Care Management Coordinator

The vision of Colorado Access is to have healthy communities transformed by the care that people want at a cost we can all afford. Our mission is to partner with communities and empower people through access to quality, affordable care.

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, seven company paid holidays, work from home options (exceptions apply), 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 Management Coordinator

who can help shape our vision and support our mission. Here is what the day-to-day functions will look like:
Manages inbound and outbound calls demonstrating a customer-focused philosophy for all customers including, but not limited to, providers, members, potential members, state agencies and other internal and external customers.
Screens potential clients to determine the appropriateness of and eligibility for services and assists clients in making informed choices regarding care management.
Explains and discusses the role of the care manager program parameters, and client rights and responsibilities to proceed with the structured assessment process.
Establishes effective collaboration, communication, and coordination among all responsible parties of an individual's interdisciplinary health care team.
Utilizes resource materials, policies and procedures, handouts, databases, and training opportunities to provide information, identification and enrollment to providers (primary care and specialty) education, and referrals for all members.
Communicates with clients utilizing person centered thinking and language through all aspects of care coordination.
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.
Assists clients and providers in understanding the complaint, grievance, and appeal process.
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: High school diploma or equivalent required. Associates degree in health, social services or additional college courses preferred.

Experience: Customer service or call center experience within the healthcare industry preferred.

Knowledge, Skills, and Abilities: Ability to work within a call center environment and answer inquiries in a professional manner. Knowledge of local health and community agencies, systems of care, health insurance, supplemental insurance, and long-term care insurance preferred. Demonstrates support for the company's mission, vision and values. Position requires strong written and verbal communication skills, organizational and time management skills and ability to handle multiple priorities. Must have strong computer skills, ability to work with Microsoft Office products and navigate multiple databases and electronic records. Requires the ability to use the complaint, grievance and appeal process and procedures to facilitate quality outcomes and or resolutions for the benefit of the members, providers and Colorado Access. 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 $ 50,000.00

to $ 54,000.00

and is a non-exempt/hourly position. The pay rate/salary is commensurate with experience.

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 an offsite model work environment. Approximately 80%-100% offsite, not at the office.

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.

Colorado Access is committed to providing equal opportunities to all people regardless of race, color, national origin, age, sex, genetic information, religion, pregnancy, disability, sexual orientation, veteran status or any other status protected by applicable law. We strive to maintain a work environment that is free from unlawful harassment and discrimination.

Other details

Job Function Staff
Pay Type Hourly
Min Hiring Rate $50,000.00
Max Hiring Rate $54,000.00

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