Job description

Community Health Care Manager - Greeley/Evans/Weld County

Community Health Care Managers work in collaboration with local physical and behavioral health care providers, community agencies, and members enrolled in Medicaid to coordinate their care and connect them to valuable resources in the community. By identifying health and wellness goals of the individuals they serve, Community Health Care Managers strive to improve individual health outcomes and improve that member's experience navigating the healthcare system, while working to reduce the high utilization costs of health care. Community Health Care Managers focus on meeting individuals "where they are at", work to improve each individual's understanding of how to utilize local resources for self-management of their health and wellness, provide education related to navigation of the health care system, and rely on data to measure and enhance performance.

Knowledge / Skills / Abilities

• Cultural Competence
• Critical Thinking Skills
• Strong decision-making skills
• Strong verbal communication skills (both over the phone and in person)
• Basic Business Writing skills
• Strong customer service skills
• Ability to work independently and in a busy office environment that may contain interruptions to work as a result of walk-ins, member needs, supervisor requests, debriefing, phone conversations, etc.
• Ability to manage stressful situations (i.e. working with members who may have severe and persistent mental health issues)
• Ability to remain calm and non-reactive in demeanor (i.e. when interacting with members with varying substance use or mental health disorders)
• Ability to utilize positive problem solving in difficult situations
• Multi-tasking, prioritizing, and ability to handle multiple priorities while meeting deadlines
• Computer skills including Microsoft Office (Outlook/Excel/Word), state administered data collection systems, and other programs as needed or requested, (Experience working with EMRs preferred)
• Experience partnering with local and regional health and human service resources
• Experience working with Medicaid and Medicare
• Clinical skills including effectively engaging with multicultural populations and a variety of medical, behavioral health, criminal, substance use, and homelessness issues.
• Strict Confidentiality
• Bilingual preferred (not required)

Education or Formal Training

• HS Graduate or GED required

Licensure/Certifications

• Valid Colorado Driver License and Insurance required

Working Environment Physical Activities

• Frequent contact with the public by phone and in person
• Sitting for periods of time (up to 8 hours)
• Standing for periods of time on uneven ground at times
• Walking for periods of time on uneven ground at times
• Climbing up and down stairs
• Bending and reaching
• Lifting up to 30 pounds
• May be exposed to weather elements such as heat, rain, snow, etc. during member engagements
• Work in clinical office environment within proximity to other staff, noise, and discussions

Job Responsibilities/ Essential Functions:

• Case Management and Care Coordination of assigned members
• Monitor members according to guidelines set by NCHA Policy and Procedure under the Care Management guidelines
• Participate in home visits, telephone contacts, office/hospital visits, and other means of connecting with members to reach identified goals
• Perform needs assessments and identify risk factors to develop person centered care plans
• Assist members in scheduling appointments, follow-up care, referrals, medication refills, etc.
• Attend member appointments with providers and community resources as needed
• Participate in health promotion and health education activities for members as identified in their health care plan
• Establish collaboration, communication, and coordination among all responsible parties of an individual member’s multidisciplinary health care team and maintain routine correspondences
• Work in conjunction with various providers to develop interventions as needed
• Optimize member and family self-management through education, community resources, and support
• Review appropriate cost-effective care and decrease duplication of services for members
• Enter all documentation, contacts, and assessments into multiple databases
• Timely responsiveness to emails, calls, and requests with a reply indicating understanding
• Understand, communicate, and facilitate member’s complaints, grievances, and appeal processes
• Regular case review with supervisor
• Strict confidentiality of member records and communications following HIPAA Law
• Personal accountability for training and education comprehension and implementation

Other Duties as Assigned:

• Provide assistance as designated by Care Management leadership to support the overall goals of NCHA
• Provide input into development of policies and procedures and be accountable for adhering to them
• Compliance with all NCHA programs to exercise due diligence to prevent, detect, and report unlawful or unethical conduct by fellow co-workers, professional affiliates, and/ or agents
• Participation in ongoing performance improvement activities including meetings and trainings
• Provide oversight to students or guests wanting to learn about care management
• Other duties as needed to meet demands of the organization

The above job definition information has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. Job duties and responsibilities are subject to change based on changing business needs and conditions.

The North Colorado Health Alliance was incorporated as a 501(c)(3) non-profit organization in 2002. The Alliance, based in the town of Evans in Colorado’s Weld County, is a creative and strategic collaboration of partner organizations that are dedicated to cultivating the health of the communities they serve.

At the Alliance, we recognize that health does not begin or end with medical, dental, and behavioral health services. Health also depends on features of the built environment and on a variety of social determinants that make it harder for many to resist the chronic illnesses of our times. Thinking globally, the Alliance acts locally and creatively to convene, integrate, and support community partners in our common effort to make northeastern Colorado the healthiest region in the healthiest state.

This Company Describes Its Culture as:

• Innovative -- innovative and risk-taking
• Outcome-oriented -- results-focused with strong performance culture
• People-oriented -- supportive and fairness-focused

COVID-19 Precaution(s):

• Personal protective equipment provided or required
• Social distancing guidelines in place
• Virtual meetings
• Sanitizing, disinfecting, or cleaning procedures in place

This Job Is:

• A job for which military experienced candidates are encouraged to apply
• A “Fair Chance” job (you or the employer follow Fair Chance hiring practices when performing background checks)
• A job for which all ages, including older job seekers, are encouraged to apply
• Open to applicants who do not have a college diploma

Work Remotely

• No

This Job Is Ideal for Someone Who Is:

• Dependable -- more reliable than spontaneous
• People-oriented -- enjoys interacting with people and working on group projects
• Adaptable/flexible -- enjoys doing work that requires frequent shifts in direction

Job Type: Full-time

Pay: $18.37 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:
NCHA staff are required to be fully vaccinated against COVID as a condition of employment.

Staff are required to wear face coverings when in office and when engaging in face to face meetings with members. Additional PPE is provided as needed.

Ability to commute/relocate:

• Evans, CO (Required)

Education:

• High school or equivalent (Required)

Experience:

• Case management: 1 year (Preferred)

Language:

• Spanish (Preferred)

Shift availability:

• Day Shift (Required)

Work Location: In person

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