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 Exempt and is not eligible for overtime. Based on market data, this position grade is 66E and has a 10% annual incentive target based on company, department, and individual performance goals. 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*: Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: * Extended periods of sitting, computer use, talking, and possibly standing * Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion Mental: Frequent decision-making. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.

This position is a hybrid of remote from home and field work. The candidate will need to reside in and travel throughout the Spokane region (Ferry, Stevens, Pend Oreille, Lincoln, Spokane and Adams counties). 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. * Create an equitable work environment. About the Role This position works under the general direction of the Supervisor of Care Management and is responsible for the plan's regional field care management and coordination programs and processes. The Regional Field Case Manager will provide care management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness. The Regional Field Case Manager resides within the assigned region to effectively coordinate care between members, providers and community resources. This role also provides care management services for CHPW members with highly complex medical/behavioral and social conditions where advocacy and coordination are required. This role represents CHPW in the community to provide education on care management programs and provide in-person support for members. The Regional Field Case Manager coordinates with internal and external partners to support members, providers and initiatives in the assigned region. To be successful in this role, you: * Possess a Bachelor's degree in nursing or a master's degree in social work and/or a related behavior health field (required). * Have a current, unrestricted license in the state of Washington as a registered nurse (RN) (required) OR * Have a current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required) OR * Current, unrestricted license in the State of Washington as a Mental health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required) * Have a minimum of one (1) year case management experience; home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR * Have a minimum of one (1) year in an acute care, facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families. * Have experience with those who have disabilities and knowledge of Child and Families Services. * Have a minimum three (3) years of clinical experience and/or outpatient setting (required). * Have a valid state issued drivers' license. Preferred * Have a case management certification. * Are bilingual. * Have experience in managed care (Medicaid/HCA). * Have previous experience in using Care Management software applications. * Have knowledge of, and experience with, community resources. * Have experience in care management workflow systems. Essential functions and Roles and Responsibilities: * Engages with members, providers and agencies in the assigned region to support field care management services. * Provides face-to-face visits to members where telephonic care management is a barrier, to foster effective participation in the care management program. * Identify and partner with emergency response services or other programs in a community that support members who are high utilizers of medical/behavioral health services.Field case management can include meeting members in acute care, emergency room, adult family home, Inpatient behavioral health facilities, shelters, community health centers, members home or member preferred location. * Assesses, evaluates, plans, implements, and documents the care of members within the organizations' clinical database system in accordance with organizational policies and procedures. * Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided. * Evaluates members' progress towards goals, identify potential barriers, assists members in navigating the healthcare system and expected outcomes in collaboration with member and the interdisciplinary care team. * Works within the multi-interdisciplinary care team that collaborates with providers, members, 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. * Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions. * Represents CHPW Care Management Department in the community to provide education on care management programs and collaborate with providers and community partners. Leads regional based projects as assigned * Participates in external care conferences and other d/c planning activities that may be needed to prevent a readmission as needed. * Participates in clinical case review with internal interdisciplinary team at Care Management Rounds. * Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. * Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion. * This position requires traveling on behalf of the Company and working in the field at least 50% of the time. It is essential that a current driver's license, proof of insurance and an acceptable driving record are maintained. Knowledge, Skills, and Abilities: * Knowledge of regulatory and certification requirements and their impact on the organization such as CMS, HCA, HEDIS, CAHPS, and NCQA. * Knowledge of and experience with community and other resources * Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data * Organizational, time management, and project management skills * Ability to handle multiple priorities * Ability to multi-task and deal with complex assignments on a frequent basis * Proficiency and experience with Microsoft Office products * Written and verbal communication skills; able to communicate with and collaborate effectively with internal departments, physicians and allied health care providers * Ability to work independently * Perform all functions of the job with accuracy, attention to detail and within established timeframes. * Ability to maintain confidentiality Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn't perfectly check every box in the , we encourage you to apply anyway. As part of our hiring process, the following criteria must be met: * Complete and successfully pass a criminal background check 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 Exempt and is not eligible for overtime and has a 10% 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*: * Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: * Extended periods of sitting, computer use, talking, and possibly standing * Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion Mental: * Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities. Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. * 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. * The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

This position is a hybrid of remote from home and field work. The candidate will need to reside in and travel throughout the Spokane region (Ferry, Stevens, Pend Oreille, Lincoln, Spokane and Adams counties). 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. Create an equitable work environment. About the Role This position works under the general direction of the Supervisor of Care Management and is responsible for the plan's regional field care management and coordination programs and processes. The Regional Field Case Manager will provide care management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness. The Regional Field Case Manager resides within the assigned region to effectively coordinate care between members, providers and community resources. This role also provides care management services for CHPW members with highly complex medical/behavioral and social conditions where advocacy and coordination are required. This role represents CHPW in the community to provide education on care management programs and provide in-person support for members. The Regional Field Case Manager coordinates with internal and external partners to support members, providers and initiatives in the assigned region. To be successful in this role, you: Possess a Bachelor's degree in nursing or a master's degree in social work and/or a related behavior health field (required). Have a current, unrestricted license in the state of Washington as a registered nurse (RN) (required) OR Have a current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required) OR Current, unrestricted license in the State of Washington as a Mental health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required) Have a minimum of one (1) year case management