Health Plan Coordinator - Denver Health Medical Plan (Weekly On-Site Requirement)
About The Position
We are recruiting for a mission-driven Health Plan Coordinator - Denver Health Medical Plan (Weekly On-Site Requirement) to join our team! We're with you for life’s journey. At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey. Our Values Respect | Belonging | Accountability | Transparency Department Managed Care Administration Must Live in Colorado This is a hybrid role located in Denver, Colorado with a requirement of being in the office 2 days per week. Job Summary Under general supervision, provides basic care coordination and navigation of healthcare and community based services and manages assigned caseload. Works within a multidisciplinary team of care providers to identify physical, mental health, social and cultural needs. Removes barriers to care by identifying critical resources and assisting members to navigate through the health care system. Provides referrals to appropriate resources. Builds supportive, collaborative relationships with Members, helping to empower, educate and assist them with needs. Encourages members to obtain timely preventative healthcare while managing acute and chronic conditions.
Requirements
- High School Diploma or GED required
- Experience with windows-based computer programs and ability to use computer for data analysis and data display, required.
- Must Live in Colorado
Nice To Haves
- 1-3 years experience in health plan case management, care coordination, or member navigation, preferred
- Bilingual in English/Spanish, preferred.
- Strong communication (written and verbal) and customer service skills.
- Ability to receive process and convey information in oral, written and keyboard formats.
- Ability to read documents and assimilate information
- Experience with Medical Management platforms used to document care coordination services, preferred.
Responsibilities
- Works under the direction of and in collaboration with the RN Care Coordinator, Clinical Care Coordinators and social workers to support the needs of the Member. (20%)
- Facilitates access to medical, behavioral health and community services (like transportation, food assistance, etc.). Assists members to apply for public benefits (e.g. SNAP, TANF, WIC). (15%)
- Serves as a community liaison and advocate by coordinating linkages or referrals to improve health, social, and environmental conditions for members. (15%)
- Coordinates and facilitates care and communication between health team, members, and members’ families. (10%)
- Maintains documentation of encounters with members and completes documentation requirements according to department standards. (10%)
- Serves as point of contact within and among healthcare services and organizations. (10%)
- Orients member/caregiver to health care delivery system, services, access, and resources. (10%)
- Supportive responsibilities for a defined caseload of Members. (5%)
- Obtains Member consent to participate in the program as well as to share clinical information with the Member’s care team (5%)
Benefits
- Generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs.
- Tuition assistance, career advancement pathways, and professional development
- Meaningful financial advantages through loan forgiveness eligibility and employer contributions.
- Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
- 100% paid parental leave up to 6 weeks
- Immediate eligibility for retirement plans with employer contribution up to 9.5%
- Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
- Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
- Free RTD EcoPass (public transportation)
- Childcare discount programs & exclusive perks on large brands, travel, and more
- Tuition reimbursement & assistance
- Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
- Professional clinical advancement program & shared governance
- Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
- National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
