CMA High Acuity Case Manager

Weld County Government•Greeley, CO

2d•$29 - $38•Hybrid

About The Position

Provides specialized support for children and families with complex needs by managing a caseload of children enrolled in Medicaid Waivers within the Case Management Agency (CMA). Oversees high acuity cases, facilitates transitions from children to adult waivers, and coordinates emergency and exception processes. Strengthens partnerships with families, community providers, and interdisciplinary professionals to support stability, promote service quality, and ensure cohesive care planning. Contributes to system improvements through specialized children's services expertise, training, and knowledge sharing. Primary office location will be in the Greeley office. Work may involve time away from a standard office environment, which may consist of driving to and from home visits. Work may occur in various community settings that are potentially hazardous and may require additional precautions, such as personal protective equipment and/or requesting assistance from emergency medical personnel or law enforcement. Reliable, predictable attendance within department business hours of 8 a.m. to 5 p.m. Monday through Friday. After hours and on-call work situations may occur, on occasion, to provide support to members and families that need services outside of normal business hours. This position has the opportunity for a hybrid schedule, for employees who have completed initial training and meet criteria outlined in division policy. Ideal candidate traits: 1. A resilient professional who thrives in dynamic environments, manages crisis situations with composure, and handles shifting priorities seamlessly. 2. A self-starter who demonstrates strong initiative, meticulously meets regulatory deadlines, and effectively prioritizes case management responsibilities. 3. Ability to work with families in a high stress high trauma environment and remain calm and professional.

Requirements

Bachelor's Degree or 5 years experience in the field of Long-Term Services and Supports (LTSS), which includes Developmental Disabilities or A combination of education and relevant experience appropriate to the requirements of the position.
Experience in one of the following areas: long-term care services and supports, gerontology, physical rehabilitation, disability services, children with special health care needs, behavioral science, special education, public health or non-profit administration, or health/medical services, including working directly with persons with physical, intellectual, or developmental disabilities, mental illness, or other vulnerable populations as appropriate to the position being filled
Completed coursework and/or experience related to the type of administrative duties performed by case managers may qualify for up to two (2) years of required relevant experience.
Knowledge of Long-Term Services and Supports Case Management practices, developmental disabilities services, and children’s waiver programs (CES, CHRP, CLLI, CWCHN, CFC).
Ability to learn and apply new computer skills on a regular basis.
Knowledge of computer programs such as Microsoft Windows and Word, Excel, and Outlook.
Ability to read and comprehend instructions, correspondence and department policies and procedures.
Ability to write correspondence.
Ability to effectively communicate with diverse populations in a variety of settings.
Ability to apply math concepts and calculations in the work environment.
Ability to apply common sense to problem solve in a work environment.
Ability to adapt to fast paced, high volume and ever-changing work environment and be able to handle high stress situations.
Demonstrate the ability to show initiative, meet time lines, organize work, manage time, and manage multiple priorities.
Pass criminal background check prior to employment start date.
Valid Driver’s License and Liability Insurance
Pass a Motor Vehicle Record (MVR) evaluation and if hired, will be subject to continuous monthly MVR monitoring throughout employment.
Pre-employment substance screening is required for this position.
Pass a pre-employment drug screening.

Nice To Haves

Experience managing complex Medicaid waivers and/or Long-Term Care cases and developing and maintaining effective, collaborative relationships with families and professional partners.
Strong skills in conflict mediation, meeting facilitation, and collaborative problem-solving.
Experience in children’s case management, child protection, or related high acuity service delivery.
Familiarity with transition processes for children entering Medicaid Adult Development Disabilities Waivers.

Responsibilities

Maintain a caseload of high acuity and transitioning children as assigned, including Children's Habilitation Residential Program (CHRP) and out-of-state placement cases.
Convene individualized support team meetings as needed to address case specific issues.
Provide mediation between members, families, and providers to resolve conflicts and support long-term and person-centered support planning.
Develop appropriate residential transitions for children/youth in out-of-home placements.
Coordinate RFP process for placement settings.
Support members and families enrolled in a children’s waiver during out of county and/or out of state placements.
Cultivate and sustain effective partnerships with key internal and external stakeholders (e.g. Child Welfare, Family Resource Division, Regional Accountable Entities (RAE) -Creative Solutions Team and provider-based wrap facilitators) to support integrated service planning and high-quality outcomes.
Collaborate closely with Weld County School Districts (based on the child's resident school location) to ensure smooth, well-coordinated educational transitions.
Work with members, families, and community agencies to coordinate and facilitate services.
Conduct out-of-county travel, when necessary, to support coordinated case management for CMA members/children that are also involved with other DHS programs.
Coordinate all children’s transitions to adult waivers, including assessments, planning meetings, documentation, and implementation of transition plans.
Facilitate and manage Developmental Disabilities (DD) Medicaid Waiver enrollment requests.
Facilitate and oversee all emergency requests and exception processes for children transitioning to the DD waiver.
Provide information as requested about all potential services and the enrollment process, guiding, and prompting through each step as needed.
Ensure accurate, comprehensive, and consistent documentation to the state.
Participate in Family Engagement, Team Decision Making, and Creative Solutions meetings.
Strengthen and maintain effective collaboration with community partners, providers, and interagency partners.
Serve as subject matter expert for high-acuity needs and child-to-adult transitions.
Advocate for the best interest of the member.
Mediate with members, families and providers during conflict situations and assists with problem solving to identify the best solutions to meet members’ long term supportive needs including potential, future needs that may arise.
Ensure the members and families are notified of rights, that discussion of priorities occurs, and that they are given choice of services based on documented needs and goals.
Remain current on all applicable rules and regulations that may impact children’s case management and represent the agency at required local and state meetings, committees, workshops, and conferences.
Conduct specialized children’s services training as requested.
Support system improvements through training contributions and knowledge sharing.
Model high quality, person-centered service delivery, demonstrating expected interactions, practices and standards.
Support colleagues by troubleshooting complex cases and provide clear guidance on navigating program requirements, promoting consistent and effective case management practices.
Participate in a positive and value-added manner with both internal and external professional partners.
Stays informed by participating as appropriate in all team, unit, and division meetings, attends or views recordings for department updates and reads county wide messaging.
Participates as a team member of the department establishing and maintaining a high degree of cooperation with coworkers. Display a willingness to collaborate and problem solve.
Understands how one’s day-to-day work significantly impacts the team’s success.
Accepts responsibility for own actions and follows through on commitments.