Case Management Coordinator

About Abby Care: Powering the future of care at home for all of America. Abby Care is building the leading AI-native platform for family-led care. We address America's growing care crisis by providing tools, training, and recognition to over 50 million family caregivers. Our platform combines clinical oversight with AI to train, enable, and support family caregivers, ensuring high-quality care at home while improving transparency and outcomes for health plans and government partners.

About the Role

We're looking for a passionate and detail-oriented expert to join us as a Case Management Coordinator. In this role, you will serve as the primary liaison with Case Management Agencies (CMAs) to facilitate Prior Authorization Requests (PARs). You’ll coordinate with county and independent case managers across numerous cases, ensuring clean, timely submissions, reauthorizations, and appeals while navigating CMA workflows to prevent service lapses. This role is critical for maintaining compliance, resolving issues quickly, and building trusted relationships with CMAs to ensure seamless care continuity in Colorado's Long-Term Home Health (LTHH) landscape.

This is a full-time, remote opportunity based in the State of Colorado.

Responsibilities

• Lead Case Manager Coordination: Deepen collaboration with county and independent case managers. Act as their primary point of contact for service authorizations, care plan updates, and waiver transition support to ensure seamless, coordinated care.
• Case Management Agency Relationships: Build and maintain relationships with Colorado Case Management Agencies (CMAs). Proactively engage in regular meetings, case reviews, and joint resolution efforts for complex patient needs.
• Integrated Care Planning: Work alongside case managers and patients’ families to co-develop care plans that align both clinical needs and Medicaid requirements. Flag potential gaps or overlaps in services related to LTHH.
• Expert Liaison: Serve as the “go-to” expert for both internal staff and external case managers on complex situations (e.g., multiple waivers, emergency authorizations, appeals). Ensure transparent and proactive communication at every step.
• Master Colorado's LTHH Landscape: Support authorization operations for Colorado's HCBS waiver programs (CFC, CES, SLS), ensuring 100% compliance with HCPF policies and Colorado PAR requirements.
• Manage Reauthorizations: Build and drive the process for collaborating with county Case Managers to submit reauthorization requests for Colorado's waiver programs (CFC, CES, SLS), ensuring no lapse in patient care.
• Drive Team Excellence: Create and execute training programs on Colorado-specific prior authorization requirements. Mentor staff on LTHH waiver nuances and establish performance metrics to achieve strong approval rates and sub-10-day processing times.

Requirements

• Case Management Experience: 5+ years coordinating with Colorado case managers in Medicaid LTHH settings, with documented success facilitating seamless authorizations and care continuity.
• Leadership in Case Manager Collaboration: Expert relationship builder with strong communication, problem-solving, and stakeholder management skills. Proven ability to partner effectively with case managers at both county and CMA levels.
• Knowledge of Colorado's LTHH Ecosystem: Deep understanding of HCPF policies, prior authorization operations, case coordination, and the ColoradoPAR system. Demonstrated success navigating Colorado waiver program transitions and appeals.
• Cross-functional Expertise: Demonstrated skill working with patient families, clinical teams, and multiple case managers to ensure joint problem-solving and continuous coverage of care.
• Bachelor's degree in Healthcare Administration, Business, or equivalent is preferred.
• Colorado Medicaid certification and LTHH authorization training strongly preferred.

Benefits

• Competitive Compensation: Packages that reflect the value you bring, rewarding impact.
• Health Coverage: Comprehensive PPO plans covering medical, vision, dental, life, and short-term disability. Abby Care covers 90% of your premiums and 70% for dependents.
• Paid Time Off: Generous policies for recharging, plus 10 paid company holidays.
• Financial Savings: HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).
• Paid Parental Leave: Support for bonding and adjusting to life as your family grows.

Pay

Compensation Range: $64,000 - $77,000

Values

• Families First: We prioritize the parents and children we serve, building strong, lasting relationships and continually asking, “Would we want this for our own families?”
• Urgency with Precision: We match the urgency of families waiting for care with exceptional speed and excellence, ensuring no compromises.
• Relentlessly Resourceful: As an ambitious startup, we adapt quickly, solve challenges creatively, and maximize limited resources to deliver results.
• Purpose with Positivity: We take our mission seriously while fostering a respectful, kind, and enjoyable work environment.
• Driven to Redefine What’s Possible: We challenge outdated systems and find smarter, more compassionate ways to deliver care.