What are the responsibilities and job description for the Care Manager I position at Colorado Access?
Why should you consider a career with Colorado Access?
We are a Colorado-based company, working to improve the health of our state. We care for individuals, families, and children who receive health care under Child Health Plan Plus (CHP ) and Health First Colorado (Colorado's Medicaid Program). Our focus is driving improvements in quality, member experience, outcomes, and cost. We are a mission-driven organization whose foundation is built by our vision, supported by our values and pillared by diversity, equity and inclusion.
Find work/life balance: We offer PTO, floating holidays, nine company paid holidays, a hybrid work environment, an Employee Assistance Program and a 401K.
Be a part of something bigger and make an impact: We serve the underserved and most vulnerable populations in our community through access to quality and affordable health care. No matter what you do for Colorado Access, you are impacting our community and making a difference.
Sharpen your skills, learn, and grow: We support your continued development through tuition reimbursement, leadership training, promotion opportunities, performance evaluations, employee recognition, and a language pay stipend.
What you will do:
We are looking for a CARE MANAGER I who can help shape our vision and support our mission. Here is what the day-to-day functions will look like:
Completes mandatory and needs based health assessments to identify member strengths, needs, concerns and preferences through interviewing, observing, and utilization of standardized tools.
Establishes person centered goals and a plan of care with the client and their natural supports/family members.
Provides care coordination services and interventions by referring, educating, negotiating, and mediating with the member and external providers of member services.
Educates members regarding various state plan benefits, programs, options and services.
Monitors member status and satisfaction with services and makes adjustments to care plan as needed.
Monitors the ongoing provision of and need for care by assessing the delivery and quality of services and interventions provided by external providers.
Establishes professional and effective collaboration, communication, and coordination among all responsible parties of an individual member’s interdisciplinary health care team.
As needed, attends member focused meetings (internal/external) to facilitate changes in services or collaborate in care.
Maintains knowledge of regulations, policies, and procedures regarding current public assistance programs.
Assists members and providers in understanding the complaint, grievance and appeal process.
Responsible for accurate and timely completion of all forms, reports, and documentation of care management activities.
Maintains professional and ethical manner with all interactions and meets performance, quality, customer service, and coordination standards as assigned by the department management team.
Participates in training and staff development opportunities. Actively participates in team meetings and communicates progress and barriers with Coordinator Supervisor and/or Department Manager.
What you will bring:
Education: Bachelor’s degree in human behavioral sciences field. A Combination of education and experience can be substituted for the degree with a preferred 8 years progressive experience in healthcare.
Experience: Prior care management experience preferred.
Knowledge, Skills, and Abilities: Ability to process high volume of work efficiently with a high level of customer service detail. Knowledge of and ability to relate to populations served by the programs for which we work, client interviewing and assessment skills, knowledge of policies and procedures regarding public assistance programs, ability to develop care plans and service agreements, knowledge of resources, and negotiation, intervention, and interpersonal communication skills. Demonstrates support for the company’s mission, vision and values. Position requires excellent written and verbal communication skills, strong organizational and time management skills, strong interpersonal skills and the ability to handle multiple priorities. Ability to work independently outside of office setting and conducting face to face assessment visits. Must have general computer skills and ability to work with Microsoft Office products. Requires the ability to use the complaint, grievance and appeals process and procedures to facilitate quality outcomes and/or resolutions for members. May be required to manage multiple priorities and projects with tight deadlines.
Licenses/Certifications: A valid driver's license and proof of current auto insurance will be required for any position requiring driving.
Together we will be: an innovative and collaborative team who supports each other, the employees and vision of the company to reach our goals individually, together and as an organization.
Pay, Perks and Benefits at Colorado Access:
The compensation for this position is $60,000.00 - $71,220.00 annually, and is a non-exempt (hourly) position. Colorado Access has provided a compensation range that represents its good faith estimate of what Colorado Access may pay for the position at the time of posting. Colorado Access may ultimately pay more or less than the posted compensation range. The salary offered to the selected candidate will be determined based on factors such as the qualifications of the selected candidate, departmental budget availability, internal salary equity considerations, and available market information, but not based on a candidate’s sex or any other protected status.
In addition to being part of a mission driven organization serving our community, as an eligible Colorado Access employee, you’ll receive a generous benefits package, that includes:
Medical, dental, vision insurance that starts the first day of the month following start date.
Supplemental insurance such as critical illness and accidental injury.
Health care and dependent care flexible spending account options.
Employer-paid basic life insurance and AD&D (employee, spouse and dependent).
Short-term and long-term disability coverage.
Voluntary life insurance (employee, spouse, dependent).
Paid time off
Retirement plan
Tuition reimbursement (based on eligibility).
Annual bonus program (based on eligibility, requirements and performance).
Where you will work: This position will be a hybrid model work environment, a blend of ‘In-Office’ and ‘Remote.’
We are not able to support out of state employees at this time as we continue to serve our members and community in the metro Denver area and across the beautiful state of Colorado.
Salary : $60,000 - $71,220
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