Community Health Care Manager One (CHCM’s) work with members enrolled in Medicaid to coordinate care and to connect them with essential community resources through partnerships with local physical and behavioral health providers. CHCM’s aim to enhance individual health outcomes and the overall healthcare experience by identifying each person's health and wellness goals and improving their ability to navigate the healthcare system while also working to reduce high healthcare utilization costs. The CHCM One is position provides opportunity to learn care management and gain knowledge for future growth opportunity. Community Health Care Manager One report to the Community Health Care Management Supervisor.
Knowledge / Skills / Abilities
· Skills to communicate and interact appropriately and respectfully across multi-cultural differences.
· Strong critical thinking and problem solving abilities.
· Strong verbal communication skills (both over the phone and in-person).
· Basic Business writing skills.
· Strong customer service skills.
· Ability to multi-task, prioritize, 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 preferred (not required).
· Experience working with Medicaid and Medicare preferred (not required).
· Ability to effectively engage and build rapport in a variety of medical, behavioral health, justice involved, substance use, and homeless situations.
· Strict Confidentiality required.
· Bilingual preferred (not required).
· Reliable transportation and a valid driver license and insurance
Education or Formal Training
· HS Graduate or GED required
Licensure/Certifications
· Valid Colorado Driver License and Insurance required.
Work Environment Physical Requirements
· Annual Influenza vaccination required for all employees
· Frequent contact with the public by phone and in person
· Sitting for periods of time while utilizing a PC or laptop
· 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 confined spaces within proximity to other staff, noise, and discussions
Job Responsibilities/Essential Functions:
· Intake of incoming referrals and provide direct contact within 48 hours of receipt.
· Enter all documentation, contacts, and assessments into multiple databases with a high level of accuracy and timeliness.
· Work closely with supervisors on “campaign” and care plan assignments.
· Monitor members according to guidelines set by NCHA Policy and Procedure under the Care Management guidelines.
· Perform needs assessments and identify risk factors to develop person centered care plans.
· Conduct brief screenings and needs assessments to develop care plans and determine care management levels.
· Provide short-term monitoring, support, and education to promote self-management and preventive care (e.g., well child visits, immunizations, dental, and adult screenings).
· Assist members in understanding and accessing services, benefits, and community resources to address gaps in care.
· Manage and document member contacts using assignment tools.
· Identify and refer members requiring higher levels of care management.
· Track outcomes and report data to support performance improvement and KPI goals (e.g., preventive care, ED reduction).
· Review appropriate cost-effective care and decrease duplication of services for members.
· Understand, communicate, and facilitate member’s complaints, grievances, and appeal processes.
· Regular case reviews with supervisor.
· Strict confidentiality of member records and communications following HIPAA Law.
· Expected to develop personal competencies through ongoing education and professional development.
· Focus on meeting individuals “where they are at” in their health journey.
· Educate members on how to navigate the healthcare system.
· Able to work independently and within a team-oriented office environment that may contain interruptions to work due to walk-ins, member needs, supervisor requests, phone conversations, etc.
· Able to manage stressful situations while remaining calm and non-reactive (i.e. working with members who may have severe and persistent mental health issues or substance use disorders)
· Able to utilize positive problem solving in difficult situations.
Other Duties as Assigned:
· Provide assistance as designated by Care Management leadership to support the overall goals and operational needs of NCHA, (such as on-the-job shadowing, staff relief, or other needs).
· Provide input into development of procedures and be accountable for adhering to them.
· Adhere to all programs designed to ensure due diligence in preventing, identifying, and reporting any unlawful or unethical behavior by colleagues, professional partners, or agents.
· Participation in ongoing performance improvement activities
· Provide oversight to students or guests wanting to learn about care management.
· Other duties as needed to meet demands of the organization (may include flexing or changing job location).
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.
Company Description
The North Colorado Health Alliance convenes partners and co-workers in education, community service, health care, business, faith-based organizations, and government. The Alliance’s mission is to see Northern Colorado become the healthiest region in the healthiest state by developing and supporting a healthy population with 100% access to quality service and care at a sustainable cost.
