CMA High Acuity Case Manager

Compensation Range

$29.30 - $38.10

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Job Description Summary

Provides specialized support for children and families with complex needs by managing a caseload of children enrolled in Medicaid Waivers within the Case Management Agency (CMA). Oversees high acuity cases, facilitates transitions from children to adult waivers, and coordinates emergency and exception processes. Strengthens partnerships with families, community providers, and interdisciplinary professionals to support stability, promote service quality, and ensure cohesive care planning. Contributes to system improvements through specialized children's services expertise, training, and knowledge sharing.

Primary office location will be in the Greeley office. Work may involve time away from a standard office environment, which may consist of driving to and from home visits. Work may occur in various community settings that are potentially hazardous and may require additional precautions,
such as personal protective equipment and/or requesting assistance from emergency medical personnel or law enforcement. Reliable, predictable attendance within department business hours of 8 a.m. to 5 p.m. Monday through Friday. After hours and on-call work situations may occur, on occasion, to provide support to members and families that need services outside of normal business hours. This position has the opportunity for a hybrid schedule, for employees who have completed initial training and meet criteria outlined in division policy.

Ideal candidate traits:
1. A resilient professional who thrives in dynamic environments, manages crisis situations with composure, and handles shifting priorities seamlessly.
2. A self-starter who demonstrates strong initiative, meticulously meets regulatory deadlines, and effectively prioritizes case management responsibilities.
3. Ability to work with families in a high stress high trauma environment and remain calm and professional.

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Job Description

Complex Case Management - 40%

• Maintain a caseload of high acuity and transitioning children as assigned, including Children's Habilitation Residential Program (CHRP) and out-of-state placement cases.
• Convene individualized support team meetings as needed to address case specific issues.
• Provide mediation between members, families, and providers to resolve conflicts and support long-term and person-centered support planning.
• Develop appropriate residential transitions for children/youth in out-of-home placements.
• Coordinate RFP process for placement settings.
• Support members and families enrolled in a children’s waiver during out of county and/or out of state placements.
• Cultivate and sustain effective partnerships with key internal and external stakeholders (e.g. Child Welfare, Family Resource Division, Regional Accountable Entities (RAE) -Creative Solutions Team and provider-based wrap facilitators) to support integrated service planning and high-quality outcomes.
• Collaborate closely with Weld County School Districts (based on the child's resident school location) to ensure smooth, well-coordinated educational transitions.
• Work with members, families, and community agencies to coordinate and facilitate services.
• Conduct out-of-county travel, when necessary, to support coordinated case management for CMA members/children that are also involved with other DHS programs.

Waiver Transition Coordination - 15%

• Coordinate all children’s transitions to adult waivers, including assessments, planning meetings, documentation, and implementation of transition plans.
• Facilitate and manage Developmental Disabilities (DD) Medicaid Waiver enrollment requests.
• Facilitate and oversee all emergency requests and exception processes for children transitioning to the DD waiver.
• Provide information as requested about all potential services and the enrollment process, guiding, and prompting through each step as needed.
• Ensure accurate, comprehensive, and consistent documentation to the state.

Advocacy, Family and Provider Support - 20%

• Participate in Family Engagement, Team Decision Making, and Creative Solutions meetings.
• Strengthen and maintain effective collaboration with community partners, providers, and interagency partners.
• Serve as subject matter expert for high-acuity needs and child-to-adult transitions.
• Advocate for the best interest of the member.
• Mediate with members, families and providers during conflict situations and assists with problem solving to identify the best solutions to meet members’ long term supportive needs including potential, future needs that may arise.
• Ensure the members and families are notified of rights, that discussion of priorities occurs, and that they are given choice of services based on documented needs and goals.
• Remain current on all applicable rules and regulations that may impact children’s case management and represent the agency at required local and state meetings, committees, workshops, and conferences.

Training & System Support - 15%

• Conduct specialized children’s services training as requested.
• Support system improvements through training contributions and knowledge sharing.
• Model high quality, person-centered service delivery, demonstrating expected interactions, practices and standards.
• Support colleagues by troubleshooting complex cases and provide clear guidance on navigating program requirements, promoting consistent and effective case management practices.

