Managed Care Services are the future of Community Health Plan of Washington.
We're bringing our managed care services in house so we can provide members who have complicated or chronic issues with effective, personalized care plans. We are building our internal team from the ground up to become a model of managed care services.
Our care management process is strategic, local, and effective.
Our Care Management team is dedicated to identifying risks, needs, and goals to develop action plans and provide exceptional levels of care. We offer a robust approach to evaluating the effectiveness of care members receive. We determine care management plans using clinical and evidence-based guidelines.
We monitor the care management process with care-usage reviews as well as analysis that identifies potential for care coordination, disease management, and members who may be at risk for improper use of care resources.
We emphasize individualized care plans that address the unique needs of each member and empower them to take control of their own health whenever possible. As a Washington-exclusive health plan with deep ties to the communities we serve, we plan to deploy our programs locally through our partner Community Health Centers, community-based organizations, and network providers.
Through strategic resource management and streamlined communication between service providers, we will be able to improve health outcomes, lower the rates of readmission, lower the cost of care to our members, and improve survival rates.
Are you ready to join the team? Apply now.