Case Management Coordinator

About This Opportunity

Our talent team is representing a confidential healthcare technology client in their search for a Case Management Coordinator. This is a full-time remote position based in Colorado, USA.

In this role, you will serve as the primary coordination point driving Prior Authorization Requests (PARs) through Case Management Agencies. You'll proactively coordinate with county and independent case managers across numerous concurrent cases—driving clean, timely submissions, reauthorizations, and appeals—while navigating CMA workflows to keep services moving without lapses. As the expert liaison, you'll ensure end-to-end compliance and fast resolutions by partnering closely with CMAs and internal teams.

Responsibilities

• Lead Case Manager Coordination: Deepen collaboration with county and independent case managers. Serve as their primary point of contact for service authorizations, care plan updates, and waiver transition support to ensure seamless, coordinated care.
• Case Management Agency Relationships: Build and maintain relationships with Colorado Case Management Agencies (CMAs); proactively engage in regular meetings, case reviews, and joint resolution efforts for complex patient needs.
• Integrated Care Planning: Work alongside case managers and patients' families to co-develop care plans that align both clinical needs and Medicaid requirements, flagging potential gaps or overlaps in services related to long-term home health.
• Expert Liaison: Be the go-to expert for both internal staff and external case managers on complex situations (e.g., multiple waivers, emergency authorizations, appeals). Ensure transparent and proactive communication at every step.
• Master Colorado's LTHH Landscape: Support authorization operations for Colorado's HCBS waiver programs (CFC, CES, SLS) ensuring full compliance with HCPF policies and Colorado PAR requirements.
• Manage Reauthorizations: Build out the process and drive the team handling all collaboration with county Case Managers to submit reauthorization submissions for Colorado's waiver programs to ensure patients have no lapse in care.
• Drive Team Excellence: Create and execute training programs on Colorado-specific prior authorization requirements, mentor staff on LTHH waiver nuances, and establish performance metrics that drive strong approval rates and sub-10-day processing times.

What We're Looking For

• Case Management Experience: 5+ years coordinating with Colorado case managers in Medicaid LTHH settings, with documented success facilitating seamless authorizations and care continuity.
• Leadership in Case Manager Collaboration: Expert relationship builder with strong communication, problem-solving, and stakeholder management skills; proven ability to partner effectively with case managers at both county and CMA levels.
• Colorado LTHH Expertise: Deep knowledge of Colorado's LTHH ecosystem including HCPF policies, prior authorization operations, case coordination, and ColoradoPAR system; demonstrated successful navigation of Colorado waiver program transitions and appeals.
• Cross-functional Expertise: Demonstrated skill working with patient families, clinical teams, and multiple case managers to ensure joint problem solving and continuous coverage of care.
• Education: Bachelor's degree in Healthcare Administration, Business, or equivalent is preferred. Colorado Medicaid certification and LTHH authorization training strongly preferred.

How We Work With You

When you apply through Get A Job.ai, our recruiting team will screen your application and coordinate directly with you throughout the process. If your background is a strong match, we will submit your profile to our client for consideration. Please do not contact the client directly—all communication and scheduling will be managed through our team to ensure a smooth and professional experience.

Benefits

Our client offers competitive compensation packages, comprehensive health coverage (90% premium coverage for employees, 70% for dependents), generous paid time off with 10 company holidays, financial savings benefits including HSA contributions and 401(k) support, and paid parental leave.

Equal Opportunity

Get A Job.ai is committed to equal employment opportunity and welcomes applicants from all backgrounds regardless of race, color, religion, sex, national origin, age, disability, veteran status, or any other protected characteristic.