experience; home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR Have a minimum of one (1) year in an acute care, facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families. Have experience with those who have disabilities and knowledge of Child and Families Services. Have a minimum three (3) years of clinical experience and/or outpatient setting (required). Have a valid state issued drivers' license. Preferred Have a case management certification. Are bilingual. Have experience in managed care (Medicaid/HCA). Have previous experience in using Care Management software applications. Have knowledge of, and experience with, community resources. Have experience in care management workflow systems. Essential functions and Roles and Responsibilities: Engages with members, providers and agencies in the assigned region to support field care management services. Provides face-to-face visits to members where telephonic care management is a barrier, to foster effective participation in the care management program. Identify and partner with emergency response services or other programs in a community that support members who are high utilizers of medical/behavioral health services.Field case management can include meeting members in acute care, emergency room, adult family home, Inpatient behavioral health facilities, shelters, community health centers, members home or member preferred location. Assesses, evaluates, plans, implements, and documents the care of members within the organizations' clinical database system in accordance with organizational policies and procedures. Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided. Evaluates members' progress towards goals, identify potential barriers, assists members in navigating the healthcare system and expected outcomes in collaboration with member and the interdisciplinary care team. Works within the multi-interdisciplinary care team that collaborates with providers, members, 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. Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions. Represents CHPW Care Management Department in the community to provide education on care management programs and collaborate with providers and community partners. Leads regional based projects as assigned Participates in external care conferences and other d/c planning activities that may be needed to prevent a readmission as needed. Participates in clinical case review with internal interdisciplinary team at Care Management Rounds. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion. This position requires traveling on behalf of the Company and working in the field at least 50% of the time. It is essential that a current driver's license, proof of insurance and an acceptable driving record are maintained. Knowledge, Skills, and Abilities: Knowledge of regulatory and certification requirements and their impact on the organization such as CMS, HCA, HEDIS, CAHPS, and NCQA. Knowledge of and experience with community and other resources Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data Organizational, time management, and project management skills Ability to handle multiple priorities Ability to multi-task and deal with complex assignments on a frequent basis Proficiency and experience with Microsoft Office products Written and verbal communication skills; able to communicate with and collaborate effectively with internal departments, physicians and allied health care providers Ability to work independently Perform all functions of the job with accuracy, attention to detail and within established timeframes. Ability to maintain confidentiality Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn't perfectly check every box in the , we encourage you to apply anyway. As part of our hiring process, the following criteria must be met: Complete and successfully pass a criminal background check 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 Exempt and is not eligible for overtime and has a 10% 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*: Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: Extended periods of sitting, computer use, talking, and possibly standing Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion Mental: Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities. Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. *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. *The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

This position is a hybrid of remote from home and field work. The candidate will need to reside in and travel throughout the North Sound region (Snohomish, Skagit, Whatcom, San Juan and Island counties). 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. * Create an equitable work environment. About the Role This position works under the general direction of the Supervisor of Care Management and is responsible for the plan's regional field care management and coordination programs and processes. The Regional Field Case Manager will provide care management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness. The Regional Field Case Manager resides within the assigned region to effectively coordinate care between members, providers and community resources. This role also provides care management services for CHPW members with highly complex medical/behavioral and social conditions where advocacy and coordination are required. This role represents CHPW in the community to provide education on care management programs and provide in-person support for members. The Regional Field Case Manager coordinates with internal and external partners to support members, providers and initiatives in the assigned region. To be successful in this role, you: * Possess a Bachelor's degree in nursing or a master's degree in social work and/or a related behavior health field (required). * Have a current, unrestricted license in the state of Washington as a registered nurse (RN) (required) OR * Have a current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required) OR * Current, unrestricted license in the State of Washington as a Mental health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required) * Have a minimum of one (1) year case management experience; home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR * Have a minimum of one (1) year in an acute care, facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families. * Have experience with those who have disabilities and knowledge of Child and Families Services. * Have a minimum three (3) years of clinical experience and/or outpatient setting (required). * Have a valid state issued drivers' license. Preferred * Have a case management certification. * Are bilingual. * Have experience in managed care (Medicaid/HCA). * Have previous experience in using Care Management software applications. * Have knowledge of, and experience with, community resources. * Experience in care management workflow systems Essential functions and Roles and Responsibilities: * Engages with members, providers and agencies in the assigned region to support field care management services. * Provides face-to-face visits to members where telephonic care management is a barrier, to foster effective participation in the care management program. * Identify and partner with emergency response services or other programs in a community that support members who are high utilizers of medical/behavioral health services. Field case management can include meeting members in acute care, emergency room, adult family home, Inpatient behavioral health facilities, shelters, community health centers, members home or member preferred location. * Assesses, evaluates, plans, implements, and documents the care of members within the organizations' clinical database system in accordance with organizational policies and procedures. * Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided. * Evaluates members' progress towards goals, identify potential barriers, assists members in navigating the healthcare system and expected outcomes in collaboration with member and the interdisciplinary care team. * Works within the multi-interdisciplinary care team that collaborates with providers, members, 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. * Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions. * Represents CHPW Care Management Department in the community to provide education on care management programs and collaborate with providers and community partners. Leads regional based projects as assigned * Participates in external care conferences and other d/c planning activities that may be needed to prevent a readmission as needed. * Participates in clinical case review with internal