Long Term Care Case Manager

Benefit Eligibility:

Jefferson County Human Services is seeking a Long-Term Care Case Manager responsible for the client-facing work of this division. Depending on the focus of their team, the Long-Term Care Case Manager will provide a variety of case management services to elderly and disabled adults along with children who are experiencing chronic and/or terminal illness. Case managers help determine functional client eligibility for a variety of Medicaid service plans. They also determine appropriate service plans based on the needs of individual clients, negotiate rates with Medicaid providers and other services, and follow up with providers for care and treatment options. Case managers are responsible for assisting clients with denied application options.   

We are hiring Long Term Care Case managers for the following programs:   

Jefferson County operates primarily on a 4 day, 10-hour work week, Monday-Thursday. The Human Services Department works either on a 4 day, 10-hour work week; or on a 5 day, 8-hour work week. This position is hybrid, with remote work and in-office work as determined by team and agency needs.  

Long Term Care Case Managers have the following responsibilities:   

• Determine client eligibility by gathering collateral information from hospital, nursing home, long-term skilled home health and home-based services.   

• Complete a face-to-face assessment of clients.   

• Attend court appeal hearings to defend denied applications.  

• Prepare all legal documents for the appeal hearing.   

• Work with various Medicaid programs (e.g., Home and Community Based Services (HCBS), Elderly, Blind, and Disabled, Mentally Ill, Persons Living with AIDS, Brain Injury, Children’s HCBS, Total Long-Term Care, Program of All Inclusive Care of the Elderly, Home Care Allowance, and Nursing Home programs).   

• Maintain client care plans by reassessing as necessary for the most cost-efficient service plan.  

• Adhere to state cost containment regulations.   

• Ensure family members are fully informed of options available.   

• Make referrals as necessary.   

• Consult with state agents.   

• Negotiate rates and plans with Medicaid providers and other providers.   

• Complete billing paperwork.   

• Other duties and responsibilities as assigned.  

Research shows that women and other underrepresented and historically marginalized groups tend to apply only when they check every box in the posting. If you are reading this and hesitating to click “apply” for that reason, we encourage you to go for it! A true passion and excitement for making an impact is just as important as work experience. 

• Bachelor’s degree in a related field. 

• One (1) year of work-related experience. 

• Bilingual in Spanish preferred 

• Able to learn more than one complex computer system and is patient in the learning process.   

• Ability to problem-solve by using critical thinking and utilizing resources/researching to find solutions that are best for the family and the department.   

• High level organizational and time management skills and thrives with strict deadlines.   

• Strong customer service and interpersonal skills with the ability to adapt communication based on level of program knowledge of the audience.   

• Warm, empathetic, respectable personality   

• Passionate about agency's mission and vision    

• A valid Colorado driver’s license is required for positions that drive on County Business in either a county or personal vehicle within 30-days of hire or beginning to serve as an intern or volunteer.  

• Offer of employment is contingent upon successful completion of criminal history, motor vehicle report, education verification, and/or references for all positions.