Case Manager II

Job Details

Job Location:

Main Office
- Denver, CO 80231

Position Type:
Full Time

Education Level: 4 Year Degree

Salary Range: $22.07 - $25.31 Hourly

You will have the opportunity to contribute to an organization that is dedicated to embracing the power of community to support individuals and families in creating their future.

• Employer paid medical options, dental, and vision benefits
• Generous paid time off such as vacation, sick, personal, and holidays
• Life and disability insurance
• Tuition reimbursement (full-time employees only)
• Mileage reimbursement
• 403(B) with company match
• Employee assistance program

Case managers serve as the main contact for members receiving Long Term Services and Supports through Medicaid or State Funded programs. The case manager provides specialized, initial and ongoing case management by monitoring services, having communication with members and providers, and coordinating resources and requests as needed. Case managers serve as the experts in eligibility assessments, service plans, and prior authorization requests (PARs).

• Intake: The Intake Case Manager helps individuals and members get started with services by completing the initial functional assessment. This is the first eligibility step to see if a person qualifies for long term services and supports. This position helps the member understand the process and steps needed to qualify for services and communicates outcomes related to eligibility. The intake case manager assists the member to determine the best services to meet their individual needs.
  
  Intake case management teams include a hospital team, nursing facility team, PACE team, community adult teams for both I/DD and non-IDD, and children's team.
• Non IDD: The non-IDD Case Manager provides ongoing care coordination for members with non-intellectual and developmental disabilities enrolled in Home and Community Based Services (HCBS) waivers, including HCBS-EBD, HCBS-CMHS, HCBS-BI, and HCBS-CIH along with members enrolled in CFC. This position conducts in-person home visits, manages care plans, and coordinates services to support members in safely remaining in their homes and communities.
  
  The non-IDD Case Manager collaborates with internal teams and external partners to ensure comprehensive, member-centered care and effective service delivery.
• IDD: The IDD Case Manager provides ongoing care coordination for members with intellectual and developmental disabilities enrolled in HCBS, SLS, and DD waivers as well as state funding programs and members enrolled in CFC. This position conducts in-person home visits, manages care plans, and coordinates services to support members in safely remaining in community-based living settings. The IDD Case Manager collaborates with internal teams and external partners to ensure comprehensive, member-centered care and effective service delivery.
• Children’s: The Children’s IDD Case Manager provides ongoing care coordination for members ages birth through age 20 with both intellectual and developmental disabilities and delays as well as non-intellectual and developmental disabilities and delays who are enrolled in Home and Community Based Services (HCBS) waivers, including HCBS-CES, HCBS-CHRP and HCBS-CwCHN along with members enrolled in CFC. This position conducts in-person home visits, manage care plans, and coordinate services to support members in safely remaining in community-based living settings.
  
  The Children’s Case Manager collaborates with internal teams and external partners to ensure comprehensive, member-centered care and effective service delivery.
• Family Support Services Program (FSSP): The Family Support Services Program (FSSP) Case Manager…