Company DescriptionThe North Colorado Health Alliance convenes partners and co-workers in education, community service, health care, business, faith-based organizations, and government. The Alliance’s mission is to see Northern Colorado become the healthiest region in the healthiest state by developing and supporting a healthy population with 100% access to quality service and care at a sustainable cost. Read LessPEER RECOVERY SPECIALIST TIER 1 - Addiction Response Team (ART) - Hospital Sector
Peer Recovery Specialist – Tier 1 is a foundational role within the Addiction Response Team (ART) providing peer-based engagement, outreach, and connection to treatment and recovery services through lived experience. Tier 1 Peer Recovery Specialists build core peer support competencies while learning ART workflows, grant requirements, Medicaid expectations, and embedded sector operations (jail, court, hospital/clinic, community).
The Peer Recovery Specialist – Tier 1 reports to the Peer Recovery Supervisor and indirectly to the Program Manager.
Hospital / Clinic Sector – Role Summary (Tier 1 Peer)
· Complete facility onboarding and healthcare workflow training
· Develop understanding of hospital and emergency department workflows
· Support engagement using SBIRT and AUDIT-C screening tools, as appropriate
· Develop familiarity with FirstNet (Banner) and EPIC (UCHealth) documentation systems as needed for coordination
· Provide harm reduction education related to alcohol, THC, and other substances
· Offer encouragement and peer support to individuals considering MAT or treatment services
· Support referrals to care coordination and assist individuals with follow-up appointment navigation
· Participate in outreach within required post-discharge timelines (e.g., 48 hours, 14 days, 45 days) through peer engagement
Knowledge, Skills & Abilities
Tier 1 staff are expected to build foundational knowledge and skills through training, supervision, and supported practice.
· Minimum of two (2) years in active personal recovery from substance use
· Ability to engage individuals through shared lived experience while maintaining professional boundaries
· Ability to model recovery-oriented behaviors and reinforce strengths-based, person-centered approaches
· Foundational understanding of substance use disorders, including common substances, withdrawal basics, harm reduction principles, and overdose response
· Foundational knowledge of Medication-Assisted Treatment (MAT) and how peers support engagement in MAT
· Awareness of co-occurring mental health conditions (recognizing signs, not diagnosing)
· Ability to engage individuals in hospital, jail, court, office, and community-based settings
· Cultural humility and ability to effectively engage diverse populations
· Strong verbal and written communication skills (phone, in-person, and electronic formats)
· Strong decision-making, critical thinking, and problem-solving abilities
· Ability to manage stressful situations calmly and non-reactively
· Ability to adjust priorities as member needs change
· Ability to maintain strict confidentiality in accordance with HIPAA and organizational policy
· Basic computer skills or willingness to learn EMR systems and data collection platforms including RDP
· Reliable transportation and able to meet the requirements for driving a company vehicle (driving record)
Ability to work independently in environments with frequent interruptions
· This role requires strict adherence to confidentiality requirements, including HIPAA, 42 CFR Part 2, organizational policies, and ethical peer practices.
Key Responsibilities
Peer Support & Engagement
· Provide peer-based support through lived experience, encouragement, and recovery-focused conversation
· Build foundational understanding of person-centered, strengths-based, and recovery-oriented language
· Engage in training and supervised practice of motivational interviewing techniques
· Support individuals in identifying recovery goals and next steps
· Promote independence by sharing resources and modeling recovery behaviors
· Act as an ambassador to individuals experiencing substance use by connecting them to treatment, recovery, harm reduction, and community support resources
Member Engagement, Referrals & Follow-Up
· Intake and contact incoming referrals within 2–24 business hours
· Complete intake assessments and reassessments in RDP within required timelines
· Support short-term monitoring and follow-up
· Assist individuals with navigating appointments, referrals, follow-up care, and medication coordination
· Participate in outreach through phone, office, hospital, jail, court, and community-based interactions
· Attend appointments with individuals and providers, as appropriate
· Support transitions from hospitals, crisis centers, jails, and courts into community-based care
· Utilize referral tracking tools in RDP to support continuity of care
· Participate in required surveys and assessments, including GPRA, BARC-10, and Recovery Domain Assessment at enrollment and follow-up intervals (as applicable to peer scope)
Documentation & Data Compliance
· Complete peer documentation in the Recovery Data Platform (RDP) within the same or next business day