interdisciplinary team at Care Management Rounds. * Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. * Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion. * This position requires traveling on behalf of the Company and working in the field at least 50% of the time. It is essential that a current driver's license, proof of insurance and an acceptable driving record are maintained. Knowledge, Skills, and Abilities: * Knowledge of regulatory and certification requirements and their impact on the organization such as CMS, HCA, HEDIS, CAHPS, and NCQA. * Knowledge of and experience with community and other resources * Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data * Organizational, time management, and project management skills * Ability to handle multiple priorities * Ability to multi-task and deal with complex assignments on a frequent basis * Proficiency and experience with Microsoft Office products * Written and verbal communication skills; able to communicate with and collaborate effectively with internal departments, physicians and allied health care providers * Ability to work independently * Perform all functions of the job with accuracy, attention to detail and within established timeframes. * Ability to maintain confidentiality Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn't perfectly check every box in the , we encourage you to apply anyway. As part of our hiring process, the following criteria must be met: * Complete and successfully pass a criminal background check 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 Exempt and is not eligible for overtime and has a 10% 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*: * Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: * Extended periods of sitting, computer use, talking, and possibly standing * Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion Mental: * Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities. Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. * 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. * The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

This position is a hybrid of remote from home and field work. The candidate will need to reside in and travel throughout the North Sound region (Snohomish, Skagit, Whatcom, San Juan and Island counties). 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. Create an equitable work environment. About the Role This position works under the general direction of the Supervisor of Care Management and is responsible for the plan's regional field care management and coordination programs and processes. The Regional Field Case Manager will provide care management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness. The Regional Field Case Manager resides within the assigned region to effectively coordinate care between members, providers and community resources. This role also provides care management services for CHPW members with highly complex medical/behavioral and social conditions where advocacy and coordination are required. This role represents CHPW in the community to provide education on care management programs and provide in-person support for members. The Regional Field Case Manager coordinates with internal and external partners to support members, providers and initiatives in the assigned region. To be successful in this role, you: Possess a Bachelor's degree in nursing or a master's degree in social work and/or a related behavior health field (required). Have a current, unrestricted license in the state of Washington as a registered nurse (RN) (required) OR Have a current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required) OR Current, unrestricted license in the State of Washington as a Mental health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required) Have a minimum of one (1) year case management experience; home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR Have a minimum of one (1) year in an acute care, facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families. Have experience with those who have disabilities and knowledge of Child and Families Services. Have a minimum three (3) years of clinical experience and/or outpatient setting (required). Have a valid state issued drivers' license. Preferred Have a case management certification. Are bilingual. Have experience in managed care (Medicaid/HCA). Have previous experience in using Care Management software applications. Have knowledge of, and experience with, community resources. Experience in care management workflow systems Essential functions and Roles and Responsibilities: Engages with members, providers and agencies in the assigned region to support field care management services. Provides face-to-face visits to members where telephonic care management is a barrier, to foster effective participation in the care management program. Identify and partner with emergency response services or other programs in a community that support members who are high utilizers of medical/behavioral health services. Field case management can include meeting members in acute care, emergency room, adult family home, Inpatient behavioral health facilities, shelters, community health centers, members home or member preferred location. Assesses, evaluates, plans, implements, and documents the care of members within the organizations' clinical database system in accordance with organizational policies and procedures. Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided. Evaluates members' progress towards goals, identify potential barriers, assists members in navigating the healthcare system and expected outcomes in collaboration with member and the interdisciplinary care team. Works within the multi-interdisciplinary care team that collaborates with providers, members, 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. Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions. Represents CHPW Care Management Department in the community to provide education on care management programs and collaborate with providers and community partners. Leads regional based projects as assigned Participates in external care conferences and other d/c planning activities that may be needed to prevent a readmission as needed. Participates in clinical case review with internal interdisciplinary team at Care Management Rounds. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion. This position requires traveling on behalf of the Company and working in the field at least 50% of the time. It is essential that a current driver's license, proof of insurance and an acceptable driving record are maintained. Knowledge, Skills, and Abilities: Knowledge of regulatory and certification requirements and their impact on the organization such as CMS, HCA, HEDIS, CAHPS, and NCQA. Knowledge of and experience with community and other resources Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data Organizational, time management, and project management skills Ability to handle multiple priorities Ability to multi-task and deal with complex assignments on a frequent basis Proficiency and experience with Microsoft Office products Written and verbal communication skills; able to communicate with and collaborate effectively with internal departments, physicians and allied health care providers Ability to work independently Perform all functions of the job with accuracy, attention to detail and within established timeframes. Ability to maintain confidentiality Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn't perfectly check every box in the , we encourage you to apply anyway. As part of our hiring process, the following criteria must be met: Complete and successfully pass a criminal background check 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 Exempt and is not eligible for overtime and has a 10% 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*: Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: Extended periods of sitting, computer use, talking, and possibly standing Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion Mental: Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities. Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. *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. *The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

