Under the supervision of the Supervisor of Care Management, the Care Manager I is responsible for completing the appropriate level care management activities for Colorado Access members. Care management activities will include but will not be limited to completing assessments, determining eligibility, monitoring provider services, coordinating services, developing care plans, delivering care management interventions, appropriate follow up activities and completing all documentation in the expected time frame. The Care Manager I will apply appropriate criteria, guidelines, regulations specific to the level of care and services required to meet the member/family goals and the organizational/contractual requirements. Care management functions may be performed for members in a variety of settings including telephonic, in-person or in the community setting.
Education: Bachelor’s degree in human behavioral sciences field.
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.
Colorado Access is a local, nonprofit health care company, and we've been caring for the health of Coloradans for more than 20 years.
As the regional organization for two regions in Colorado, our goal remains the same as it’s been for more than two decades: to partner with communities and empower people through access to quality, affordable care. We are transforming Colorado’s health care system by harnessing local innovation and local solutions into a truly integrated delivery system, which will improve individual and community health outcomes and make our health care system more efficient.
The Child Health Plan Plus (CHP+) program provides low-cost health insurance benefits to children whose families earn too much to qualify for Health First Colorado (Colorado’s Medicaid Program) but not enough to pay for private insurance. As the largest CHP+ HMO in the state, we are proud to offer the largest CHP+ provider network. Additionally, we’ve administered the CHP+ State Managed Care Network for a decade, ensuring new CHP+ enrollees are covered until they select their HMO plan.
We connect people with long-term care services and supports, offering a one-stop guide to living an indep...endent life at home, especially for those living with chronic illnesses, disabilities or challenges. Once someone is eligible, we provide personalized care management and coordination of long term services and supports designed to keep people connected with programs that help them live healthier and more independent lives.