Case Management Coordinator

Abby Care • Denver, CO

3d • Hybrid

About The Position

We're looking for a passionate and detail-oriented expert to join us as a Case Management Coordinator. This is a Full-Time Hybrid opportunity based in Denver or Colorado Springs, Colorado.
In this role, you will be the point person who makes PARs happen through Case Management Agencies. You’ll proactively coordinate with county and independent case managers across numerous concurrent cases—driving clean, timely submissions, reauthorizations, and appeals—while navigating CMA workflows to keep services moving without lapses. As the expert liaison, you ensure end-to-end compliance and fast resolutions by partnering closely with CMAs and internal teams. Success means building trusted CMA relationships that ensure seamless care continuity and operational excellence in Colorado's LTHH landscape.

Requirements

• Superior Case Management Experience. 5+ years coordinating with Colorado case managers in Medicaid LTHH settings, with documented success facilitating seamless authorizations and care continuity.
• Leadership in Case Manager Collaboration. Expert relationship builder with strong communication, problem-solving, and stakeholder management skills; proven ability to partner effectively with case managers at both county and CMA levels.
• Existing deep knowledge of Colorado's LTHH ecosystem including HCPF policies, prior auth operations, case coordination, and ColoradoPAR system; can demonstrate successful navigation of Colorado waiver program transitions and appeals.
• Cross-functional Expertise. Demonstrated skill working with patient families, clinical teams, and multiple case managers to ensure joint problem solving and continuous coverage of care.

Nice To Haves

• Bachelor's degree in Healthcare Administration, Business, or equivalent is preferred.
• Colorado Medicaid certification and LTHH authorization training strongly preferred.

Responsibilities

• Lead Case Manager Coordination. Deepen collaboration with county and independent case managers. Act as their primary point of contact for service authorizations, care plan updates, and waiver transition support to ensure seamless, coordinated care.
• Case Management Agency Relationships. Build and maintain relationships with Colorado Case Management Agencies (CMAs); proactively engage in regular meetings, case reviews, and joint resolution efforts for complex patient needs.
• Integrated Care Planning. Work alongside case managers and patients’ families to co-develop care plans that align both clinical needs and Medicaid requirements, flagging potential gaps or overlaps in services related to LTHH.
• Expert Liaison. Be the “go-to” expert for both internal staff and external case managers on complex situations (e.g. multiple waivers, emergency authorizations, appeals). Ensure transparent and proactive communication at every step.
• Master Colorado's LTHH landscape. Support authorization operations for Colorado's HCBS waiver programs (CHCBS, EBD, CES, CFC) ensuring 100% compliance with HCPF policies and Colorado PAR requirements.
• Manage Reauthorizations. Build out the process and drive the team handling all collaboration with county Case Managers to submit reauthorization submissions for Colorado's waiver programs (CHCBS, EBD, SLS, CES, CFC) to ensure patients have no lapse in care.
• Drive team excellence. Create and execute training programs on Colorado-specific prior authorization requirements, mentor staff on LTHH waiver nuances, and establish performance metrics that drive strong approval rates and sub-10-day processing times.

Benefits

• Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work.
• Comprehensive health coverage that works for you. We cover 90% of your premiums and 70% for your dependents, with multiple PPO plan options to choose from for medical, vision, dental, life, and short-term disability.
• Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays.
• Team bonding. We love bringing our teams together. As a full-time employee, you’ll get to connect, collaborate, and have fun through team activities and our annual company retreat.
• Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).
• Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level