Long Term Care Case Manager

Jefferson County•Golden, CO

4d•$58,136 - $59,005•Hybrid

About The Position

Jefferson County Human Services is hiring Long Term Care Case Managers for its Case Management Agency Division. Depending on the program team, the position provides long-term case management services to elderly and disabled adults and to children experiencing chronic or terminal illness. Case managers determine functional eligibility for Medicaid service plans, identify appropriate services based on individual needs, negotiate rates and plans with Medicaid and other providers, coordinate care and treatment options, and assist clients with denied applications. The role may be in the IDD Program, which serves clients with intellectual and developmental disabilities and their families, or the Non-IDD Program, which serves clients with physical disabilities, chronic illnesses, or aging-related needs. Work includes client assessments, care-plan maintenance, eligibility decisions, referrals, consultation with state agents, appeal preparation and hearings, and billing paperwork. This position is hybrid, combining remote and in-office work as determined by team and agency needs. The department offers either a four-day, 10-hour schedule or a five-day, eight-hour schedule. Jefferson County operates primarily Monday through Thursday on a four-day schedule.

Requirements

Bachelor’s degree in a related field.
At least one year of work-related experience.
A valid Colorado driver’s license is required within 30 days of hire for positions that drive on County business in a County or personal vehicle.

Nice To Haves

Bilingual in Spanish.
Ability to learn more than one complex computer system and patience during the learning process.
Problem-solving ability, including critical thinking and using resources or research to find solutions that best serve the family and department.
Strong organizational and time-management skills, with the ability to thrive under strict deadlines.
Strong customer-service and interpersonal skills, including adapting communication to the audience’s level of program knowledge.
Warm, empathetic, and respectful personality.
Passion for the agency’s mission and vision.

Responsibilities

Determine client eligibility by gathering collateral information from hospitals, nursing homes, long-term skilled home health services, and home-based services.
Complete face-to-face assessments of clients.
Attend court appeal hearings to defend denied applications.
Prepare legal documents for appeal hearings.
Work with Medicaid programs, including HCBS, Elderly, Blind, and Disabled, Mentally Ill, Persons Living with AIDS, Brain Injury, Children’s HCBS, Total Long-Term Care, Program of All Inclusive Care of the Elderly, Home Care Allowance, and Nursing Home programs.
Maintain client care plans by reassessing clients as necessary to identify the most cost-efficient service plan.
Adhere to state cost-containment regulations.
Ensure family members are fully informed about available options.
Make referrals as necessary.
Consult with state agents.
Negotiate rates and plans with Medicaid and other providers.
Complete billing paperwork.
Perform other duties and responsibilities as assigned.