CASE MANAGER II

CASE MANAGER II

 

Wouldn’t it be nice to work for a company where the mission makes sense, the salaries are competitive, the company listens to the needs of the employees and the office is professional yet the dress is casual? 

 

Colorado Access is a nonprofit health plan serving the medical and behavioral needs of the medically underserved in Colorado.  We offer an excellent benefit and compensation package, including medical, dental & vision, 401(k), tuition reimbursement, and competitive PTO.

 

We are currently seeking a Case Manager II who is interested in expanding skills while working for a company that gives back to the community. The successful candidate will be responsible for working in collaboration with the Coordinated Clinical Services team to assist in identifying members through utilization or disease specific indicators who may require care coordination. Care coordination responsibility encompasses working directly with members, families and providers over time to assist in arranging and managing a complex set of resources required to maintain health and function. This position also performs individual health risk assessments, assists with individualized care plan design, documentation and implementation and evaluation of outcomes.

 

Requirements:Social Work degree, one year nursing degree (LPN/LVN) or other Healthcare degree; continuing education in care coordination and other relevant areas desired;Current unrestricted Colorado license as a healthcare professional.Valid Colorado Driver’s license;Knowledge of managed care, case management and utilization management;Excellent written and verbal communication skills;Strong organizational (time management) skills, strong interpersonal skills and ability to handle multiple priorities;General computer skills with working knowledge of word processing and spread sheets, preferably Microsoft Office;Ability to use the complaint, grievance and appeal process and procedures to facilitate quality outcomes and or resolutions for the benefit of the members, providers and Colorado Access.

Experience:Two years of clinical, case management and/or healthcare;Prior work with Medicare and Medicaid populations and related social/economic issues preferred;Prior utilization review and quality improvement processes.

Bi-lingual a plus.

 

Please send, fax or e-mail your resume and cover letter with salary requirements to:

 

Colorado Access

Attn: Human Resources

10065 E. Harvard Ave., Ste 600

Denver, CO  80231

Fax: 303-369-0429

E-mail: recruiter@coaccess.com

 

Hiring decisions will be made without regard to race, creed, color, national origin, sex, marital status, religion, ancestry, mental or physical handicap, age or sexual orientation. EOE.