15 Colorado Access Utilization Management Coordinator Jobs Hiring Near You

The vision of Colorado Access is to have healthy communities transformed by the care that people want at a cost we can all afford. Our mission is to partner with communities and empower people through access to quality, affordable care.
Why should you consider a career with Colorado Access?
We are a Colorado-based company, working to improve the health of our state. We care for individuals, families, and children who receive health care under Child Health Plan Plus (CHP+) and Health First Colorado (Colorado's Medicaid Program). Our focus is driving improvements in quality, member experience, outcomes, and cost. We are a mission-driven organization whose foundation is built by our vision, supported by our values and pillared by diversity, equity and inclusion.

1. Find work/life balance: We offer PTO, floating holidays, nine company paid holidays, a hybrid work environment, an Employee Assistance Program and a 401K.
2. Be a part of something bigger and make an impact: We serve the underserved and most vulnerable populations in our community through access to quality and affordable health care. No matter what you do for Colorado Access, you are impacting our community and making a difference.
3. Sharpen your skills, learn, and grow: We support your continued development through tuition reimbursement, leadership training, promotion opportunities, performance evaluations, employee recognition, and a language pay stipend.

What you will do:
We are looking for a INTENSIVE CARE COORDINATOR who can help shape our vision and support our mission. Here is what the position will look like.

• Ability to 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).
• Performs comprehensive clinical assessments and applies clinical knowledge of emotional disorders, chronic health conditions, medication issues, substance use disorders, communicable diseases, advance directives, and other health concerns to best support the member.
• Develop strengths-based care plans with members and their natural support if applicable.
• Implement care plans through coordinating services and interventions by referring, educating, and collaborating with members and their care team.
• Performs ongoing care plan goal review to ensure alignment with the members intrinsic motivation and needs.
• Assists in identification of risk factors leading to increased utilization and works to reduce preventable hospitalizations, readmissions, and inappropriate utilization.
• Establishes professional and member focused collaboration, communication, and coordination among all responsible parties of the member's care team.
• Actively participates in clinical presentations and or/interdisciplinary team meetings, disposition planning, and department and organizational meetings.
• Establishes professional and effective collaboration, communication, and coordination among all responsible parties of an individual member's interdisciplinary care team.
• As needed, attends member focused meetings (internal/external) such as interdisciplinary team (IDT), creative solutions (CS), or complex service solutions (CSS).
• Effectively manages communication across the member's treatment team, including the facilitation of collaborative treatment planning meetings and all related follow-up communication and documentation.
• Educates members regarding current state plan and capitated behavioral health plan benefits, programs, options and services.
• Meets performance, quality, customer service, and coordination standards assigned by the department management team.
• Assists members and providers in understanding the complaint, grievance and appeal process.
• Participate in training and staff development opportunities.
• Provides clinical consultation and guidance to care coordination staff.
• Actively participates in team meetings and communicates progress and barriers with the Supervisor and/or Department Manager.
• Coordinates for members who have had behavioral health or medical admission, supports the hospital with discharge planning and collaborating with hospitals and facilities for seamless continuity.
• Liaising between the Providers, family and treatment team and the RAE Utilization Management, billing and Provider relations teams.
• Contribute to deliverables and reports when needed.

What you will bring:
Education: 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. Experience: Three years of clinical, care management and/or healthcare experience required. 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, Skills, and Abilities: 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. Must have 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. Bilingual fluent in English and Spanish preferred
Licenses/Certifications: 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.
Together we will be: an innovative and collaborative team who supports each other, the employees and vision of the company to reach our goals individually, together and as an organization.
Pay, Perks and Benefits at Colorado Access:
The compensation for this position is $78,116.00 - $85,880.00 annually. Colorado Access has provided a compensation range that represents its good faith estimate of what Colorado Access may pay for the position at the time of posting. Colorado Access may ultimately pay more or less than the posted compensation range. The salary offered to the selected candidate will be determined based on factors such as the qualifications of the selected candidate, departmental budget availability, internal salary equity considerations, and available market information, but not based on a candidate's sex or any other protected status.
In addition to being part of a mission driven organization serving our community, as an eligible Colorado Access employee, you'll receive a generous benefits package, that includes:

• 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).
• Paid time off
• Retirement plan
• Tuition reimbursement (based on eligibility).
• Annual bonus program (based on eligibility, requirements and performance).

Where you will work:
This position will be a hybrid model work environment, a blend of 'In-Office' and 'Remote.'
We are not able to support out of state employees at this time as we continue to serve our members and community in the metro Denver area and across the beautiful state of Colorado.
Colorado Access is committed to providing equal opportunities to all people regardless of race, color, national origin, age, sex, genetic information, religion, pregnancy, disability, sexual orientation, veteran status or any other status protected by applicable law. We strive to maintain a work environment that is free from unlawful harassment and discrimination.