Long Term Care Case Manager

Jefferson Health; Golden (CO); Hybrid; USD 58,000 - 59,000; Full time

Benefits offered by this job

Hybrid work options

Medical, dental, vision insurance

Paid time off and holidays

Tuition reimbursement

Retirement matching

Wellness programs

Job summary

Jefferson County Human Services seeks a Long-Term Care Case Manager to handle client-facing case management for the elderly, disabled, and children with chronic or terminal illness. You will evaluate eligibility for Medicaid plans, negotiate service options, and coordinate with providers to ensure appropriate care.

The role covers various programs including IDD, Non-IDD, and SGF Intake, with a hybrid schedule and opportunities to impact benefits enrollment and care planning.

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 and negotiate rates with Medicaid providers.
• Maintain client care plans by reassessing for cost-efficient service options.
• Adhere to state cost containment regulations.
• Ensure family members are informed of options and make referrals as necessary.
• Complete billing paperwork.

Skills

Case management

Medicaid

Assessment

Job description

Job Posting Closes at 11:59PM on: 10/01/26

Division: Case Management Agency Division Management Level: Individual Contributor Scheduled Weekly Hours: 40

Benefit Eligibility: This position is eligible for Standard Benefits which includes dental, medical, and vision insurance, paid time off and holidays, retirement matching, wellness programs, and tuition reimbursement.

Description

JOB DESCRIPTION SUMMARY: 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:

• IDD (Intellectual and Developmental Disabilities) Program - The teams in this program are responsible for the long-term case management for clients with Intellectual and Developmental Disabilities and their families.


• Non-IDD Program - The teams in this program are responsible for the long-term case management for clients experiencing needs related to physical disability, chronic illnesses, and aging.


• SGF Intake Program - The teams in this program will be focused on the initial enrollment, documentation of case management and monitoring activities, Most in Need assessment, and other issues related to entering clients in the State benefits program. Aspects of this program will also be focused on training and process improvement for the entire agency.

About Human Services

Through early childhood education, adult and child protection, job training, food assistance , Medicaid, and other programs, Jefferson County Human Services has an additional five internal Divisions that work with hundreds of community partners to help people build better, safer lives. Human Services provides excellent, individualized service throughout the community with their talented, passionate professionals who empower people and communities to thrive.

Jeffco offers a work environment that strives to promote the development, strategic vision and scope for work and inclusion practices to strengthen and advance shared departmental goals and alignment with the county strategic plan.

SCHEDULE

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.

COMPENSATION

Hiring Range: $ 5 8,135.56 - $ 59,005 annually

Compensation will be determined based on education, experience and skills.

BENEFITS

Jefferson County offers a generous benefits package that supports your personal and professional life. Benefits include medical, dental, and vision insurance; paid time off and holidays, including a starting bank of 40 hours of PTO for new hires ; retirement matching; wellness programs; tuition reimbursement; flexible schedules; hybrid work options; and more.

ESSENTIAL DUTIES

• 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.

QUALIFICATIONS

Research shows that women and other underrepresented and historically marginalized groups tend to apply only when they check every box in the posting.