Administrative | Programs/Services
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.
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.
- 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.