Case Management Specialist - Systems Navigation at DEVELOPMENTAL PATHWAYS
DEVELOPMENTAL PATHWAYS · Aurora, United States Of America · Hybrid
- Professional
- Office in Aurora
Job Details
$18.29 - $20.73 hourly
- Health/dental/vision coverage
- Employer-paid and supplemental life insurance
- Short- and long-term disability insurance
- Generous paid time off and holiday pay
- Flexible work schedule
- Monthly remote work stipend
- 401(k) investment plan, with an employer match of up to 4%
- Mileage reimbursement
- Tuition reimbursement program
- Certified Employer for Public Service Loan Forgiveness Program
- Healthcare reimbursement and flexible spending plan
- Discounts on auto and homeowners’ insurance
- Employee assistance program
- Credit union membership
- Employer-paid training
- High School Diploma or GED
- Associate’s Degree in business equivalent education and experience
- Three (3) years administrative support or customer service experience
- Experience in human services or nonprofit fields
- Knowledge of Colorado Department of Health Care Policy and Financing and Colorado Department of Public Health and Environment
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Provides various levels of Intake support and other supports to Systems Navigation teams including but not limited to shared email inbox management, member record management, processing of paperwork required for waiver and program intake and enrollment
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Works collaboratively with Intake and other Systems Navigation teams to ensure streamlined and efficient workflow from intake through enrollment
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Supports with data management and provides assistance for and oversight of member information for those supported by Systems Navigation teams
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Reviews and oversees case documentation to ensure all state and federal requirements are met and all data is accurate. Enters accurate documentation into state-held and internally developed systems
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Ensures the accuracy and timely entry and distribution of documentation to appropriate parties for various purposes
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Research participants’ information including but not limited to: service utilization and previously provided services and supports, Medicaid coverage and provides administrative support with waiver enrollments; submits appropriate paperwork to state and local entities for waiver enrollments and ongoing Medicaid coverage
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Analyzes work completed to identify and report on trends
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Provides professional-level feedback and follow up to other professional-level staff regarding mistakes or missed steps in Department processes and procedures (i.e., for SP and revision completion and entry into PAR system)
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Reviews/approves/manages Home Health PARs, as assigned
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Keeps up to date on all state policies and procedures
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Operates independently, using Health Care Policy and Financing rules, regulations, policies, and procedures, as well as directives from leadership to provide technical guidance to internal and external stakeholders to generate solutions to problems, or coordinate with case management staff for resolution and follow up