**A great opportunity to help military members and their families!** This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family. Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources. Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term. Non-medical Counseling topics are varied but often include the following issues: + Stress + Transition/Relocation + Grief and loss + Employment issues + Marital/couple conflict or communication + Parent-Child Relational Problems + Academic or Educational problems + Problems related to Primary Support The successful candidate will have demonstrated excellence with solution focused therapy with a passion to deliver a service experience that exceeds the participant's expectation. The team works in a fast-paced environment, on a queue, taking non-medical counseling calls in the moment, as well as through scheduled appointments. The team is staffed 24/7 in support of the schedules of miliary members around the world. This role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time. **Duties and Responsibilities:** + Provide participants with confidential, non-medical counseling services + Assess the participant's immediate risk and biopsychosocial needs + Provide appropriate referrals for resources and treatment + Use clinical expertise, professional judgment and best practices + Execute duty to warn/mandated reporting processes + Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process + Demonstrate the ability to be agile and flexible in work process. + Deliver excellent clinical judgment and interpersonal communication skills + Understand confidentiality and privacy regulations + Demonstrate excellent verbal and written communication + Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families. **Qualifications:** + Must be a U.S. Citizen + Master's degree or PhD from an accredited graduate program in a mental health related field such as social work, psychology, marriage/family therapy, or counseling + Current, valid, unrestricted counseling license in Virginia that grants the authority to provide counseling services as an independent practitioner in their respective fields. Multi-state licensure highly preferred. + Ability to meet the expectation to sit / apply for cross-licensure in additional state(s). Licensure costs will be fully covered by the company upon hire + Minimum 4 years post masters clinical experience as a mental health and/or substance use clinician with demonstrated understanding of multiple therapeutic modalities, including brief therapy. + Knowledge and experience with Employee Assistance Programs (CEAP certification optional) + Knowledge and experience in crisis management + Solid understanding of Z-codes + Proficient with multiple software and system applications. + Demonstrated ability to set priorities including, but not limited to time management and organizational skills + Ability to manage own caseload and coordinate all assigned cases + Passion for helping the military community + Understanding of military life and culture + After accepting an offer of employment, obtain and maintain a federal public trust clearance status with the US Government. The information that will be requested during the process can be reviewed on the U.S. General Services Administration website: SF85P QUESTIONNAIRE FOR PUBLIC TRUST POSITIONS. You do not need to complete this form or provide any information until after you have accepted an offer of employment. If you are provided an offer of employment and accept, you will need to provide the requested information on the public trust questionnaire directly to the government through a third-party collection agency. Since public trust clearance is a condition of employment, this means that if you are unable to obtain clearance or if you lose clearance, you will not be eligible to work in this position, and your offer may be rescinded or employment may be terminated. **REQUIRED WORK HOURS:** Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends and holiday time. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 65,600 - 109,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._

**A great opportunity to help military members and their families!** This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family. Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources. Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term. Non-medical Counseling topics are varied but often include the following issues: + Stress + Transition/Relocation + Grief and loss + Employment issues + Marital/couple conflict or communication + Parent-Child Relational Problems + Academic or Educational problems + Problems related to Primary Support The successful candidate will have demonstrated excellence with solution focused therapy with a passion to deliver a service experience that exceeds the participant's expectation. The team works in a fast-paced environment, on a queue, taking non-medical counseling calls in the moment, as well as through scheduled appointments. The team is staffed 24/7 in support of the schedules of miliary members around the world. This role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time. **Duties and Responsibilities:** + Provide participants with confidential, non-medical counseling services + Assess the participant's immediate risk and biopsychosocial needs + Provide appropriate referrals for resources and treatment + Use clinical expertise, professional judgment and best practices + Execute duty to warn/mandated reporting processes + Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process + Demonstrate the ability to be agile and flexible in work process. + Deliver excellent clinical judgment and interpersonal communication skills + Understand confidentiality and privacy regulations + Demonstrate excellent verbal and written communication + Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families. **Qualifications:** + Must be a U.S. Citizen + Master's degree or PhD from an accredited graduate program in a mental health related field such as social work, psychology, marriage/family therapy, or counseling + Current, valid, unrestricted counseling license in Georgia that grants the authority to provide counseling services as an independent practitioner in their respective fields. Multi-state licensure highly preferred. + Ability to meet the expectation to sit / apply for cross-licensure in additional state(s). Licensure costs will be fully covered by the company upon hire + Minimum 4 years post masters clinical experience as a mental health and/or substance use clinician with demonstrated understanding of multiple therapeutic modalities, including brief therapy. + Knowledge and experience with Employee Assistance Programs (CEAP certification optional) + Knowledge and experience in crisis management + Solid understanding of Z-codes + Proficient with multiple software and system applications. + Demonstrated ability to set priorities including, but not limited to time management and organizational skills + Ability to manage own caseload and coordinate all assigned cases + Passion for helping the military community + Understanding of military life and culture + After accepting an offer of employment, obtain and maintain a federal public trust clearance status with the US Government. The information that will be requested during the process can be reviewed on the U.S. General Services Administration website: SF85P QUESTIONNAIRE FOR PUBLIC TRUST POSITIONS. You do not need to complete this form or provide any information until after you have accepted an offer of employment. If you are provided an offer of employment and accept, you will need to provide the requested information on the public trust questionnaire directly to the government through a third-party collection agency. Since public trust clearance is a condition of employment, this means that if you are unable to obtain clearance or if you lose clearance, you will not be eligible to work in this position, and your offer may be rescinded or employment may be terminated. **REQUIRED WORK HOURS:** Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends and holiday time. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 65,600 - 109,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._

**A great opportunity to help military members and their families!** This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family. Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources. Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term. Non-medical Counseling topics are varied but often include the following issues: + Stress + Transition/Relocation + Grief and loss + Employment issues + Marital/couple conflict or communication + Parent-Child Relational Problems + Academic or Educational problems + Problems related to Primary Support The successful candidate will have demonstrated excellence with solution focused therapy with a passion to deliver a service experience that exceeds the participant's expectation. The team works in a fast-paced environment, on a queue, taking non-medical counseling calls in the moment, as well as through scheduled appointments. The team is staffed 24/7 in support of the schedules of miliary members around the world. This role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time. **Duties and Responsibilities:** + Provide participants with confidential, non-medical counseling services + Assess the participant's immediate risk and biopsychosocial needs + Provide appropriate referrals for resources and treatment + Use clinical expertise, professional judgment and best practices + Execute duty to warn/mandated reporting processes + Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process + Demonstrate the ability to be agile and flexible in work process. + Deliver excellent clinical judgment and interpersonal communication skills + Understand confidentiality and privacy regulations + Demonstrate excellent verbal and written communication + Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families. **Qualifications:** + Must be a U.S. Citizen + Master's degree or PhD from an accredited graduate program in a mental health related field such as social work, psychology, marriage/family therapy, or counseling + Current, valid, unrestricted counseling license in Maryland that grants the authority to provide counseling services as an independent practitioner in their respective fields. Multi-state licensure highly preferred. + Ability to meet the expectation to sit / apply for cross-licensure in additional state(s). Licensure costs will be fully covered by the company upon hire + Minimum 4 years post masters clinical experience as a mental health and/or substance use clinician with demonstrated understanding of multiple therapeutic modalities, including brief therapy. + Knowledge and experience with Employee Assistance Programs (CEAP certification optional) + Knowledge and experience in crisis management + Solid understanding of Z-codes + Proficient with multiple software and system applications. + Demonstrated ability to set priorities including, but not limited to time management and organizational skills + Ability to manage own caseload and coordinate all assigned cases + Passion for helping the military community + Understanding of military life and culture + After accepting an offer of employment, obtain and maintain a federal public trust clearance status with the US Government. The information that will be requested during the process can be reviewed on the U.S. General Services Administration website: SF85P QUESTIONNAIRE FOR PUBLIC TRUST POSITIONS. You do not need to complete this form or provide any information until after you have accepted an offer of employment. If you are provided an offer of employment and accept, you will need to provide the requested information on the public trust questionnaire directly to the government through a third-party collection agency. Since public trust clearance is a condition of employment, this means that if you are unable to obtain clearance or if you lose clearance, you will not be eligible to work in this position, and your offer may be rescinded or employment may be terminated. **REQUIRED WORK HOURS:** Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends and holiday time. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 65,600 - 109,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._

**A great opportunity to help military members and their families!** This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family. Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources. Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term. Non-medical Counseling topics are varied but often include the following issues: + Stress + Transition/Relocation + Grief and loss + Employment issues + Marital/couple conflict or communication + Parent-Child Relational Problems + Academic or Educational problems + Problems related to Primary Support The successful candidate will have demonstrated excellence with solution focused therapy with a passion to deliver a service experience that exceeds the participant's expectation. The team works in a fast-paced environment, on a queue, taking non-medical counseling calls in the moment, as well as through scheduled appointments. The team is staffed 24/7 in support of the schedules of miliary members around the world. This role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time. **Duties and Responsibilities:** + Provide participants with confidential, non-medical counseling services + Assess the participant's immediate risk and biopsychosocial needs + Provide appropriate referrals for resources and treatment + Use clinical expertise, professional judgment and best practices + Execute duty to warn/mandated reporting processes + Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process + Demonstrate the ability to be agile and flexible in work process. + Deliver excellent clinical judgment and interpersonal communication skills + Understand confidentiality and privacy regulations + Demonstrate excellent verbal and written communication + Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families. **Qualifications:** + Must be a U.S. Citizen + Master's degree or PhD from an accredited graduate program in a mental health related field such as social work, psychology, marriage/family therapy, or counseling + Current, valid, unrestricted counseling license in Washington that grants the authority to provide counseling services as an independent practitioner in their respective fields. Multi-state licensure highly preferred. + Ability to meet the expectation to sit / apply for cross-licensure in additional state(s). Licensure costs will be fully covered by the company upon hire + Minimum 4 years post masters clinical experience as a mental health and/or substance use clinician with demonstrated understanding of multiple therapeutic modalities, including brief therapy. + Knowledge and experience with Employee Assistance Programs (CEAP certification optional) + Knowledge and experience in crisis management + Solid understanding of Z-codes + Proficient with multiple software and system applications. + Demonstrated ability to set priorities including, but not limited to time management and organizational skills + Ability to manage own caseload and coordinate all assigned cases + Passion for helping the military community + Understanding of military life and culture After accepting an offer of employment, obtain and maintain a federal public trust clearance status with the US Government. The information that will be requested during the process can be reviewed on the U.S. General Services Administration website: SF85P QUESTIONNAIRE FOR PUBLIC TRUST POSITIONS. You do not need to complete this form or provide any information until after you have accepted an offer of employment. If you are provided an offer of employment and accept, you will need to provide the requested information on the public trust questionnaire directly to the government through a third-party collection agency. Since public trust clearance is a condition of employment, this means that if you are unable to obtain clearance or if you lose clearance, you will not be eligible to work in this position, and your offer may be rescinded or employment may be terminated. **REQUIRED WORK HOURS:** Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends and holiday time. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 65,600 - 109,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._

**A great opportunity to help military members and their families!** This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family. Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources. Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term. Non-medical Counseling topics are varied but often include the following issues: + Stress + Transition/Relocation + Grief and loss + Employment issues + Marital/couple conflict or communication + Parent-Child Relational Problems + Academic or Educational problems + Problems related to Primary Support The successful candidate will have demonstrated excellence with solution focused therapy with a passion to deliver a service experience that exceeds the participant's expectation. The team works in a fast-paced environment, on a queue, taking non-medical counseling calls in the moment, as well as through scheduled appointments. The team is staffed 24/7 in support of the schedules of miliary members around the world. This role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time. **Duties and Responsibilities:** + Provide participants with confidential, non-medical counseling services + Assess the participant's immediate risk and biopsychosocial needs + Provide appropriate referrals for resources and treatment + Use clinical expertise, professional judgment and best practices + Execute duty to warn/mandated reporting processes + Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process + Demonstrate the ability to be agile and flexible in work process. + Deliver excellent clinical judgment and interpersonal communication skills + Understand confidentiality and privacy regulations + Demonstrate excellent verbal and written communication + Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families. **Qualifications:** + Must be a U.S. Citizen + Master's degree or PhD from an accredited graduate program in a mental health related field such as social work, psychology, marriage/family therapy, or counseling + Current, valid, unrestricted counseling license in Colorado that grants the authority to provide counseling services as an independent practitioner in their respective fields. Multi-state licensure highly preferred. + Ability to meet the expectation to sit / apply for cross-licensure in additional state(s). Licensure costs will be fully covered by the company upon hire + Minimum 4 years post masters clinical experience as a mental health and/or substance use clinician with demonstrated understanding of multiple therapeutic modalities, including brief therapy. + Knowledge and experience with Employee Assistance Programs (CEAP certification optional) + Knowledge and experience in crisis management + Solid understanding of Z-codes + Proficient with multiple software and system applications. + Demonstrated ability to set priorities including, but not limited to time management and organizational skills + Ability to manage own caseload and coordinate all assigned cases + Passion for helping the military community + Understanding of military life and culture + After accepting an offer of employment, obtain and maintain a federal public trust clearance status with the US Government. The information that will be requested during the process can be reviewed on the U.S. General Services Administration website: SF85P QUESTIONNAIRE FOR PUBLIC TRUST POSITIONS. You do not need to complete this form or provide any information until after you have accepted an offer of employment. If you are provided an offer of employment and accept, you will need to provide the requested information on the public trust questionnaire directly to the government through a third-party collection agency. Since public trust clearance is a condition of employment, this means that if you are unable to obtain clearance or if you lose clearance, you will not be eligible to work in this position, and your offer may be rescinded or employment may be terminated. **REQUIRED WORK HOURS:** Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends and holiday time. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 65,600 - 109,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._

**A great opportunity to help military members and their families!** This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family. Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources. Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term. Non-medical Counseling topics are varied but often include the following issues: + Stress + Transition/Relocation + Grief and loss + Employment issues + Marital/couple conflict or communication + Parent-Child Relational Problems + Academic or Educational problems + Problems related to Primary Support The successful candidate will have demonstrated excellence with solution focused therapy with a passion to deliver a service experience that exceeds the participant's expectation. The team works in a fast-paced environment, on a queue, taking non-medical counseling calls in the moment, as well as through scheduled appointments. The team is staffed 24/7 in support of the schedules of miliary members around the world. This role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time. **Duties and Responsibilities:** + Provide participants with confidential, non-medical counseling services + Assess the participant's immediate risk and biopsychosocial needs + Provide appropriate referrals for resources and treatment + Use clinical expertise, professional judgment and best practices + Execute duty to warn/mandated reporting processes + Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process + Demonstrate the ability to be agile and flexible in work process. + Deliver excellent clinical judgment and interpersonal communication skills + Understand confidentiality and privacy regulations + Demonstrate excellent verbal and written communication + Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families. **Qualifications:** + Must be a U.S. Citizen + Master's degree or PhD from an accredited graduate program in a mental health related field such as social work, psychology, marriage/family therapy, or counseling + Current, valid, unrestricted counseling license/certification from a State, D.C., a U.S. Commonwealth, or a U.S. Territory that grants the authority to provide counseling services as an independent practitioner in their respective fields. Multi-state licensure highly preferred. + Ability to meet the expectation to sit / apply for cross-licensure in additional state(s). Licensure costs will be fully covered by the company upon hire + Minimum 4 years post masters clinical experience as a mental health and/or substance use clinician with demonstrated understanding of multiple therapeutic modalities, including brief therapy. + Knowledge and experience with Employee Assistance Programs (CEAP certification optional) + Knowledge and experience in crisis management + Solid understanding of Z-codes + Proficient with multiple software and system applications. + Demonstrated ability to set priorities including, but not limited to time management and organizational skills + Ability to manage own caseload and coordinate all assigned cases + Passion for helping the military community + Understanding of military life and culture + After accepting an offer of employment, obtain and maintain a federal public trust clearance status with the US Government. The information that will be requested during the process can be reviewed on the U.S. General Services Administration website: SF85P QUESTIONNAIRE FOR PUBLIC TRUST POSITIONS. You do not need to complete this form or provide any information until after you have accepted an offer of employment. If you are provided an offer of employment and accept, you will need to provide the requested information on the public trust questionnaire directly to the government through a third-party collection agency. Since public trust clearance is a condition of employment, this means that if you are unable to obtain clearance or if you lose clearance, you will not be eligible to work in this position, and your offer may be rescinded or employment may be terminated. **REQUIRED WORK HOURS:** Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends and holiday time. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 65,600 - 109,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._

**A great opportunity to help military members and their families!** This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family. Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources. Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term. Non-medical Counseling topics are varied but often include the following issues: + Stress + Transition/Relocation + Grief and loss + Employment issues + Marital/couple conflict or communication + Parent-Child Relational Problems + Academic or Educational problems + Problems related to Primary Support The successful candidate will have demonstrated excellence with solution focused therapy with a passion to deliver a service experience that exceeds the participant's expectation. The team works in a fast-paced environment, on a queue, taking non-medical counseling calls in the moment, as well as through scheduled appointments. The team is staffed 24/7 in support of the schedules of miliary members around the world. This role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time. **Duties and Responsibilities:** + Provide participants with confidential, non-medical counseling services + Assess the participant's immediate risk and biopsychosocial needs + Provide appropriate referrals for resources and treatment + Use clinical expertise, professional judgment and best practices + Execute duty to warn/mandated reporting processes + Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process + Demonstrate the ability to be agile and flexible in work process. + Deliver excellent clinical judgment and interpersonal communication skills + Understand