Health Plan Coordinator - Denver Health Medical Plan (Must Be a Colorado Resident)
Health Plan Coordinator - Denver Health Medical Plan (Must Be a Colorado Resident)
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
We are here for lifes journey.
Where is your life journey taking you
Being the heartbeat of Denver means our heart reflects something bigger than ourselves something that connects us all:
Humanity in action Triumph in hardship Transformation in health.
Department
Managed Care Administration*Must Be a Colorado Resident
Job Summary
Under general supervision provides basic care coordination and navigation of healthcare and community based services and manages assigned caseload. Works within a multidisciplinary team of care providers to identify physical mental health social and cultural needs. Removes barriers to care by identifying critical resources and assisting members to navigate through the health care system. Provides referrals to appropriate resources. Builds supportive collaborative relationships with Members helping to empower educate and assist them with needs. Encourages members to obtain timely preventative healthcare while managing acute and chronic conditions.
Essential Functions:
- Works under the direction of and in collaboration with the RN Care Coordinator Clinical Care Coordinators and social workers to support the needs of the Member. (20%)
- Facilitates access to medical behavioral health and community services (like transportation food assistance etc.). Assists members to apply for public benefits (e.g. SNAP TANF WIC). (15%)
- Serves as a community liaison and advocate by coordinating linkages or referrals to improve health social and environmental conditions for members. (15%)
- Coordinates and facilitates care and communication between health team members and members families. (10%)
- Maintains documentation of encounters with members and completes documentation requirements according to department standards. (10%)
- Serves as point of contact within and among healthcare services and organizations. (10%)
- Orients member/caregiver to health care delivery system services access and resources. (10%)
- Supportive responsibilities for a defined caseload of Members. (5%)
- Obtains Member consent to participate in the program as well as to share clinical information with the Members care team (5%)
Education:
- High School Diploma or GED required
Work Experience:
- 1-3 years experience in health plan case management care coordination or member navigation preferred
Licenses:
Knowledge Skills and Abilities:
- Bilingual in English/Spanish preferred.
- Strong communication (written and verbal) and customer service skills.
- Ability to receive process and convey information in oral written and keyboard formats.
- Ability to read documents and assimilate information
- Experience with windows-based computer programs and ability to use computer for data analysis and data display required.
- Experience with Medical Management platforms used to document care coordination services preferred.
Shift
Varies (United States of America)Work Type
RegularSalary
$20.97 - $29.36 / hrBenefits
Outstanding benefits including up to 27 paid days off per year immediate retirement plan employer contribution up to 9.5% and generous medical plans
Free RTD EcoPass (public transportation)
On-site employee fitness center and wellness classes
Childcare discount programs & exclusive perks on large brands travel and more
Tuition reimbursement & assistance
Education & development opportunities including career pathways and coaching
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
Our Values
Respect
Belonging
Accountability
Transparency
All job applicants for safety-sensitive positions must pass a pre-employment drug test once a conditional offer of employment has been made.
Denver Health is an integrated high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center a 555-bed acute care medical center Denvers 911 emergency medical response system 10 family health centers 19 school-based health centers Rocky Mountain Poison & Drug Safety a Public Health Institute an HMO and The Denver Health Foundation.
As Colorados primary and essential safety-net institution Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community focusing on hiring and purchasing locally as applicable serving as a pillar for community needs and caring for more than 185000 individuals and 67000 children a year.
Located near downtown Denver Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas talents and contributions reflective of the needs of our community.
Applicants will be considered until the position is filled.
Required Experience:
IC
Employment Type
Full-Time
