Care Plan Coordinator

Care Synergy•Aurora, CO

11h•Onsite

About The Position

Colorado PACE has an immediate opening for a Care Plan Coordinator. This role is part-time, 24-28 hours per week, Monday-Friday, located in Aurora, CO. The Care Plan Coordinator is responsible for managing the schedule, logistics, and documentation for all initial assessments, periodic reassessments, and annual care plan reviews by the Interdisciplinary Team (IDT). Key aspects include accurately documenting IDT consensus, goals, and prescribed services in the electronic health record (EHR), ensuring compliance with CMS and HCPF standards, and monitoring the provision of care. The coordinator acts as a primary administrative point of contact for IDT members regarding care plan implementation and changes, communicates plans to relevant staff and providers, and ensures participant involvement in care plan development. They also collaborate with the IDT to identify triggers for care plan revisions, maintain data integrity in the EHR, and assist with generating reports for Quality Improvement initiatives. The role requires a strong working knowledge of PACE model requirements and CMS regulations.

Requirements

Minimum Education: Associate's degree in healthcare, administration, or a related field required.
Minimum Experience: One or more years of experience in care coordination, case management, or a highly administrative role within a healthcare setting.
Required License: Valid Colorado Driver’s License and proof of auto insurance.
Strong working knowledge of PACE model requirements, CMS regulations (42 CFR Part 460), and state-specific regulations for Colorado (10 CCR 2505-10 8.497).
High proficiency in electronic health records (EHR) systems and Microsoft Office Suite (Word, Excel, Outlook).
Exceptional ability to manage complex schedules, track multiple timelines, and ensure accurate, detailed documentation.
Excellent verbal and written communication skills for effective collaboration with the IDT members and compassionate interaction with participants.

Nice To Haves

LPN/Bachelors degree preferred.
Experience in PACE, managed care, home health or long-term care preferred.

Responsibilities

IDT Meeting Coordination: Manages the schedule, logistics, and documentation for all initial assessments, periodic reassessments (at least every 180 days, changes in services, or as participant condition requires), and annual care plan reviews of participants by the IDT.
Documentation: Accurately documents the IDT consensus, goals, and prescribed services into the participant's electronic health record (EHR), ensuring the final care plan is approved and signed by the appropriate IDT members and the participant/caregiver.
Regulatory Adherence: Ensures all care planning documentation, timelines, and content meet the stringent standards set by the Centers for Medicare & Medicaid Services (CMS) and the Colorado Department of Health Care Policy & Financing (HCPF) for PACE program.
Monitoring Provision of Services: Tracks and monitors the provision of care as prescribed on the approved care plan to ensure adherence to required time frames. Identifies areas of risk and non-compliance to the Director of Quality & Compliance and supports with coordinating appeals processes where applicable.
Liaison: Serves as the primary administrative point of contact for the IDT members regarding care plan implementation and changes.
Service Implementation: Communicates the final, updated Plan of Care to relevant PACE staff (e.g., Home Care Coordinator, Transportation Staff, Adult Day Center staff, etc.) and contracted providers to ensure services are initiated promptly and accurately.
Participant Communication: Schedules and coordinates meetings between the participant/caregiver and the IDT, ensuring participants are actively involved in the development and revision of their care plan, per PACE requirements.
Identifying Updates to Care Plan: Collaborates with the IDT (Interdisciplinary Team) to foster a culture of vigilance, providing the guidance and mentorship necessary to recognize triggers for care plan revisions and ensures participant needs are met as quickly are the participants needs require.
Ensures compliance with appropriate regulations and standards of care. Participates in survey processes.
Ensures compliance with policies and procedures.
Data Integrity: Maintains accurate and up-to-date data within the electronic medical record system pertinent to plans of care and provision of services.
Reporting: Assists the Director of Quality and Compliance with generating reports related to care plan timeliness, utilization patterns, and compliance metrics for Quality Improvement (QI) initiatives.
Completes annual mandatory education requirements.
Collaborates with peers to move Colorado PACE toward its Quality and Compliance goals.

Benefits

Employer pays over 90% of employee medical premium in some plans
Health Savings Account (HSA) with significant Employer Funding: Single $1,000, Family $2,000
Healthcare Benefits are effective on the 1st of the month following 30 days of employment
Extensive Paid Time Off (PTO/Vacation Pay/Sick Leave): 18 days in the first year for FT team members
Seven Paid Holidays with an additional Floating Holiday
403(b) Retirement Plan with Employer Match: 50% match up to 8% of total compensation
Company-Paid Life and AD&D Insurance
Career & Logo wear
Education Reimbursement Program
Clinical Career Ladders
Certification Pay
Generous Discover-a-Star Team Member Referral Program
Team Member Service Awards
Early Wage Access
Legal and Identity Protection
Robust Leadership Development Training Programs