Intensive Care Coordinator

Colorado Access•Denver, CO

15h•Hybrid

About The Position

Colorado Access is a Colorado-based company dedicated to improving the health of the state by partnering with communities and empowering people through access to quality, affordable care. They serve individuals, families, and children enrolled in Child Health Plan Plus (CHP+) and Health First Colorado (Colorado's Medicaid Program), focusing on enhancing quality, member experience, outcomes, and cost. Colorado Access is a mission-driven organization founded on a vision of healthy communities, supported by strong values, and committed to diversity, equity, and inclusion.

Requirements

Master’s degree in social work, human behavioral sciences field or another healthcare field and/or BSN with clinical license (RN) is required.
A combination of bachelor’s degree in related fields, plus 8 years of progressive work experience in social work, case management or behavioral health related fields can be substituted in lieu of master’s degree.
Three years of clinical, care management and/or healthcare experience required.
General computer skills and the ability to work with Microsoft Office products and the company electronic health record.
Works effectively with others towards achieving a common goal.
Demonstrates support for the company’s mission, vision and values.
Knowledge of common health conditions and disease processes.
Communicate common understanding of condition specific self-management strategies, provide health education and reconcile medications utilizing motivational interviewing methodology.
Knowledge of public assistance programs including Medicaid and Child Health Plus, as well as managed care, supplemental insurance and/or other insurance types.

Nice To Haves

Preferred experience in clinical inpatient, outpatient, or community health settings.
Experience working with Medicare and Medicaid populations, and related social/economic issues delivering care management services, conducting assessments, interviewing members, developing service plans, coordinating care and monitoring services for members also preferred.
Knowledge of clinical care coordination and utilization management.
Ability to perform clinical assessments and develop clinical care plans.
Knowledge of and ability to establish and maintain connections with members of diverse populations and provide culturally sensitive services.
Ability to process a high volume of work efficiently with a high level of customer service detail.
Excellent written and verbal communication skills, strong organizational and time management skills, strong interpersonal skills and the ability to handle and prioritize multiple tasks and/or respond to time-sensitive requests and/or issues.
Flexibility to use complex processes and procedures to facilitate quality outcomes and/or resolutions while working with other team members with varied skills and educational background.
Ability to adapt to an ever-changing work environment and operational expectations.
Ability to establish and maintain working relationships with internal and external key partners including providers, community agencies, and state and local government.
Ability to align intervention and documentation with organizational contracts, deliverables and reports.
Bilingual fluent in English and Spanish preferred.
A current unrestricted Colorado license as a healthcare professional is preferred.
Preferred licenses include but are not limited to: LAC, LPC, LCSW, LMFT, RN or CAS (formerly CACIII) certification.
A valid driver's license and proof of current auto insurance will be required for any position requiring driving.

Responsibilities

Support members with complex health care needs from a holistic point of view, including behavioral health, physical health, co-occurring disorders, and social determinants of health.
Perform comprehensive clinical assessments and apply clinical knowledge of emotional disorders, chronic health conditions, medication issues, substance use disorders, communicable diseases, advance directives, and other health concerns.
Develop strengths-based care plans with members and their natural support systems.
Implement care plans by coordinating services and interventions through referrals, education, and collaboration with members and their care team.
Conduct ongoing care plan goal reviews to ensure alignment with member's intrinsic motivation and needs.
Identify risk factors leading to increased utilization and work to reduce preventable hospitalizations, readmissions, and inappropriate utilization.
Establish professional and member-focused collaboration, communication, and coordination among all responsible parties of the member’s care team.
Actively participate in clinical presentations, interdisciplinary team meetings, disposition planning, and department and organizational meetings.
Attend member-focused meetings (internal/external) such as interdisciplinary team (IDT), creative solutions (CS), or complex service solutions (CSS) as needed.
Manage communication across the member’s treatment team, including facilitating collaborative treatment planning meetings and all related follow-up communication and documentation.
Educate members regarding current state plan and capitated behavioral health plan benefits, programs, options, and services.
Meet performance, quality, customer service, and coordination standards assigned by the department management team.
Assist members and providers in understanding the complaint, grievance, and appeal process.
Participate in training and staff development opportunities.
Provide clinical consultation and guidance to care coordination staff.
Actively participate in team meetings and communicate progress and barriers with the Supervisor and/or Department Manager.
Coordinate for members who have had behavioral health or medical admissions, support the hospital with discharge planning, and collaborate with hospitals and facilities for seamless continuity.
Liaise between Providers, family, treatment team, and the RAE Utilization Management, billing, and Provider relations teams.
Contribute to deliverables and reports when needed.

Benefits

PTO
floating holidays
nine company paid holidays
Employee Assistance Program
401K
tuition reimbursement
leadership training
promotion opportunities
performance evaluations
employee recognition
language pay stipend
Medical, dental, vision insurance that starts the first day of the month following start date.
Supplemental insurance such as critical illness and accidental injury.
Health care and dependent care flexible spending account options.
Employer-paid basic life insurance and AD&D (employee, spouse and dependent).
Short-term and long-term disability coverage.
Voluntary life insurance (employee, spouse, dependent).
Retirement plan
Annual bonus program (based on eligibility, requirements and performance).