· Enter demographics, interactions, embedded locations, outreach events, and referrals in accordance with grant requirements
· Maintain accurate and timely documentation aligned with ART workflows
· Maintain strict confidentiality of all participant records and communications
Education & Training
· High School Diploma or GED (required)
· Completion of required Peer Recovery Coach coursework (Preferred)
· Mental Health First Aid (within 90 days)
Licensure & Certifications
· Valid Colorado Driver’s License and proof of insurance (required)
· Compliance with health and safety requirements
Work Environment & Physical Requirements
· Annual Influenza Vaccination Required
· Frequent public contact by phone and in person
· Frequent sitting, standing, walking, and stair climbing
· Occasional lifting up to 30 pounds
· Regular community travel for outreach and embedded assignments
Other Duties as Assigned
· Provide assistance as designated by ART Supervisors, Program Manager, and NCHA leadership
· Support development and revision of policies and procedure
· Uphold and promote the mission and vision of NCHA
· Maintain compliance with NCHA and partner program requirements
· Attend required meetings and trainings
· Participate in ongoing performance improvement activities
· Perform other duties as needed to meet organizational demands, including flexible scheduling or work location changes
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
Company DescriptionThe North Colorado Health Alliance convenes partners and co-workers in education, community service, health care, business, faith-based organizations, and government. The Alliance’s mission is to see Northern Colorado become the healthiest region in the healthiest state by developing and supporting a healthy population with 100% access to quality service and care at a sustainable cost.
Company DescriptionThe North Colorado Health Alliance convenes partners and co-workers in education, community service, health care, business, faith-based organizations, and government. The Alliance’s mission is to see Northern Colorado become the healthiest region in the healthiest state by developing and supporting a healthy population with 100% access to quality service and care at a sustainable cost. Read LessCommunity Health Care Manager One (CHCM’s) work with members enrolled in Medicaid to coordinate care and to connect them with essential community resources through partnerships with local physical and behavioral health providers. CHCM’s aim to enhance individual health outcomes and the overall healthcare experience by identifying each person's health and wellness goals and improving their ability to navigate the healthcare system while also working to reduce high healthcare utilization costs. The CHCM One is position provides opportunity to learn care management and gain knowledge for future growth opportunity. Community Health Care Manager One report to the Community Health Care Management Supervisor.
Knowledge / Skills / Abilities
· Skills to communicate and interact appropriately and respectfully across multi-cultural differences.
· Strong critical thinking and problem solving abilities.
· Strong verbal communication skills (both over the phone and in-person).
· Basic Business writing skills.
· Strong customer service skills.
· Ability to multi-task, prioritize, 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 preferred (not required).
· Experience working with Medicaid and Medicare preferred (not required).
· Ability to effectively engage and build rapport in a variety of medical, behavioral health, justice involved, substance use, and homeless situations.
· Strict Confidentiality required.
· Bilingual preferred (not required).
· Reliable transportation and a valid driver license and insurance
Education or Formal Training
· HS Graduate or GED required
Licensure/Certifications
· Valid Colorado Driver License and Insurance required.
Work Environment Physical Requirements
· Annual Influenza vaccination required for all employees
· Frequent contact with the public by phone and in person
· Sitting for periods of time while utilizing a PC or laptop
· 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 confined spaces within proximity to other staff, noise, and discussions
Job Responsibilities/Essential Functions:
· Intake of incoming referrals and provide direct contact within 48 hours of receipt.
· Enter all documentation, contacts, and assessments into multiple databases with a high level of accuracy and timeliness.
· Work closely with supervisors on “campaign” and care plan assignments.
· Monitor members according to guidelines set by NCHA Policy and Procedure under the Care Management guidelines.
· Perform needs assessments and identify risk factors to develop person centered care plans.
· Conduct brief screenings and needs assessments to develop care plans and determine care management levels.
· Provide short-term monitoring, support, and education to promote self-management and preventive care (e.g., well child visits, immunizations, dental, and adult screenings).
· Assist members in understanding and accessing services, benefits, and community resources to address gaps in care.
· Manage and document member contacts using assignment tools.
· Identify and refer members requiring higher levels of care management.
