Job Description

Job Description

Job Description

Who we are: Our commitment is to:

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.

• Strive to apply an equity
  lens to all our work.
• Reduce health disparities.
• Create an equitable
  work environment.

About the Role

Works with and supports members with various chronic conditions in achieving an optimal state of health. The Health Coach will assist, promote and support self-management goals and interventions by providing support, education, and coaching to members with chronic conditions, and collaborating with the member, providers, and internal team members.

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, required.
• Possess a current, unrestricted license in the state of Washington as an LPN, RN, RD, or other relevant licensure preferred.
• Possess a relevant certification, including Health Coach, or Certified Diabetes Care and Education Specialist (CDCES), preferred.
• Have a minimum of two (2) years experience in disease management, diabetes education, or health coaching, preferred.
• Previous experience in Managed Care, Medicare, and/or Medicaid, preferred.
• Experience with Motivational Interviewing, preferred.

Essential functions and Roles and Responsibilities:

• Provide disease specific care management interventions to promote self- management education and coaching to members enrolled in Diabetes Management programs.
• Responsible for the assessment of members, including identifying and coordinating access to the appropriate providers, level of care, and treatment. Uses the assessment information to triage and assign the appropriate risk and complexity level, and create and measurable plan of care, in coordination with the member and their health care team.
• Document all member goals, clinical data, outcomes, interactions, assessments, care plans, interventions, and related administrative details in the organization’s clinical database system in accordance with organizational policies and procedures.
• Assesses barriers to care and assist members and health care team to address concerns.
• Collaborate with members and the multidisciplinary team to develop and implement individualized plans of care that consider physical, behavioral, cultural, psychosocial, spiritual, age-specific, and educational needs; coordinate and communicate care activities to ensure continuity, engage community resources and DME as appropriate, and advocate for members to support their goals and promote optimal functioning.
• Assess, identify, and implement interventions to meet HEDIS measures
• 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.
• Assist in updating policies, procedures, workflows, educational materials, and digital content, and contributes to department projects.
• Provide education for the community through health fairs, speaking at local organizations, collaboration with external stakeholders, and collaboration with internal stakeholders through websites and social media platforms, and seminars
• 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:

• Knowledge of nutrition, exercise, and disease management.
• Knowledge of HEDIS measures.
• Ability to build trust with members and assist them in developing positive behavioral lifestyles to improve their health.
• Skilled in motivational coaching.
• Effective written and verbal communication skills.
• Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data.
• Skilled in planning and goal setting.
• Effective active listening and empathy skills.
• Ability to handle multiple priorities.
• Proficient in Microsoft Office. Able to perform all functions of the job with accuracy, attention to detail and within established timeframes

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. Based on market data, this position grade is 45 and has a 5% annual incentive target based on company, department, and individual performance goals. Salary determined at offer will be based on labor market data and a candidate's years of relevant work experience and skills relevant to the position.

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 pay.

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 :

• Frequent decision-making. Ability to gather and assess data, determine appropriate actions, apply protocols and knowledge to unique situations, problem-solve and provide consultation.

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.

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