CMA Coverage Coordinator

Join a Winning Team at One of Colorados Best Workplaces!

The Resource Exchange (TRE)
At TRE we dont just provide services we transform lives. Our commitment to empowering individuals and creating inclusive communities has earned us recognition as one of Colorados top employers for five consecutive years. But dont just take our word for it:
The standard of work and the culture of providing excellent service is something Im proud to be a part of. Current TRE Staff Member November 2024

Why TRE is the Place for You:
Make an Impact: Advocate for and empower people of all ages and abilities from infants to seniors creating lasting change through collaboration with families communities and partners.
Work with Purpose: As part of a dedicated team youll help strengthen families and promote inclusion in communities across El Paso Pueblo Teller and Park counties.
Enjoy a Positive Work Environment: Join a culture thats consistently recognized as one of the Best Workplaces in Colorado.
Who We Are:
At The Resource Exchange we pride ourselves on being a team of over 400 passionate and talented staff who serve more than 12000 individuals. From those with disabilities and mental health challenges to those in need of long-term care we provide person-centered support focused on independence inclusion and collaboration.
What We Offer:
Comprehensive Benefits: Health dental vision Lifestyle Spending Account for health and wellness plus pet insurance for your furry friends
True Flexibility: Flexible work schedules to fit your life (yes we really mean it!).
Half-Day Fridays: Start your weekends early every week!
Generous Time Off: Paid Time Off with your birthday off paid holidays and time to celebrate what matters most to you.
Public Student Loan Forgiveness: Were invested in your future.
Volunteer Opportunities: Paid time off to give back to the community.
Growth & Development: Leadership career advancement and workgroup opportunities to help you thrive.
Come thrive with us! At TRE your passion for service will be recognized and youll be part of a culture that celebrates making a difference.
Ready to join one of Colorados Best Workplaces Apply today

THE RESOURCE EXCHANGE
Job Description

Position Title: Coverage Coordinator (CMA)
Department: CMA Case Management Agency
Reports to: Operations and Communication Director
FLSA: Non-exempt
Supervisor Responsibilities: N/A
Starting Range: 22.32 to 23.18 hourly (Rates reflect FY25-26 and are subject to change. Contact to confirm current rates.)

Benefits Offered: Health dental vision employer-paid life and short-term disability voluntary life long-term disability 401K with employer contributions pet insurance additional supplemental insurance options flexible work environment training and growth opportunities workgroup participation public student loan forgiveness eligibility mileage reimbursement and more.

General Description:

The Coverage Coordinator serves as a vital resource within the Case Management Agency (CMA) during periods of leave and transition ensuring continuity of care for individuals and families. This position manages case assignments bridges communication among team members clients and external agencies and promotes timely and effective problem-solving. The Coverage Coordinator will oversee a variety of cases ensuring that client needs are met with professionalism and compassion while adhering to Medicaid HCPF and TRE policies.

Essential Duties and Responsibilities:

• Manage case assignments during transitions ensuring all cases are documented and up-to-date.
• Act as a liaison between individuals families service providers and CMA leadership during periods of absence.
• Coordinate and participate in multi-agency meetings to address service disruptions and access barriers.
• Ensure thorough documentation in Care and Case Management (CCM) Bridge and other relevant systems.
• Respond to escalations from clients guardians or agencies providing accurate information and follow-up.
• Support team members by consulting on challenging cases offering expertise and guidance.
• Collaborate with the Supervisor and Manager to identify trends in escalations and recommend improvements.
• Provide training and support to new team members on case management processes and de-escalation strategies.
• Monitor service authorization timelines and regulatory compliance for assigned cases.
• Attend wraparound DHS or complex care meetings as needed to support continuity of care.

Additional Responsibilities:

• Provide backup coverage for absent team members particularly during high-need situations.
• Participate in internal workgroups focused on crisis response system redesign or policy adaptations.
• Utilize TRE tools such as the Predictive Index to enhance team dynamics and communication.
• Engage in strategic planning quality improvement initiatives and performance development processes.
• Adapt to organizational and regulatory changes to maintain service excellence.
• Represent TRE and the CMA with integrity in all professional communications and interactions.

Other Duties and Responsibilities:

• Participate in TRE-led development opportunities and staff engagement activities.
• Assist with special projects case reviews and root cause analysis related to elevated cases.
• Perform other duties as assigned to support organizational mission and client wellbeing.

Job Qualifications:

Knowledge Skills and Abilities:

• Extensive understanding of Medicaid waivers (IDD Non-IDD Childrens) long-term services and supports (LTSS) and community resources.
• Strong skills in crisis planning conflict resolution and interagency collaboration.
• Excellent verbal and written communication skills able to navigate sensitive issues diplomatically.
• High level of emotional intelligence resilience and cultural competence.
• Strong organizational and prioritization skills in time-sensitive situations.
• Comfort with ambiguity and evolving circumstances.
• Proficiency in Microsoft 365 cloud-based platforms CCM Bridge and other state systems.

Education and Experience Requirements:

• Minimum: Bachelors degree. Equivalent experience with LTSS populations Medicaid Waivers or working with children with disabilities or a combination of education and experience may be considered in lieu of degree.
• Preferred: Previous experience with Medicaid waivers (CHCBS CES CLLI CHRP) developmental disability services or pediatric medical case management.

Material and Equipment Directly Used: Computers/tablets Printers Copy Machines Personal Vehicle Cell phones/telephone Cloud based systems and software etc.

This is a hybrid position with work locations determined by both client and organizational needs. Work may take place in a variety of settings including office environments community locations private residences commercial properties and virtual platforms. The role requires moderate physical activity such as walking sitting standing and lifting up to 20 pounds.

A reliable vehicle valid Colorado drivers license (unless part of an active military family) and proof of insurance with minimum preferred liability coverage of $100000/$300000/$100000

This job description is not intended to be an exhaustive list of all duties responsibilities or qualifications associated with this job. Therefore The Resource Exchange reserves the right to amend and/or modify this job description at any time. The Resource Exchange also reserves the right to stipulate hours of employment; work schedules may be changed to respond to business requirements.