Case Management Specialist - Program Quality

DEVELOPMENTAL PATHWAYS • Aurora, CO

8d • Hybrid

About The Position

Developmental Pathways (DP) is seeking a Case Management Specialist (CMS) in our Program Quality Department. This Case Management Specialist will provide professional level administrative support to a variety of roles and work processes. The Case Management Specialist will develop and maintain systems of organization, distribution, and communication. Our ideal candidate assists and support staff with the administrative execution of their job duties as well as possess strong organization, collaboration, critical thinking, and communication skills. This role offers a 4-day, 40-hour workweek, Tuesday-Friday, and includes the flexibility to work remotely, as well as the opportunity to collaborate in-person at our headquarters office in Aurora, CO, and/or at off-site locations.

Requirements

• High School Diploma or GED
• Upon request, qualifying need, and approval, driving requirements may be waived in lieu of reliable transportation.

Nice To Haves

• Associates Degree in business equivalent education and experience
• Three years (3) administrative support or customer service experience
• Experience in human services or nonprofit fields
• Knowledge of the Colorado Department of Health Care Policy and Financing and the Colorado Department of Public Health and Environment

Responsibilities

• Develop, review, distribute, and manage service plan (SP) and billing data for service providers as needed; enter SP data into state databases as needed; support and resolves billing issues as needed
• Ensure accuracy and timeliness of information entered into internal and external databases and tracking systems
• Research participants’ service utilization and previously provided services and supports and follows up as appropriate
• Analyze work completed to identify and report on trends
• Provide professional level feedback and follow up to other professional level staff regarding mistakes or missed steps in department processes and procedures (e.g., for SP and revision completion and entry into PAR system)
• Keep up to date on all state policies and procedures related to their tasks and responsibilities
• Operate independently, using Health Care Policy and Financing rules, regulations, policies, and procedures, as well as directives from the Associate Directors, Program Managers, and other senior leadership to provide technical guidance to internal and external stakeholders to generate solutions to problems, or coordinate with other staff for resolution and follow up
• Communicate and coordinate with both internal and external partners professionally and thoroughly
• Collaborate effectively on projects; support teams in developing and improving work processes
• Coordinate additional administrative processes, including purchasing products for individuals in services

Benefits

• Health/dental/vision coverage
• Employer-paid and supplemental life insurance
• Short- and long-term disability insurance
• Generous paid time off and holiday pay
• Flexible work schedule
• Monthly remote work stipend
• 401(k) investment plan, with an employer match of up to 4%
• Mileage reimbursement
• Tuition reimbursement program
• Certified Employer for Public Service Loan Forgiveness Program
• Healthcare reimbursement and flexible spending plan
• Discounts on auto and homeowners’ insurance
• Employee assistance program
• Credit union membership
• Employer-paid training

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED