Case Management Coordinator
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Job Description
Case Management Coordinator advancing Colorado Medicaid home care authorizations at Abby Care. Coordinating agencies, reauthorizations, appeals, and care continuity across Colorado’s LTHH ecosystem.
Responsibilities:
- Coordinate with county and independent case managers across concurrent cases
- Drive timely prior authorization submissions, reauthorizations, and appeals through Case Management Agencies
- Serve as the primary contact for service authorizations, care plan updates, and waiver transition support
- Build and maintain relationships with Colorado Case Management Agencies through meetings, case reviews, and joint resolution efforts
- Collaborate with case managers and patients’ families to develop care plans aligned with clinical needs and Medicaid requirements
- Act as the expert liaison for complex situations involving multiple waivers, emergency authorizations, and appeals
- Support authorization operations for Colorado HCBS waiver programs CFC, CES, and SLS
- Build and manage the reauthorization process with county Case Managers to prevent lapses in care
- Create training programs on Colorado-specific prior authorization requirements
- Mentor staff on LTHH waiver nuances
- Establish performance metrics targeting strong approval rates and sub-10-day processing times
Requirements:
- 5+ years coordinating with Colorado case managers in Medicaid LTHH settings
- Documented success facilitating seamless authorizations and care continuity
- Expertise in relationship building, communication, problem-solving, and stakeholder management
- Proven ability to partner with county-level and Case Management Agency case managers
- Deep knowledge of Colorado’s LTHH ecosystem, including HCPF policies, prior authorization operations, case coordination, and ColoradoPAR
- Successful navigation of Colorado waiver program transitions and appeals
- Experience collaborating with patient families, clinical teams, and multiple case managers
- Bachelor’s degree in Healthcare Administration, Business, or equivalent is preferred
- Colorado Medicaid certification and LTHH authorization training strongly preferred
- Employment contingent upon successful background check, satisfactory references, and required documentation
- Must answer whether sponsorship to work in the US will be required now or in the future
Benefits:
- Competitive compensation packages
- Medical, vision, dental, life, and short-term disability coverage; employer covers 90% of employee premiums and 70% for dependents
- Multiple PPO plan options
- Generous paid time off
- 10 paid company holidays
- HSA contributions
- Optional FSA and commuter benefits
- Full coverage of all 401(k) account fees; employer match not currently offered
- Paid parental leave
- Remote work arrangement
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