· Track outcomes and report data to support performance improvement and KPI goals (e.g., preventive care, ED reduction).
· Review appropriate cost-effective care and decrease duplication of services for members.
· Understand, communicate, and facilitate member’s complaints, grievances, and appeal processes.
· Regular case reviews with supervisor.
· Strict confidentiality of member records and communications following HIPAA Law.
· Expected to develop personal competencies through ongoing education and professional development.
· Focus on meeting individuals “where they are at” in their health journey.
· Educate members on how to navigate the healthcare system.
· Able to work independently and within a team-oriented office environment that may contain interruptions to work due to walk-ins, member needs, supervisor requests, phone conversations, etc.
· Able to manage stressful situations while remaining calm and non-reactive (i.e. working with members who may have severe and persistent mental health issues or substance use disorders)
· Able to utilize positive problem solving in difficult situations.
Other Duties as Assigned:
· Provide assistance as designated by Care Management leadership to support the overall goals and operational needs of NCHA, (such as on-the-job shadowing, staff relief, or other needs).
· Provide input into development of procedures and be accountable for adhering to them.
· Adhere to all programs designed to ensure due diligence in preventing, identifying, and reporting any unlawful or unethical behavior by colleagues, professional partners, or agents.
· Participation in ongoing performance improvement activities
· Provide oversight to students or guests wanting to learn about care management.
· Other duties as needed to meet demands of the organization (may include flexing or changing job location).
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.
Company Description
The North Colorado Health Alliance convenes partners and co-workers in education, community service, health care, business, faith-based organizations, and government. The Alliance’s mission is to see Northern Colorado become the healthiest region in the healthiest state by developing and supporting a healthy population with 100% access to quality service and care at a sustainable cost.
Company DescriptionThe North Colorado Health Alliance convenes partners and co-workers in education, community service, health care, business, faith-based organizations, and government. The Alliance’s mission is to see Northern Colorado become the healthiest region in the healthiest state by developing and supporting a healthy population with 100% access to quality service and care at a sustainable cost. Read LessCommunity Health Care Manager One (CHCM’s) work with members enrolled in Medicaid to coordinate care and to connect them with essential community resources through partnerships with local physical and behavioral health providers. CHCM’s aim to enhance individual health outcomes and the overall healthcare experience by identifying each person's health and wellness goals and improving their ability to navigate the healthcare system while also working to reduce high healthcare utilization costs. The CHCM One is position provides opportunity to learn care management and gain knowledge for future growth opportunity. Community Health Care Manager One report to the Community Health Care Management Supervisor.
Knowledge / Skills / Abilities
· Skills to communicate and interact appropriately and respectfully across multi-cultural differences.
· Strong critical thinking and problem solving abilities.
· Strong verbal communication skills (both over the phone and in-person).
· Basic Business writing skills.
· Strong customer service skills.
· Ability to multi-task, prioritize, 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 preferred (not required).
· Experience working with Medicaid and Medicare preferred (not required).
· Ability to effectively engage and build rapport in a variety of medical, behavioral health, justice involved, substance use, and homeless situations.
· Strict Confidentiality required.
· Bilingual preferred (not required).
· Reliable transportation and a valid driver license and insurance
Education or Formal Training
· HS Graduate or GED required
Licensure/Certifications
· Valid Colorado Driver License and Insurance required.
Work Environment Physical Requirements
· Annual Influenza vaccination required for all employees
· Frequent contact with the public by phone and in person
· Sitting for periods of time while utilizing a PC or laptop
· 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 confined spaces within proximity to other staff, noise, and discussions
Job Responsibilities/Essential Functions:
· Intake of incoming referrals and provide direct contact within 48 hours of receipt.
· Enter all documentation, contacts, and assessments into multiple databases with a high level of accuracy and timeliness.
· Work closely with supervisors on “campaign” and care plan assignments.
· Monitor members according to guidelines set by NCHA Policy and Procedure under the Care Management guidelines.
· Perform needs assessments and identify risk factors to develop person centered care plans.
· Conduct brief screenings and needs assessments to develop care plans and determine care management levels.
· Provide short-term monitoring, support, and education to promote self-management and preventive care (e.g., well child visits, immunizations, dental, and adult screenings).
