Care Coordination Program Manager

Colorado Access•Denver, CO

1d•$72,500 - $85,600•Hybrid

About The Position

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, 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 Coordination Program Manager who can help shape our vision and support our mission. Here is what the position will look like.

Requirements

Bachelor’s degree in healthcare related field required; Master’s degree in human behavioral sciences/healthcare field preferred.
Three years of healthcare experience with in-depth knowledge of human service systems working with Medicaid populations including social determinants of health, assessments, care planning, care coordination and monitoring services for members preferred.
Proven ability to implement strategic programming, build and maintain working relationships with internal and external stakeholders including providers, community agencies, state and local government.
Demonstrates support for the company’s mission, vision, and values.
Position requires excellent verbal, written and interpersonal communication skills, including meeting facilitation.
Excellent collaboration skills, strong working relations and direct communication with both internal and external customers, including prompt responsiveness to our community partners.
Excellent organization and time management skills with ability to manage changing priorities.
Ability to manage complex assignments and responsibilities and collaborate with other staff to meet deadlines.
Must be a motivated self-starter and self-learner.
Skills in Microsoft Word, PowerPoint and Excel.
May be required to manage multiple priorities and projects with tight deadlines.
A valid driver's license and proof of current auto insurance will be required for any position requiring driving.

Responsibilities

Builds and maintains relations with medical and social organizations such as hospitals, medical, behavioral health and specialty providers, community-based organizations, county government programs, school districts, Case Management Agencies (CMA’s), HCPF, and local Department of Human Services.
Proactively partners with key stakeholders to support resolution of outstanding members or care team needs.
Leverages subject matter expertise to implement and adjust Care Coordination programs to ensure contract and deliverable success for Creative/Complex Services Solutions, Colorado System of Care (CO-SOC), high acuity youth including Children and Youth with Special Healthcare Needs, high acuity adult populations, and other identified member populations.
Responsible for contributing to HCPF contract deliverables which require collecting, editing, analyzing, and sending information to report owners and/or to HCPF directly. This specific program manager provides HCPF with status updates of high acuity members experiencing barriers to treatment, discharge, or finding appropriate care.
Responsible for managing the Enhanced Standardized Assessment (ESA) process internally, which requires receiving, reviewing, responding to and processing ESA requests. Additionally, this program manager will identify an in-network provider to accept the ESA. This program manager will also be responsible for tracking timeliness standards, making notifications as needed when a timeliness standard is at risk of being missed, and supporting the process to request an extension as needed. This program manager will also receive the completed ESA and route appropriately both internally and externally. This program manager will enter data as required by HCPF for tracking ESA and other identified CO-SOC metrics.
Effectively tracks, collates, analyzes qualitative and quantitative data, and provides reports to the executive leadership team and other key stakeholders to support care coordination program metrics and department performance.
Provides organizational contributions to key Care Coordination initiatives and programs.
Develops best practices in member referral and coordination between medical/non-medical organizations and COA. This includes developing external facing training and materials to enhance referral and coordination practices.
Develops and authors compelling and accurate written material and administrative processes including workflows, one-pagers, templates, and additional documentation for complex member programs and provides ongoing administrative support, including meeting facilitation, for members experiencing complex behavioral and complex medical needs.
Serves as the liaison and key point of contact for HCPF, state agencies, and interdisciplinary care team partnerships to ensure consistency, quality, and risk management
Acts as internal and external subject matter expert in scope of healthcare and social service delivery systems, policies impacting members, and procedures for complex youth and adults, and other identified member populations.
Demonstrates organization and professional communication to ensure program and department success. Represent COA and the Care Coordination Department in high level meetings.
Supports interdisciplinary discussion, problem-solving, and goals of care identification for teams supporting members with complex medical needs from a holistic point of view (including behavioral health, physical health, co-occurring disorders, and social determinants of health).
Establishes professional and member focused collaboration, communication, and coordination among all responsible parties of the member’s care team.
Communicates program/member progress and barriers with Manager.
Meets performance, quality, customer service, and coordination standards assigned by the department management team.

Benefits

We offer PTO, floating holidays, nine company paid holidays, a hybrid work environment, an Employee Assistance Program and a 401K.
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).