Professionalism & Teamwork - 10%

• Participate in a positive and value-added manner with both internal and external professional partners.
• Stays informed by participating as appropriate in all team, unit, and division meetings, attends or views recordings for department updates and reads county wide messaging.
• Participates as a team member of the department establishing and maintaining a high degree of cooperation with coworkers. Display a willingness to collaborate and problem solve.
• Understands how one’s day-to-day work significantly impacts the team’s success.
• Accepts responsibility for own actions and follows through on commitments.

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Required Qualifications

Required Education

• Bachelor's Degree or 5 years experience in the field of Long-Term Services and Supports (LTSS), which includes Developmental Disabilities or
• A combination of education and relevant experience appropriate to the requirements of the position. Relevant experience is defined as: (a) Experience in one of the following areas: long-term care services and supports, gerontology, physical rehabilitation, disability services, children with special health care needs, behavioral science, special education, public health or non-profit administration, or health/medical services, including working directly with persons with physical, intellectual, or developmental disabilities, mental illness, or other vulnerable populations as appropriate to the position being filled; AND (b) Completed coursework and/or experience related to the type of administrative duties performed by case managers may qualify for up to two (2) years of required relevant experience.

Preferred Experience

• Experience managing complex Medicaid waivers and/or Long-Term Care cases and developing and maintaining effective, collaborative relationships with families and professional partners.
• Strong skills in conflict mediation, meeting facilitation, and collaborative problem-solving.
• Experience in children’s case management, child protection, or related high acuity service delivery.
• Familiarity with transition processes for children entering Medicaid Adult Development Disabilities Waivers.

Skills and Abilities

• Candidate must possess knowledge of Long-Term Services and Supports Case Management practices, developmental disabilities services, and children’s waiver programs (CES, CHRP, CLLI, CWCHN, CFC).
• Candidate must possess the ability to learn and apply new computer skills on a regular basis.
• Candidate must possess knowledge of computer programs such as Microsoft Windows and Word, Excel, and Outlook.
• Candidate must possess the ability to read and comprehend instructions, correspondence and department policies and procedures.
• Candidate must possess the ability to write correspondence.
• Candidate must possess the ability to effectively communicate with diverse populations in a variety of settings.
• Candidate must possess the ability to apply math concepts and calculations in the work environment.
• Candidate must possess the ability to apply common sense to problem solve in a work environment.
• Candidate must possess the ability to adapt to fast paced, high volume and ever-changing work environment and be able to handle high stress situations.
• Candidate must demonstrate the ability to show initiative, meet time lines, organize work, manage time, and manage multiple priorities.
• Candidate must pass criminal background check prior to employment start date.

Licenses and Certifications

• Driving is essential in this position and will be traveling throughout the state.
• Candidate must have a valid Driver’s License and Liability Insurance
• (Upon Hire Required)
• Candidate must pass a Motor Vehicle Record (MVR) evaluation and if hired, will be subject to continuous monthly MVR monitoring throughout employment. (Upon Hire Required)
• Pre-employment substance screening is required for this position.
• This position is subject to a pre-employment drug screening. Employment is contingent upon successfully passing the screening in accordance with Weld County policy.

This position is non-exempt from the minimum wage and overtime requirements of the Fair Labor Standards Act and is therefore eligible for overtime pay.

As an applicant for this position, you should be aware of Senate Bill 19-085, the Equal Pay for Equal Work Act. The act requires employers to announce the pay range for job openings.

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Use the link below to get a closer look at the generous benefits offered:

https://www.weld.gov/Government/County-Information/Join-Our-Team/Employee-Benefits

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Weld County is an equal employment opportunity employer. We ensure that all employment practices are conducted without regard to race, color, religion, sex, national origin, age, disability status, marital status, sexual orientation, gender identity or expression, genetic information, protected veteran status or any other protected status in accordance with federal, state, and local laws. Weld County pledges to uphold a work environment free from discrimination and harassment, promoting fairness and dignity for all employees. We actively take affirmative action to comply with nondiscrimination policies and invite qualified individuals in need of reasonable accommodations to contact our Human Resources Department at [email protected] or (970) 400-4234.