· Assist members in understanding and accessing services, benefits, and community resources to address gaps in care.
· Manage and document member contacts using assignment tools.
· Identify and refer members requiring higher levels of care management.
· Track outcomes and report data to support performance improvement and KPI goals (e.g., preventive care, ED reduction).
· Review appropriate cost-effective care and decrease duplication of services for members.
· Understand, communicate, and facilitate member’s complaints, grievances, and appeal processes.
· Regular case reviews with supervisor.
· Strict confidentiality of member records and communications following HIPAA Law.
· Expected to develop personal competencies through ongoing education and professional development.
· Focus on meeting individuals “where they are at” in their health journey.
· Educate members on how to navigate the healthcare system.
· Able to work independently and within a team-oriented office environment that may contain interruptions to work due to walk-ins, member needs, supervisor requests, phone conversations, etc.
· Able to manage stressful situations while remaining calm and non-reactive (i.e. working with members who may have severe and persistent mental health issues or substance use disorders)
· Able to utilize positive problem solving in difficult situations.
Other Duties as Assigned:
· Provide assistance as designated by Care Management leadership to support the overall goals and operational needs of NCHA, (such as on-the-job shadowing, staff relief, or other needs).
· Provide input into development of procedures and be accountable for adhering to them.
· Adhere to all programs designed to ensure due diligence in preventing, identifying, and reporting any unlawful or unethical behavior by colleagues, professional partners, or agents.
· Participation in ongoing performance improvement activities
· Provide oversight to students or guests wanting to learn about care management.
· Other duties as needed to meet demands of the organization (may include flexing or changing job location).
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.
Company Description
The North Colorado Health Alliance convenes partners and co-workers in education, community service, health care, business, faith-based organizations, and government. The Alliance’s mission is to see Northern Colorado become the healthiest region in the healthiest state by developing and supporting a healthy population with 100% access to quality service and care at a sustainable cost.
Company DescriptionThe North Colorado Health Alliance convenes partners and co-workers in education, community service, health care, business, faith-based organizations, and government. The Alliance’s mission is to see Northern Colorado become the healthiest region in the healthiest state by developing and supporting a healthy population with 100% access to quality service and care at a sustainable cost. Read LessCommunity Health Care Managers (CHCM) work with members who are patients of Sunrise Community Health Center that are enrolled in the Sliding Scale program to coordinate care and to connect them with essential community resources through partnerships with local physical and behavioral health providers CHCM’s aim to enhance individual health outcomes and the overall healthcare experience by identifying each person's health and wellness goals and improving their ability to navigate the healthcare system while also working to reduce high healthcare utilization costs. The CHCM One is position provides opportunity to learn care management and gain knowledge for future growth opportunity. Community Health Care Manager One report to the Community Health Care Management Supervisor.
Knowledge / Skills / Abilities
· Skills to communicate and interact appropriately and respectfully across multi-cultural differences.
· Strong critical thinking and problem solving abilities.
· Strong verbal communication skills (both over the phone and in-person).
· Basic Business writing skills.
· Strong customer service skills.
· Ability to multi-task, prioritize, 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 preferred (not required).
· Experience working with Medicaid and Medicare preferred (not required).
· Ability to effectively engage and build rapport in a variety of medical, behavioral health, justice involved, substance use, and homeless situations.
· Strict Confidentiality required.
· Bilingual preferred (not required).
· Reliable transportation and a valid driver license and insurance
Education or Formal Training
· HS Graduate or GED required
Licensure/Certifications
· Valid Colorado Driver License and Insurance required.
Work Environment Physical Requirements
· Annual Influenza vaccination required for all employees
· Frequent contact with the public by phone and in person
· Sitting for periods of time while utilizing a PC or laptop
· 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 confined spaces within proximity to other staff, noise, and discussions
Job Responsibilities/Essential Functions:
· Intake of incoming referrals and provide direct contact within 48 hours of receipt.
· Enter all documentation, contacts, and assessments into multiple databases with a high level of accuracy and timeliness.
· Work closely with supervisors on “campaign” and care plan assignments.
· Monitor members according to guidelines set by NCHA Policy and Procedure under the Care Management guidelines.
· Perform needs assessments and identify risk factors to develop person centered care plans.
