Job Information
State of Colorado Case Management Eligibility Coordinator in Denver Metro, Colorado
Case Management Eligibility Coordinator
Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4871135)
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Case Management Eligibility Coordinator
Salary
$70,140.00 - $91,188.00 Annually
Location
Denver Metro, CO
Job Type
Full Time
Job Number
UHA05603-03-2025
Department
Department of Health Care Policy and Financing
Division
Community Living Office
Opening Date
03/14/2025
Closing Date
3/24/2025 11:59 PM Mountain
FLSA
Determined by Position
Type of Announcement
This position is open only to Colorado state residents.
Primary Physical Work Address
303 E 17th Ave. Denver, CO 80203
FLSA Status
Exempt; position is not eligible for overtime compensation.
Department Contact Information
Sarah Roman, Talent Acquisition Specialist sarah.roman@state.co.us
How To Apply
Please submit an online application for this position at https://www.governmentjobs.com/careers/colorado. Reach out to the Department Contact to apply using a paper application, including any supplemental questions. Failure to submit a complete and timely application may result in the rejection of your application. Applicants are responsible for ensuring that application materials are received by the appropriate Human Resources office before the closing date and time listed.
Description
Benefits
Questions
Department Information
STATE OF COLORADO RESIDENCY REQUIRED AT TIME OF APPLICATION
NOTE: This announcement may be used to fill multiple openings.
Envision yourself working at HCPF (https://www.youtube.com/watch?v=5He6If7FyDY)
The Department of Health Care Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health programs for qualified Coloradans. Our mission is to improve health care equity, access and outcomes for the people we serve while saving Coloradans money on health care and driving value for Colorado.
We are committed to increasing the diversity of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of diverse backgrounds and abilities.
We are looking for a Case Management Eligibility Coordinator to join ourOffice of Community Living team!
As part of the State of Colorado, HCPF offers a competitive benefits package: (https://dhr.colorado.gov/state-employees/state-of-colorado-employee-benefits)
PERA retirement benefits including PERA Defined Benefit Plan, PERA Defined Contribution Plan, plus 401K and 457 plans
Medical (https://dhr.colorado.gov/state-employees/state-employee-benefits/medical-benefits) , Dental (https://dhr.colorado.gov/state-employees/state-employee-benefits/dental-insurance) , and Vision (https://dhr.colorado.gov/state-employees/state-employee-benefits/vision-insurance) insurance coverage
Automatic Short-Term and Optional Long-Term Disability Coverage (https://dhr.colorado.gov/state-employees/state-employee-benefits/disability-insurance)
Life and AD&D Insurance
Flexible Spending Accounts (https://dhr.colorado.gov/state-employees/state-employee-benefits/flexible-spending-accounts) (FSAs)
Family Medical Leave Act (FMLA) (https://dhr.colorado.gov/state-employees/time-off-leave/family-medical-leave-act-fmla) job protection and State of Colorado Paid Family Medical Leave (PFML)
11 Paid Holidays Annually and Accrued Annual and Sick Leave (https://dhr.colorado.gov/state-employees/time-off-leave)
Accrued Sick Leave for State of Colorado Temporary Employees
Flexplace and Flextime work arrangements
Variety of discounts on services and products available through the State of Colorado's Work-Life Employment Discount Program
Free RTD EcoPass (https://www.rtd-denver.com/fares-passes/ecopass) to all eligible State Employees
Credit Union of Colorado (https://www.cuofco.org/credit-union-colorado-membership-eligibility) Membership Eligibility
Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, go to https://www.colorado.gov/pacific/dhr/student-loan-forgiveness-programs . https://dhr.colorado.gov/dhr-resources/student-loan-forgiveness-programs
We are onboarding new employees using a hybrid approach. The Department supports flexible work arrangements. Depending on the business need and description of the position, we have options that range from hybrid, to full-time in the office. Specific discussions about the schedule will be discussed during the offer stage.
The Office of Community Living( OCL) administers the Colorado Medicaid programs that provide long-term support for people with disabilities and older adults. OCL strives for a system that is person-centered, seamless, and offers a continuum of services and innovative funding mechanisms for Coloradans today and in the future.
