Health Underwriter jobs in Spokane, WA

Come work for Marimn Health - voted one of the Best Places to Work in the Inland Northwest in 2018, 2019, 2020, 2021 AND 2022 and Modern Healthcare's Family Friendliest Employer in 2020

Fantastic benefits, flexible schedules, paid holidays and ability to choose vacation times

Your employer paid benefits include:

• Medical, Dental, Prescription, and Vision for employee and all legal dependents.
• 401(k) plan with 5% employer match after 1 year of employment.
• Employer paid life insurance.
• Short and long term disability.
• Generous PTO with the ability to earn additional personal days.

Please note that this position is in Plummer, ID. Carpool opportunities are available.

QUALIFICATIONS: A non-exempt position serving Indian and non-Indian patients/clientele. This position will provide Case Management services for adults and adolescents who are engaged in Behavioral Health Services with Marimn Health. Behavioral Health Case Management is a collaborative process that assesses, plans, links, coordinates, and monitors services that address a patient's needs. Bachelor's degree in a Human Service field required. Preference to individuals with 12 months experience providing case management services. Prior experience working in a tribal setting preferred. Valid driver's license and evidence of insurability as well as three-year motor vehicle report required. Clearance from Idaho Department of Health and Welfare Background check required.

ADA ESSENTIAL FUNCTIONS:

• Hearing within normal limits with or without use of corrective hearing devices.
• Vision: adequate to read 12-point type with or without use of corrective lenses.
• Must be able to verbally interact with staff, patients, and the public.
• Manual dexterity of hands/fingers for writing, computer input.
• Able to lift up to 40 lbs.
• Sitting 25 to 75% of the day.
• Standing/walking 25% of the day.
• Pushing up to 30 lbs.
• Pulling up to 20 lbs.

RESPONSIBILITIES:

• Maintains a positive peer relationship and performs as a team player.
• Plans and prioritizes to maintain a time and attendance record which complies with Marimn Health policy.
• Provides excellent internal and external customer service assistance, providing knowledgeable and appropriate information to customers.
• Works independently in a detail-oriented manner and meets deadlines.
• Employee reports to work in a timely manner.
• Employee utilizes breaks and meal periods to care for personal business outside of the work area.
• Employee completes work assignments in a timely manner and appropriately exits the work area in a timely manner.
• Employee appropriately utilizes Time and Attendance for clocking in and out and schedules absences in advance when possible.
• Employee is available for scheduled work shifts regularly and communicates absence to supervisor in a timely manner.
• Helps the patient to understand, gain, and maintain access to services and providers.
• Serves as a care navigator for patients and promotes integrated services, linking SUD serving providers, Treatment centers, Wellbriety, systems and programs.
• Utilize Case Management service plan in conjunction with the Patient and the Patient's treatment team. The Case Management service plan includes identification of Patient's strengths, specific/measurable goals for identified needs, and activities that will support the Patient in meeting their individual case management goals.
• Updates Case Management service plan at least every 90 days including an ongoing assessment of the Patient's capacity to independently access services. Updates to the Case Management service plan should include documentation of what the patient has been able to accomplish with Case Management
• Works with the SUD provider to develop an outcome-focused, strengths-based person-centered plan that includes both formal and informal services and supports.
• Monitors to ensure that outcomes of services and activities are progressing appropriately by evaluating the goals and interventions.
• Documents the recommendations and updates in NextGen for treatment team access.
• Will alert SUD provider for need of crisis/safety and transition plan.
• Maintains contact with the patient at least every 30 days.
• Attempts to re-engage patients who are out of contact (i.e. documents attempts to contact, creates a plan for re-establishing contact, etc.)
• Obtain and record patient's progress using established documentation procedures. Report concerns promptly to supervisors. Advocates for patients in a manner supported by treatment plan.
• Gathers and reviews patient information at each patient encounter.
• Assists patients with verifying insurance eligibility for covered services.
• Coordinates and documents in-patient referral process and assists patients to complete admission requirements. Monitors progress in treatment and informs Providers of progress.
• Tracks adult and adolescent in-patient referrals.
• Maintains current knowledge of in-patient treatment facilities admission requirements.
• Assists with identification and coordination of transportation and utilizes knowledge of locally available public transportation resources. May provide transportation to the bus station or airport if other resources are not available.
• Consistently communicates with patients.(i.e. answers and returns patient telephone calls in a timely manner and updates voicemail and email "out of office" messages with re-direction to appropriate resources and staff patients).
• Assists patient with completing intake/discharge documentation as needed.
• Assist with maintaining patient files, monitoring for attendance, and closing files.
• Actively participates in clinical supervision with Marimn Health Clinical Staff and Consulting Physician(s) by progressing towards individual plans; staffing cases appropriately and maintaining compliance with departmental protocol.
• Engages in case management staffing to represent and support patient needs appropriately.
• Utilizes Marimn Health documentation standards and protocols appropriately and timely to ensure communication of progress and plan with other health care providers.
• Engages case management model appropriately with patients in all settings.
• Participates as a team player of the Behavioral Health Department and attends meetings/committees as designated.
• Participates actively in peer review and audits.
• Maintains current knowledge in ASAM criteria for treatment as well as any other applicable tools identified and utilized in clinical judgment.
• Maintains basic knowledge of mental health issues and diagnosis which are prevalent within the community and patient caseload to appropriately coordinate care in dual diagnosis team setting.
• Actively participates in Quality Improvement (QI) activities related to patient care and is knowledgeable of QI activities related to the departmental goals and objectives.
• Consults with Marimn Health departments regarding staff development. Develops and facilitates staff workshops.
• Presents workshops for patients in multi-disciplinary programs.
• Performs other duties as assigned.

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