· Conduct brief screenings and needs assessments to develop care plans and determine care management levels.
· Provide short-term monitoring, support, and education to promote self-management and preventive care (e.g., well child visits, immunizations, dental, and adult screenings).
· Assist members in understanding and accessing services, benefits, and community resources to address gaps in care.
· Manage and document member contacts using assignment tools.
· Identify and refer members requiring higher levels of care management.
· Track outcomes and report data to support performance improvement and KPI goals (e.g., preventive care, ED reduction).
· Review appropriate cost-effective care and decrease duplication of services for members.
· Understand, communicate, and facilitate member’s complaints, grievances, and appeal processes.
· Regular case reviews with supervisor.
· Strict confidentiality of member records and communications following HIPAA Law.
· Expected to develop personal competencies through ongoing education and professional development.
· Focus on meeting individuals “where they are at” in their health journey.
· Educate members on how to navigate the healthcare system.
· Able to work independently and within a team-oriented office environment that may contain interruptions to work due to walk-ins, member needs, supervisor requests, phone conversations, etc.
· Able to manage stressful situations while remaining calm and non-reactive (i.e. working with members who may have severe and persistent mental health issues or substance use disorders)
· Able to utilize positive problem solving in difficult situations.
Other Duties as Assigned:
· Provide assistance as designated by Care Management leadership to support the overall goals and operational needs of NCHA, (such as on-the-job shadowing, staff relief, or other needs).
· Provide input into development of procedures and be accountable for adhering to them.
· Adhere to all programs designed to ensure due diligence in preventing, identifying, and reporting any unlawful or unethical behavior by colleagues, professional partners, or agents.
· Participation in ongoing performance improvement activities
· Provide oversight to students or guests wanting to learn about care management.
· Other duties as needed to meet demands of the organization (may include flexing or changing job location).
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.
Company Description
The North Colorado Health Alliance convenes partners and co-workers in education, community service, health care, business, faith-based organizations, and government. The Alliance’s mission is to see Northern Colorado become the healthiest region in the healthiest state by developing and supporting a healthy population with 100% access to quality service and care at a sustainable cost.
Company DescriptionThe North Colorado Health Alliance convenes partners and co-workers in education, community service, health care, business, faith-based organizations, and government. The Alliance’s mission is to see Northern Colorado become the healthiest region in the healthiest state by developing and supporting a healthy population with 100% access to quality service and care at a sustainable cost. Read LessPosition Title: Care Coodinator Larimer County Jail
Position Status: Full Time
FLSA Status: Hourly/non-exempt
Care Coordinator LC JAIL
Care Coordinators are part of the Addiction Response Team and are responsible for working in collaboration with local providers and community agencies to ensure individuals with substance use are successfully connected with resources to aid in their long-term health, treatment and recovery goals. Care Coordinators will aid individuals in meeting their goals toward ongoing recovery through education, outreach, connectivity to Medication Assisted Treatment (MAT) and other treatment and recovery services. Care Coordinators will report to Care Coordination Supervisor.
Role Summary:
This position works with individuals who are incarcerated and engaged in Medication-Assisted Treatment to provide assistance and resources for mental health, substance treatment and recovery, housing stability, food security, legal resources, and other needs. This position is focused on assisting these individuals with re-entry into the community. This position works directly with the Larimer County Jail and CorrHealth, the medical provider located in the Larimer County Jail.