confidentiality and privacy regulations + Demonstrate excellent verbal and written communication + Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families. **Qualifications:** + Must be a U.S. Citizen + Master's degree or PhD from an accredited graduate program in a mental health related field such as social work, psychology, marriage/family therapy, or counseling + Current, valid, unrestricted counseling license in South Carolina that grants the authority to provide counseling services as an independent practitioner in their respective fields. Multi-state licensure highly preferred. + Ability to meet the expectation to sit / apply for cross-licensure in additional state(s). Licensure costs will be fully covered by the company upon hire + Minimum 4 years post masters clinical experience as a mental health and/or substance use clinician with demonstrated understanding of multiple therapeutic modalities, including brief therapy. + Knowledge and experience with Employee Assistance Programs (CEAP certification optional) + Knowledge and experience in crisis management + Solid understanding of Z-codes + Proficient with multiple software and system applications. + Demonstrated ability to set priorities including, but not limited to time management and organizational skills + Ability to manage own caseload and coordinate all assigned cases + Passion for helping the military community + Understanding of military life and culture After accepting an offer of employment, obtain and maintain a federal public trust clearance status with the US Government. The information that will be requested during the process can be reviewed on the U.S. General Services Administration website: SF85P QUESTIONNAIRE FOR PUBLIC TRUST POSITIONS. You do not need to complete this form or provide any information until after you have accepted an offer of employment. If you are provided an offer of employment and accept, you will need to provide the requested information on the public trust questionnaire directly to the government through a third-party collection agency. Since public trust clearance is a condition of employment, this means that if you are unable to obtain clearance or if you lose clearance, you will not be eligible to work in this position, and your offer may be rescinded or employment may be terminated. **REQUIRED WORK HOURS:** Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends and holiday time. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 65,600 - 109,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._

A great opportunity to help military members and their families! This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family. Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources. Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term. Non-medical Counseling topics are varied but often include the following issues: Stress Transition/Relocation Grief and loss Employment issues Marital/couple conflict or communication Parent-Child Relational Problems Academic or Educational problems Problems related to Primary Support The successful candidate will have demonstrated excellence with solution focused therapy with a passion to deliver a service experience that exceeds the participant's expectation. The team works in a fast-paced environment, on a queue, taking non-medical counseling calls in the moment, as well as through scheduled appointments. The team is staffed 24/7 in support of the schedules of miliary members around the world. This role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time. Duties and Responsibilities: Provide participants with confidential, non-medical counseling services Assess the participant's immediate risk and biopsychosocial needs Provide appropriate referrals for resources and treatment Use clinical expertise, professional judgment and best practices Execute duty to warn/mandated reporting processes Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process Demonstrate the ability to be agile and flexible in work process. Deliver excellent clinical judgment and interpersonal communication skills Understand confidentiality and privacy regulations Demonstrate excellent verbal and written communication Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families. Qualifications: Must be a U.S. Citizen Master's degree or PhD from an accredited graduate program in a mental health related field such as social work, psychology, marriage/family therapy, or counseling Current, valid, unrestricted counseling license in North Carolina that grants the authority to provide counseling services as an independent practitioner in their respective fields. Multi-state licensure highly preferred. Ability to meet the expectation to sit / apply for cross-licensure in additional state(s). Licensure costs will be fully covered by the company upon hire Minimum 4 years post masters clinical experience as a mental health and/or substance use clinician with demonstrated understanding of multiple therapeutic modalities, including brief therapy. Knowledge and experience with Employee Assistance Programs (CEAP certification optional) Knowledge and experience in crisis management Solid understanding of Z-codes Proficient with multiple software and system applications. Demonstrated ability to set priorities including, but not limited to time management and organizational skills Ability to manage own caseload and coordinate all assigned cases Passion for helping the military community Understanding of military life and culture After accepting an offer of employment, obtain and maintain a federal public trust clearance status with the US Government. The information that will be requested during the process can be reviewed on the U.S. General Services Administration website: SF85P QUESTIONNAIRE FOR PUBLIC TRUST POSITIONS. You do not need to complete this form or provide any information until after you have accepted an offer of employment. If you are provided an offer of employment and accept, you will need to provide the requested information on the public trust questionnaire directly to the government through a third-party collection agency. Since public trust clearance is a condition of employment, this means that if you are unable to obtain clearance or if you lose clearance, you will not be eligible to work in this position, and your offer may be rescinded or employment may be terminated. REQUIRED WORK HOURS: Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends and holiday time. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 65,600 - 109,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

is available fully remote in 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. * Create an equitable work environment. About the Role The Level I Utilization Management Clinician performs utilization review for medical or behavioral health requests using utilization review criteria, technologies, and tools. Identifies, coordinates, and implements high quality, cost-effective alternatives when appropriate to the patient's condition. Supports physician decision-making, working collaboratively with all members of the health care team, the patient, the patient's family, co-workers, and internal and external customers to achieve optimal patient outcomes. Ensures members have timely access to care and supports during transitions between levels of care. Understands and effectively communicates requirements and follows Community Health Plan of Washington (CHPW) policies and procedures. To be successful in this role, you: * Have a bachelor's degree in a relevant field or an equivalent combination of education and highly relevant experience. * Have a current, unrestricted license as an RN or LPN. * Have at least two years clinical experience in either a physical health or behavioral health setting. * Have previous experience in Utilization Management and Managed Care, preferred. Essential functions and Roles and Responsibilities: * Conduct review of hospital notification or prior authorization care requests against established clinical guidelines and health plan policies. * Collaborate with facilities to perform discharge planning. * Provide coordination support to members transitioning between care settings or returning home from a hospitalization. Identifies member needs and provides support to ensure necessary services are available during the transition period. * Collaborates with providers, office staff, and Care Coordination team to assure coordination of care in a timely manner according to contractual and regulatory timeframes. * Identifies, coordinates, and ensures high quality care and appropriate care by focusing on supporting access to care and services across the continuum of care in