Health Plan Coordinator – Denver Health Medical Plan (Weekly On-Site Requirement

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<div class="isg-job-description“>We are recruiting for a mission-driven Health Plan Coordinator – Denver Health Medical Plan (Weekly On-Site requirement) to join our team!

We’re with you for life’s journey. At Denver Health, purpose isn’t just something we believe in-it’s something we live every day, for life’s journey.

Our Values

Respect jobs-near-me.org Belonging jobs-near-me.org Accountability jobs-near-me.org Transparency

Department

Managed Care Administration

*Must Live in Colorado

*This is a hybrid role located in Denver, Colorado with a requirement of being in the office 2 days per week.

Job Summary
Under general supervision, provides basic care coordination and navigation of healthcare and community based services and manages assigned caseload. Works within a multidisciplinary team of care providers to identify physical, mental health, social and cultural needs. Removes barriers to care by identifying critical resources and assisting members to navigate through the health care system. Provides referrals to appropriate resources. Builds supportive, collaborative relationships with Members, helping to empower, educate and assist them with needs. Encourages members to obtain timely preventative healthcare while managing acute and chronic conditions.
Essential Functions:

• Works under the direction of and in collaboration with the RN Care Coordinator, Clinical Care Coordinators and social workers to support the needs of the Member. (20%)
• Facilitates access to medical, behavioral health and community services (like transportation, food assistance, etc.). Assists members to apply for public benefits (e.g. SNAP, TANF, WIC). (15%)
• Serves as a community liaison and advocate by coordinating linkages or referrals to improve health, social, and environmental conditions for members. (15%)
• Coordinates and facilitates care and communication between health team, members, and members’ families. (10%)
• Maintains documentation of encounters with members and completes documentation requirements according to department standards. (10%)
• Serves as point of contact within and among healthcare services and organizations. (10%)
• Orients member/caregiver to health care delivery system, services, access, and resources. (10%)
• Supportive responsibilities for a defined caseload of Members. (5%)
• Obtains Member consent to participate in the program as well as to share clinical information with the Member’s care team (5%)

education:

• High School Diploma or GED required

Work experience:

• 1-3 years experience in health plan case management, care coordination, or member navigation, preferred

Licenses:
Knowledge, Skills and Abilities:

• Bilingual in English/Spanish, preferred.
• Strong communication (written and verbal) and customer service skills.
• Ability to receive process and convey information in oral, written and keyboard formats.
• Ability to read documents and assimilate information
• Experience with windows-based computer programs and ability to use computer for data analysis and data display, required.
• Experience with Medical Management platforms used to document care coordination services, preferred.

*Must Live in Colorado

*This is a hybrid role located in Denver, Colorado with a requirement of being in the office 2 days per week.

Shift

Days (United States of America)

Work Type

Regular

Salary

$21.33 – $29.86 / hr

Benefits

At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future – with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development – while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you’re joining a mission-driven organization that invests in you.

Here is a small list of our benefit programs:

• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
• 100% paid parental leave up to 6 weeks
• Immediate eligibility for retirement plans with employer contribution up to 9.5%
• Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
• Free RTD EcoPass (public transportation)
• Childcare discount programs & exclusive perks on large brands, travel, and more
• Tuition reimbursement & assistance
• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
• Professional clinical advancement program & shared governance
• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health

Denver Health is an integrated, high-quality academic healthcare system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.

As Colorado’s primary, and essential, safety-net healthcare system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.

“Denver Health is committed to provide equal treatment and equal employment opportunities to all applicants and employees. Denver Health is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.”

 

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