Knowledge / Skills / Abilities
Ability to effectively engage with different populations including People of Color, LGBTQIA+, Disability, Veteran, Low/No Income and/or experiencing homelessness, People with criminal justice involvement, and people who use drugs, people with mental health conditions, people with complex medical conditions and more.Skills to communicate and interact appropriately and respectfully across multi-cultural differences.Strong written and verbal communication skills (both over the phone and in person)Strong decision making, critical thinking, and problem-solving abilities.Experience with persons who have a substance use disorder and knowledge of medication assisted treatment. Experience partnering with local and regional health and human services resources.Ability to recognize different pathways to recovery and showing empathy toward others with substance use disorders and their journey.Ability to work independently and in a busy office environment that may contain interruptions to work due to walk-ins, member needs, supervisor requests, phone conversations, etc.Able to manage stressful situations while remaining calm and non-reactive (i.e. working with members who may have severe and persistent mental health issues or may be under the influence of a substance).Ability to adjust priorities quickly as circumstances and needs dictate for member success.Ability to effectively engage and build rapport in a variety of medical, behavioral health, justice involved, substance use, and homeless situations.Strict Confidentiality required.Basic Computer Skills preferred for navigation through multiple Electronic Medical Record Systems and data collection tools as determined by organizational needs.Reliable transportationBi-lingual (Spanish) preferredValid Driver License
Education or Formal Training
HS Graduate or GED requiredCertified Addiction Technician PreferredLicensure/Certifications
Valid Colorado Driver License and Insurance requiredWorking Environment Physical Activities
Frequent contact with the public by phone and in personSittingStandingWalkingClimbing up and down stairsBending and reachingLifting up to 30 poundsMust be fully vaccinated against COVID-19 as a condition of employment.Annual Influenza vaccineJob Responsibilities:
Enrollment of persons using appropriate assessment tools and completion of GPRA Survey at enrollment and then at 6 month follow upSupport persons enrolled in services to continue engagement with both medical and behavioral health treatment plans and assist persons in scheduling appointments, follow-up care, referrals, medication refills etc.Provide appropriate health needs and clinical/non-clinical assessment identify risk factors and develop health plan and support with the integration of treatment and recovery services including Medication Assisted Treatment.Enter all documentation, contacts, and assessments into required databases within 2 business days.Participate in telephone contacts, court visits, office/hospital visits, community visits and other means of connecting with members to reach identified goals.Perform health needs assessments and identify risk factors to develop health care planAssist members in scheduling appointments, follow-up care, referrals, medication refills, etc.Attend member appointments with providers and community resources as needed.Work in collaboration, communication, and coordination among all responsible parties of an individual ‘s multidisciplinary team to support achieving goals and reduce duplication of services.Optimize member and family self-sufficiency through education, community resources, and support.Understand, communicate, and facilitate on behalf of patients with regard to complaints, grievances, and appeal processes.Regular Case Reviews with a member of the Addiction Response Team Leadership.Completion of Addiction Technician Certification (CAT) and adhere to supervision as required.Transport members across the region as needed in an NCHA company vehicle.Transport members across the region as needed in an NCHA company vehicle.Will work independently and within a team, in a busy office environment that may contain interruptions to work due to walk-ins, member needs, supervisor requests, phone conversations, etc.Maintain personal self-care and communicate own needs to leadership.Other Duties as Assigned:
Provide assistance as designated by the ART leadership to support the overall goals of NCHA.Other duties as needed to meet demands of the organization, which may include flexing or changing job locations.Provide input into development of procedures and workflows, and be accountable for adhering to them.Support of the mission and vision of NCHACompliance with NCHA programs and procedures overallMeeting and training attendance.Participation in ongoing performance improvement activities.
NCHA is a Fair Chance Employer committed to providing equal employment opportunities to all qualified candidates. As a condition of employment, candidates who receive a conditional job offer must successfully complete a background check in accordance with applicable federal, state, and local laws, as well as the requirements of the job location.
This position is subject to background check requirements that align with the background check requirements of the Larimer County Jail. Candidates must not have any criminal convictions that would disqualify them under these background standards, which may include illicit substance use in the last five (5) years, felony convictions and specific misdemeanor offenses. Each case will be reviewed individually to assess its relevance to the position.
A criminal conviction does not automatically disqualify a candidate from employment. We evaluate all background check results in accordance with Fair Chance Hiring practices and job-related requirements.
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.
The North Colorado Health Alliance convenes partners and co-workers in education, community service, health care, business, faith-based organizations, and government. The Alliance’s mission is to see Northern Colorado become the healthiest region in the healthiest state by developing and supporting a healthy population with 100% access to quality service and care at a sustainable cost.
Company DescriptionThe North Colorado Health Alliance convenes partners and co-workers in education, community service, health care, business, faith-based organizations, and government. The Alliance’s mission is to see Northern Colorado become the healthiest region in the healthiest state by developing and supporting a healthy population with 100% access to quality service and care at a sustainable cost. Read Less