Description of Job
What you'll be doing:
The Case Management Eligibility Coordinator position is the Department Staff Authority for managing the Department’s response to stakeholders’ inquiries regarding the LTSS eligibility process, application, procedures and operations. Position is responsible for working with Department contractors, providers, and state agencies to ensure Coloradans with a need for long-term services and supports are able to access resources easily. This position is the staff authority who manages the functions of the LTSS eligibility process over contracts and members. This position operates within a strategic framework, set by upper management and supervisors, for how eligibility questions are interpreted and responded. They are responsible for determining the process of answering those requests and any updates to regulation or operational policies that are required to ensure accessibility of services.
This position provides training and technical support to outside organizations and increases the accessibility of waivers and state funded services provided through the Department. This position empowers Case Management Agencies, hospitals, schools and other entities with the tools to assist individuals making transitions from one program or environment to another in a person-centered and efficient manner, eliminating barriers and delays. Leads stabilization and enhancement coordination activities of the CCM system program content in coordination with the Division and the Health Information Office (HIO) representing OCLs interests on behalf of the program. Develops, monitors and modifies the contractor scope of work and assures state procurement rules are complied with.
Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights
Residency Requirement:
This posting is only open to residents of the State of Colorado at the time of submitting your application.
Class Code & Classification Description:
H1B4XXADMINISTRATOR IV (https://drive.google.com/file/d/0B4enHpLSVk4eWkZaX3pITkthalE/view?usp=sharing&resourcekey=0-7JnyseeYiyxZjlARRHfAZg)
MINIMUM QUALIFICATIONS:
There are two ways to qualify for this position:
Option 1:
Experience Only:
Seven (7) years of related professional experience in Long-term Services and Supports (LTSS) systems performing case management or care coordination, public administration, healthcare administration, policy development and implementation, regulation and compliance, project management, or continuous policy improvement.
Option 2:
Education and Experience:
A bachelors degreefrom an accredited institution in Psychology, Healthcare Administration, Government Policy, Social Work, Sociology, Political Science or a field of study closely related to the work assignment,
AND
Three (3) years of professional experiencein Long-term Services and Supports (LTSS) systems performing case management or care coordination, public administration, healthcare administration, policy development and implementation, regulation and compliance, project management, or continuous policy improvement.
Appropriate education will substitute for the required experience on a year-for-year basis. Relevant education will be calculated as the following:
An associate will count as two years of experience
A bachelors will count as four years of experience
A masters degree will count for six years of experience
A doctorate or juris doctorate degree will count for seven years of experience
PREFERRED QUALIFICATIONS:
Prior state experience related to the duties of this position
Experience researching, interpreting and applying complex statutes and regulations for Long-term services and supports as well as Home and Community Based Services waivers.
Expert level experience with long-term care services and supports and Home and Community Based Services eligibility
Expert level experience with grievances processes and managing Health First Colorado stakeholders
Master’s Degree in closely related field
DEFINITION OF PROFESSIONAL EXPERIENCE: Work that involves exercising discretion, analytical skill, judgment, personal accountability, and responsibility for creating, developing, integrating, applying, and sharing an organized body of knowledge that characteristically is uniquely acquired through an intense education or training regimen at a recognized college or university; equivalent to the curriculum requirements for a bachelor's or higher degree with major study in or pertinent to the specialized field; and continuously studied to explore, extend, and use additional discoveries, interpretations, and application and to improve data, materials, equipment, applications and methods.
Highly Desired Knowledge, Skills and Abilities :
Working knowledge of Medicaid Home and Community Based Services and associated regulations and best practices
Working knowledge of other state agencies and their programs, such as the Department of Human Services, Department of Corrections, Department of Education and the Department of Public Health and Environment.
Working knowledge of Medicaid state plan benefits and Medicaid operations.
Advanced Technical Writing, including but not limited to standard operating procedures, contract language, scope of work, and memorandums.
Experience facilitating complaint resolution processes between contractors, Medicaid members, families, advocates and other stakeholders. Ability to investigate root causes of eligibility issues, outline potential solutions and work towards resolution all while communicating updates to the team.
Ability to be a liaison between divisions, teams and state departments..
Advanced communication skills, i.e. conflict resolution, negotiation, solution-focused facilitation, and problem solving.
Interpersonal skills, including to but not limited to, clear and concise communication; attentive to multiple details; careful listening; the ability to collaborate with diverse groups and ability to adapt to their needs; independently motivated and self-starting.
Creative thinking approach to problem solving.
CONDITIONS OF EMPLOYMENT:
All positions at HCPF are security sensitive positions and require that the individuals undergo a criminal record background check as a condition of employment.
