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Care Manager - Active (Case Management)

Job Description
Organization: 
Rocky Mountain Human Services
Organization Type: 
501(c)(3)
Job Location: 
Denver Metro
Type of Job: 
Full-time
Job Category: 
Administrative | Programs/Services
Job Description: 

We value an equitable and inclusive workplace and seek candidates with diverse backgrounds and abilities

Why work at Rocky Mountain Human Services? 

You will have the opportunity to contribute to an organization that is dedicated to embracing the power of community to support individuals and families in creating their future.

 

Position Purpose

Rocky Mountain Human Services is hiring for Active Care Manager Positions under the Single-Entry Point Program. This role will provide case management, care planning, and will make referrals to other resources for Health First Colorado’s Medicaid Program members interested in receiving long term services and supports in the following areas:  elderly, blind, and disabled; mental health; brain injury; spinal cord injury; children with a life-limiting illness; and medically fragile children.

Under the supervision of the Care Management (CM) Supervisor, the Active Care Manager is responsible for completing the appropriate level of care management activities for people receiving case management through Rocky Mountain Human Services (RMHS). Care management activities will include but will not be limited to completing assessments, determining eligibility, monitoring services received by individuals, coordinating services, developing care plans, delivering care management interventions, appropriate follow up activities and completing all documentation in the expected time frame.  The Care Manager will apply appropriate criteria, guidelines, and regulations specific to the level of care and services required to meet the member/family goals and the organizational/contractual requirements.  Care management functions may be performed for people supported in a variety of settings including telephonic, in-person, or in the community setting. Active Care Managers will create their own schedules to oversee a caseload of about 140 people. 

 

Essential Duties

  • Completes mandatory and needs based health assessments to identify client strengths, needs, concerns and preferences through interviewing, observing, and utilization of standardized tools.
  • Establishes person centered goals and a plan of care with the client and their natural supports/family members.
  • Provides care coordination services and interventions by referring, educating, negotiating, and mediating with the person supported and external providers of client services.
  • Educates people supported regarding various state plan benefits, programs, options and services.
  • Monitors client status and satisfaction with services and adjusts care plan as needed.
  • Monitors the ongoing provision of and need for care by assessing the delivery and quality of services and interventions provided by external providers.
  • Establishes professional and effective collaboration, communication, and coordination among all responsible parties of an individual member’s interdisciplinary health care team.
  • As needed, attends client focused meetings (internal/external) to facilitate changes in services or collaborate in care.
  • Maintains knowledge of regulations, policies, and procedures regarding current public assistance programs.
  • Assists clients and providers in understanding the complaint, grievance and appeal process.
  • Responsible for accurate and timely completion of all forms, reports, and documentation of care management activities.
  • Schedule and conducts in-home care visits twice a year, including an annual update to the functional needs assessment and corresponding service plan. 
  • Reviews the client’s care plan throughout the year for any updates.
  • Maintains professional and ethical manner with all interactions and meets performance, quality, customer service, and coordination standards as assigned by the department management team.
  • Participates in training and staff development opportunities. Actively participates in team meetings and communicates progress and barriers with Supervisor and/or Program Manager or Department Director.

 

Areas of Responsibility

Knowledge, Skills and Abilities

  • Ability to process high volume of work efficiently with a high level of customer service detail. 
  • Knowledge of and ability to relate to populations served by the programs for which we work, client interviewing and assessment skills, knowledge of policies and procedures regarding public assistance programs, ability to develop care plans and service agreements, knowledge of resources, and negotiation, intervention, and interpersonal communication skills.
  • Demonstrates support for the company’s mission, vision and values. 
  • Excellent written and verbal communication skills, strong organizational and time management skills, strong interpersonal skills and the ability to handle multiple priorities. 
  • Ability to work independently outside of office setting and conducting face to face assessment visits. Must have general computer skills and ability to work with Microsoft Office products. 
  • Ability to use the complaint, grievance and appeals process and procedures to facilitate quality outcomes and/or resolutions for clients. 
  • May be required to manage multiple priorities and projects with tight deadlines

 

Preferred Qualifications

  • Prior care management experience preferred.
  • Bilingual in Spanish or Russian strongly preferred

 

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Actively communicate with customers and stakeholders. 
  • Works with customers staff, stakeholders.
  • Ability to meet/work with staff, stakeholders in a variety of settings.
  • Attends staff, team and department meetings.
  • Attends in-services, staffing and other meetings with supervisor’s approval. May be appointed to committees.
  • Develops and maintains records, plans and reports.
  • Lift and/or carry 20 lbs.
  • Sit, stand and walk for reasonable periods of time.
  • Maintains prompt and regular attendance.
  • Performs related work as assigned.
  • Ability to drive personal or company vehicle

 

Driving Requirements 
•    Valid drivers license 
•    Proof of motor vehicle insurance
•    Personal vehicle in good operating condition for use during work
•    No major violations in the past three years. 
•    No more than two moving violations in the past three years 
•    Ability to meet and maintain agency driving requirements and operate agency vehicles

Rocky Mountain Human Services is an Equal Opportunity Employer and is committed to racial, ethnic and cultural diversity and the goals of the Americans with Disabilities Act.

 

Note: This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.

Requirements/Qualifications
  • Bachelors degree in human behavioral sciences field.
Compensation/Benefits
Compensation: 

Candidates meeting minimum requirements will be offered $19.00-19.24 hourly rate

Benefits: 

RMHS provides great benefits such as:

  • Employer paid medical options, dental, and vision benefits
  • Generous paid time off such as vacation, sick, personal, and holidays
  • Life and disability insurance
  • Tuition reimbursement (full-time employees only)
  • Mileage reimbursement
  • 403(B) with company match
  • Employee assistance program
How To Apply

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