Insurance Case Manager Jobs in Seattle, WA (NOW HIRING)

Lifelong is a community health organization on a mission to make health and food accessible. We remove barriers to health with relentless compassion so that no one faces illness and injustice alone.
We lead with heart. Our respect for people drives our mission. For 40 years, Lifelong has fought health inequities so that everyone has the opportunity to thrive. Our comprehensive services include food and nutrition, healthcare navigation, aging and disability support, and connection to housing and other vital resources.
Position Overview:
Are you passionate about health equity? Do you have extensive case management experience and want to play an important role for improving health outcomes in your community? Has your social services experience been rooted in cultural sensitivity and relationship building?
If you are passionate about helping individuals in need and advocating for resources so they can live their best lives, then this may be a great opportunity for your next step in your career!
Case Managers are critical positions of our organization, working directly with individual clients to conduct electronic comprehensive client in-person assessments, complete follow-up site visits, and develop individual service plans designed to improve the quality of life for all clients served - older adults and adults with disabilities.
Aging and Disability Services (ADS) is a case management program and does not provide direct mental health or other medical counseling. The ADS program is contracted by DSHS to provide long-term case management to medically complex Medicaid clients in the East King County area. Case management includes a comprehensive in-home assessment, service planning, and follow-up to ensure our clients' needs are met.
The individuals we serve are often unable to access services on their own and have no one in their support system to help them understand and navigate how to obtain the services they need. Our clients are Medicaid beneficiaries that present with multiple medical and social needs. Through the ADS program, we can help these individuals access better care and improve their health outcomes.
This position is a combination of office work, field work, and working from home, with the expectation to be on-site in the Georgetown neighborhood of Seattle 2-3 days per week. This is a regular, full time, non-exempt, union position with a wage scale of $29.87/hr - $42.63/hr. Placement on the wage scale is determined by years of relevant experience, with the high end of the wage scale representing extensive, long-term careers in the social services industry.
Essential Duties:
• Conduct comprehensive assessments in client's home; gather and review medical information to include but not limited to diagnoses, medical conditions, medications, treatment(s), psych/social information, and assistance with activities of daily living (ADLs).
• Work with clients who are experiencing chronic, complex medical, and/or behavioral health issues.
• Manage approximately 75-90 client caseload; develop care plans and document client activities, contacts, and ensure accuracy of client record. Monitor cases on a continuous basis and work with interpreters as needed. Current hiring efforts are aimed at collaborating to reduce caseloads.
• Review financial eligibility, evaluate client assessment data with healthcare professionals, mental health providers, nursing staff, and others. Include professional staff in the development of the plan of care and modifying the plan as needed.
• Connect clients and caregivers to needed services, e.g., substance use treatment, mental health, and medical care.
• Assist with and/or arranging equipment or transportation.
• Advocate with agencies or persons to help clients receive appropriate benefits or services.
• Assist clients with recruiting, contracting, and termination of their individual personal providers and/or home care agency. Monitor individual provider and home care agency provider performance.
• Authorize and adjust payment for client-approved Medicaid-funded services or terminate in the State of Washington electronic records such as Comprehensive Assessment Reporting Evaluation (CARE) and ProviderOne.
• Assist clients enrolled in the DSHS New Freedom program with their budgets, spending plans, and payment authorizations with use of the web portal.
• Assist with placements in nursing, assisted living, and adult family homes, etc., assessments and/or termination planning. Close case management services when indicated.
• Provide witness testimony during client and independent provider client appeal process.
• Maintain work standards to ensure compliance with DSHS Quality Assurance and Health Insurance Portability and Accountability Act (HIPAA) expectations.
Core Competencies:
• Values racial equity and social justice advocacy, addressing systemic inequities that impact the clients and communities ADS serves.
• Possessing non-judgmental attitude, active listening, and critical thinking are essential.
• Value a relational work culture and individual differences. Respond with cultural sensitivity when serving clients, and work to build relationships to best serve, regardless of cultural background, age, gender, literacy skills level or disability.
• Passionate about helping individuals in need, advocating for resources so they can live their best lives and thrive.
• Enthusiastic lifelong learner who continuously strives to grow and develop. Whether attending training, receiving constructive feedback, or when differences in opinion occur, you embrace these experiences as learning opportunities and strive to develop your own professional competence.
• When faced with multiple competing demands, you possess the ability to triage and prioritize clients' needs and competing work assignments, so they are addressed in a timely manner.
• You are adaptive to change and skilled at crisis intervention, managing conflict, and problem-solving.
• When faced with challenging work, you possess the skill and ability to practice self-care to promote and maintain a healthy work-life balance to ensure optimal health and well-being.
Minimum Qualifications:

• Relevant professional experience providing social services to people experiencing high barriers to care.
• Valid driver's license and reliable transportation for on-site visits to clients, attend meetings, and attending trainings.
• Must meet one of the below education & experience combinations:
  • Master's degree + social service experience
  • Bachelor's in social services or behavioral/health sciences + 1 year of related experience
  • Any Bachelor's degree + 2 years of related experience
  • High school diploma/GED + bilingual + 3 years of related experience
  • High school diploma/GED + 4 years of related experience
  • Associate's degree or college coursework + 2 years of experience with DSHS systems (e.g., CARE, Barcode)

Benefits:

• Comprehensive medical, dental, and vision benefits
• Generous vacation (3 weeks your first year), sick leave, and 2 personal days a year
• 401(k) match
• Flexible spending accounts
• Life insurance options
• Long term disability
• Mass transit subsidy
• 15 paid holidays per yea

Work Environment:

• This position requires regular work at a desk and on a computer, combined with frequent interaction with clients both on-site and in the community. The role may involve travel to client homes, partner agencies, or community locations, which can include exposure to a variety of environmental conditions. Employees must be able to sit, stand, walk, bend, and reach as needed, and occasionally lift up to 20 pounds to transport materials or supplies. Work may occur in office, residential, or community settings, and may occasionally involve outdoor conditions or environments with moderate noise.
• All positions that involve in person work with clients are required to undergo a TB test within 30 days of starting employment and annually, or as required by program.
• Any offer of employment is contingent upon passing a criminal background check. Some programs may require additional background checks or frequency.

About Lifelong:
Lifelong is a community health organization committed to removing barriers to health with relentless compassion so that no one faces illness and injustice alone.
We lead with heart. Our respect for people drives our mission. For 40 years, Lifelong has fought health inequities so that everyone can have the opportunity to thrive. Our comprehensive services include food and nutrition, healthcare navigation, aging and disability support, and connection to housing and other vital resources.
We are looking for passionate, dedicated people to join our talented team and make real, meaningful changes in the daily lives of those living with chronic and life-threatening illnesses in their community. Lifelong offers exceptional benefits, including paid time off, medical and dental coverage in addition to a balanced work-life integration.
Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Lifelong, we are dedicated to building a diverse, equitable, inclusive and authentic workplace, so if you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.
EEO Statement:
Lifelong is committed to creating an accessible, supportive environment and experience that recognizes diversity and cultural competence as integral components of what we do.
We are an Equal Employment Opportunity Employer and as such, we do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
DISCLAIMER: INTENT AND FUNCTION OF JOB DESCRIPTIONS
Job descriptions are not intended as and do not create employment contracts. The organization maintains its status as an at-will employer. Employees can be terminated for any reason not prohibited by law.
Job descriptions assist organizations in ensuring that the hiring process is fairly administered and that qualified employees are selected. They are an integral part of a compensation system, effective performance review system, related promotion, transfer, layoff, etc. decisions.
All descriptions have been reviewed to illustrate the job functions and basic duties, in addition to peripheral tasks or that could generally be considered as other duties as assigned. In no instance, however, should the duties, responsibilities and requirements be interpreted as all-inclusive. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Requirements, skills and abilities included have been determined to illustrate the minimal standards required to successfully perform the positions.