Employees who have been disciplinary terminated, resigned in lieu of disciplinary termination, or negotiated their termination from the State of Colorado must disclose this information on the application.
This is a term-limited position with funding through 09/30/2027. Successful candidates will sign a Waiver of Retention Rights and normal personnel rules regarding retention will not apply. Additionally information regarding term-limited positions can be found here.
Appeal Rights:
An applicant who has been removed from an employment list or removed from consideration during the selection process may request a review by the State Personnel Director.
As an applicant directly affected by the results of the selection or comparative analysis process, you may file a written appeal with the State Personnel Director.
Review of the completed, signed and submitted appeal will be timely on the basis of written material submitted by you, using the official appeal form signed by you or your representative. This form must be completed and delivered to the State Personnel Board by email at dpa_state.personnelboard@state.co.us within ten (10) calendar days from your receipt of notice or acknowledgement of the Department’s action.
For further information on the Board Rules, you can refer to 4 Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules .
Supplemental Information
How to Apply (https://careers.colorado.gov/how-to-apply) (PLEASE READ CAREFULLY)
Please note that ONLY your State of Colorado job application will be reviewed during the initial screening; if you submit a resume and cover letter, they will be reviewed in later stages of the selection process. Therefore, it is paramount that you clearly describe all your relevant experience on the application itself. Applications left blank or marked "SEE RESUME" will not be considered.
Your application will be reviewed against the minimum qualifications for the position. If your application demonstrates that you meet the minimum qualifications, you will be invited to the comparative analysis process, which is described below.
Comparative Analysis Process
The comparative analysis process will consist primarily of a review of applications against the minimum and preferred qualifications of this position. Applications will be reviewed in comparison to all others in the applicant pool in order to identify a top group of candidates who may be invited for a final interview. Depending on the size of the applicant pool, additional selection processes may be utilized to identify a top group of candidates. Applicants will be notified of their status via email.
Failure to submit properly completed documents by the closing date will result in your application being rejected.
ADAAA Accommodations : The State of Colorado believes that equity, diversity, and inclusion drive our success, and we encourage candidates from all identities, backgrounds, and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law.
The Department of Health Care Policy & Financing is committed to the full inclusion of all qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or to perform essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to our ADAAA Coordinator, Virginia Miller, at virginia.miller@state.co.us .
The Department of Health Care Policy & Financing does not offer sponsored visas for employment purposes.
The State of Colorado offers permanent employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program. Please click the following link for detailed information: www.colorado.gov/pacific/dhr/benefits
Please note that each agency's contact information is different; therefore, we encourage all applicants to view the full, official job announcement which includes contact information and class title. Select the job you wish to view, then click on the "Print" icon.
01
All HCPF positions are security-sensitive positions and require potential employees to undergo a criminal record background check. As a condition of employment, you will be required to submit to pre-employment screening if offered the position. Are you willing to meet this requirement?
Yes
No
02
Do you have any relatives or significant others working at the Department of Health Care Policy & Financing? If so, please list their names here. Otherwise, please list N/A.
03
Per the requirements of the Step Pay Program implemented on July 1, 2024, any State employee must be paid a rate that is equal to or greater than the appropriate step pay rate within their classification's pay range based on completed years in their current class series as of June 30. All current and former State employees must ensure that your entire work history within the State Classified System, including at Institutions of Higher Education, is indicated in your application so that your time-in-series can be calculated accurately. Please verify that this information is included in your application in the supplemental questions.
04
Are you willing to accept an offer within the posted salary range?
Yes
No
05
Do you understand that this is a term-limited position with funding through 09/30/2027?
Yes
No
06
Former state employees who were disciplinarily terminated or resigned in lieu of termination must disclose the information on the application. In the space below, please provide an explanation as to why the prior termination or resignation should NOT disqualify your application from the current position. Otherwise, please list N/A.
07
Please describe a time when you needed to creatively problem-solve a stakeholder issue and used diplomacy in the process.
08
Please describe your experience working as a liaison between differentiating systems or agencies.
09
Please explain any experience you have facilitating difficult conversations amongst team members.
10
List any additional relevant experience you would like us to consider in determining if you meet the qualifications of this position. Please, include the months and years relevant to the experience you describe.
Required Question
Employer
State of Colorado
Address
See the full announcement by clicking
the "Printer" icon located above the job title
Location varies by announcement, Colorado, --
Website
https://careers.colorado.gov/
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