Care Manager II

Colorado Access • Aurora, CO

397d • $70,160 - $77,200 • Onsite

About The Position

The Care Manager II at Colorado Access is responsible for assessing and managing the care of members, particularly those in vulnerable populations, to ensure they receive quality and affordable healthcare. This role involves conducting clinical assessments, developing care plans, coordinating services, and monitoring member satisfaction and outcomes. The position emphasizes collaboration with interdisciplinary teams and requires strong communication and organizational skills to effectively support the mission of improving community health.

Requirements

• Master's degree in human behavioral sciences or a clinical license required.
• Three years of clinical, care management, and/or healthcare experience required.
• Experience working with Medicare and Medicaid populations preferred.
• Knowledge of managed care, care management, and utilization management required.
• Excellent written and verbal communication skills.
• Strong organizational and time management skills.
• Ability to handle multiple priorities and work independently.

Nice To Haves

• Experience in conducting assessments and developing service plans.
• Knowledge of policies and procedures regarding public assistance programs.
• Ability to relate to populations served by the programs.

Responsibilities

• Assess and identify member strengths, needs, concerns, and preferences through various methods.
• Perform advanced clinical assessments and provide clinical knowledge on various health issues.
• Establish goals and care plans with members and their support systems.
• Implement care plans by coordinating services and interventions.
• Manage and monitor the ongoing provision of care and quality of services.
• Perform ongoing monitoring of member status and satisfaction with services.
• Assist in identifying risk factors leading to increased utilization and work to reduce preventable hospitalizations.
• Communicate with members using person-centered thinking and language.
• Establish effective collaboration and communication among the interdisciplinary health care team.
• Participate in clinical presentations and team meetings, communicating progress and barriers.
• Maintain knowledge of state plan benefits and educate members accordingly.
• Complete all forms, reports, and documentation of care management activities accurately and timely.
• Maintain a professional and ethical manner in all interactions.

Benefits

• AD&D insurance
• Paid holidays
• Disability insurance
• Health insurance
• Dental insurance
• Flexible spending account
• Tuition reimbursement
• Paid time off
• Work from home options
• Leadership training
• Employee assistance program
• Vision insurance
• Life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Master's degree