accordance with the patient's medical needs. * Identify potentially unnecessary services and/or delivery settings and recommends appropriate alternatives. * Identifies and determines medical necessity of out of network (OON) requests for services. * Assures referrals are complete and enrollment/eligibility benefits verified, prior to authorizing care. * Delivers timely written notification to patient or family members and communicates with members of the health care team. * Prepare cases that do not meet medical necessity or criteria for medical director review. * Communicate effectively with medical director regarding identified variances within the case against criteria utilized for medical review. * Regularly communicates with the UM Manager, Medical Director, physician advisor/reviewer and primary care physician for support, problem resolution and notification of decertification and appeals. * Using established screening tools, identify candidates and recommend enrollment into care management and disease management programs. * Identify quality of care issues and report for investigation per CHPW's policy. * Participates as part of the care management team; works collaboratively with all department staff. * Reporting to work on time and for all scheduled shifts is essential to this position. * 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: * Ability to effectively manage and maintain quality standards for high volume of authorization. * Ability to work independently. * Effective written and verbal communication skills; able to communicate with and collaborate effectively with physicians and allied health care providers. * Knowledge in criteria set, including MCG, InterQual, ASAM, and LOCUS preferred. * Ability to multi-task and deal with complex assignments with competing priorities on a frequent basis. * Perform all functions of the job with accuracy, attention to detail and within established timeframes. * Effective analytical skills and the ability to interpret, evaluate and formulate action plans based upon data. * Experience in care management workflow systems. * Flexibility and willingness to work in a matrix-management environment. * Demonstrated organizational, time management, and project management skills. * Demonstrated proficiency and experience with Microsoft Office products. * Ability to present in a group setting. * Willingness to be part of a collaborative and dynamic clinical development team. * Collaborate with others in a respectful manner and ability to maintain confidentiality. Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn't perfectly check every box in the job description, we encourage you to apply anyway. As part of our hiring process, the following criteria must be met: * Complete and successfully pass a criminal background check. 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 10% 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*: * Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. 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. * Some kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching. Mental: * Ability to learn and prioritize multiple tasks at a given time and have the capability of handling demanding situations. Analytical/problem solving/critical thinking ability. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.

is available fully remote in 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. Create an equitable work environment. About the Role The Level I Utilization Management Clinician performs utilization review for medical or behavioral health requests using utilization review criteria, technologies, and tools. Identifies, coordinates, and implements high quality, cost-effective alternatives when appropriate to the patient's condition. Supports physician decision-making, working collaboratively with all members of the health care team, the patient, the patient's family, co-workers, and internal and external customers to achieve optimal patient outcomes. Ensures members have timely access to care and supports during transitions between levels of care. Understands and effectively communicates requirements and follows Community Health Plan of Washington (CHPW) policies and procedures. To be successful in this role, you: Have a bachelor's degree in a relevant field or an equivalent combination of education and highly relevant experience. Have a current, unrestricted license as an RN or LPN. Have at least two years clinical experience in either a physical health or behavioral health setting. Have previous experience in Utilization Management and Managed Care, preferred. Essential functions and Roles and Responsibilities: Conduct review of hospital notification or prior authorization care requests against established clinical guidelines and health plan policies. Collaborate with facilities to perform discharge planning. Provide coordination support to members transitioning between care settings or returning home from a hospitalization. Identifies member needs and provides support to ensure necessary services are available during the transition period. Collaborates with providers, office staff, and Care Coordination team to assure coordination of care in a timely manner according to contractual and regulatory timeframes. Identifies, coordinates, and ensures high quality care and appropriate care by focusing on supporting access to care and services across the continuum of care in accordance with the patient's medical needs. Identify potentially unnecessary services and/or delivery settings and recommends appropriate alternatives. Identifies and determines medical necessity of out of network (OON) requests for services. Assures referrals are complete and enrollment/eligibility benefits verified, prior to authorizing care. Delivers timely written notification to patient or family members and communicates with members of the health care team. Prepare cases that do not meet medical necessity or criteria for medical director review. Communicate effectively with medical director regarding identified variances within the case against criteria utilized for medical review. Regularly communicates with the UM Manager, Medical Director, physician advisor/reviewer and primary care physician for support, problem resolution and notification of decertification and appeals. Using established screening tools, identify candidates and recommend enrollment into care management and disease management programs. Identify quality of care issues and report for investigation per CHPW's policy. Participates as part of the care management team; works collaboratively with all department staff. Reporting to work on time and for all scheduled shifts is essential to this position. 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: Ability to effectively manage and maintain quality standards for high volume of authorization. Ability to work independently. Effective written and verbal communication skills; able to communicate with and collaborate effectively with physicians and allied health care providers. Knowledge in criteria set, including MCG, InterQual, ASAM, and LOCUS preferred. Ability to multi-task and deal with complex assignments with competing priorities on a frequent basis. Perform all functions of the job with accuracy, attention to detail and within established timeframes. Effective analytical skills and the ability to interpret, evaluate and formulate action plans based upon data. Experience in care management workflow systems. Flexibility and willingness to work in a matrix-management environment. Demonstrated organizational, time management, and project management skills. Demonstrated proficiency and experience with Microsoft Office products. Ability to present in a group setting. Willingness to be part of a collaborative and dynamic clinical development team. Collaborate with others in a respectful manner and ability to maintain confidentiality. Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn't perfectly check every box in the job description, we encourage you to apply anyway. As part of our hiring process, the following criteria must be met: Complete and successfully pass a criminal background check. 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 10% 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*: Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. 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. Some kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching. Mental: Ability to learn and prioritize multiple tasks at a given time and have the capability of handling demanding situations. Analytical/problem solving/critical thinking ability. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.