About this role.
Abby Care seeks a Case Management Coordinator to oversee prior authorizations, reauthorizations, appeals, and care continuity within Colorado’s long-term home health (LTHH) environment. The role serves as the central liaison among Colorado Case Management Agencies, county case managers, patient families, clinical teams, and internal operations staff. Key work includes navigating HCBS waiver programs—including CFC, CES, and SLS—and maintaining compliance with HCPF policies and Colorado PAR requirements. The coordinator will also develop authorization processes, train team members, resolve complex cases, and help maintain fast processing times without lapses in patient care. This is a remote, Colorado-based full-time healthcare operations role requiring substantial Medicaid case-management expertise.
Role DNA
A quick view of the complexity, pace, ownership and collaboration implied by the job description.
Job Complexity
4/5Pace & Pressure
5/5Autonomy Level
4/5Communication Load
5/5Salary analysis
Estimated compensation compared with the broader US market for similar roles.
Core skills
Skills and capabilities most closely associated with this opportunity.
Sample interview questions
In my previous role, I managed authorization workflows for Medicaid-funded home and community-based services, tracking required documentation, deadlines, and payer-specific criteria. I partnered with case managers and clinical staff early in the process, used structured follow-up queues, and escalated missing information promptly to reduce denials and prevent service gaps.
I would immediately identify the precise outstanding items, assign clear owners, and communicate the deadline and patient impact to each stakeholder. I would document all outreach, coordinate a short working session if needed, submit any permissible interim information, and escalate through the CMA or internal clinical leadership when there is a credible risk of interrupted care.
I focus on reliability, clarity, and respect for each organization’s processes. I establish regular touchpoints, provide concise case-status updates, learn preferred submission and escalation pathways, and follow through on commitments. Over time, this creates trust and makes it easier to resolve urgent or complex cases collaboratively.
I would begin by mapping the current workflow and measuring where cases stall, such as eligibility verification, clinical documentation, or external follow-up. I would then introduce standardized checklists, case aging dashboards, quality reviews before submission, and defined escalation rules. This approach improves first-pass completeness while giving the team visibility into cases that threaten turnaround or continuity targets.
I triage work by patient risk, authorization deadlines, and complexity while using consistent documentation standards for every case. I prioritize issues that could interrupt services, but I do not bypass required compliance checks; instead, I use templates, checklists, and early cross-functional coordination to move quickly without sacrificing accuracy.
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. America is facing a growing care crisis. Millions more people need care at home than ever. Over 50 million family caregivers support loved ones without the tools, training, or recognition they deserve.
We believe families are the largest untapped caregiving workforce in America, and that technology can help them deliver better care while driving stronger outcomes and greater transparency across the healthcare system.
Abby Care combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers in delivering high-quality care at home. Our platform helps health plans and government partners better understand, verify, and improve care in the home. We expand access to care, reduce reliance on higher-cost settings, and help ensure public dollars are spent effectively.
We are proud to partner with leading health plans, providers, and community organizations and are backed by top VCs. We envision a future where family-led care is a core part of the healthcare system. Abby Care is building that future.
Join us in solving one of the most important challenges of our time.
The Opportunity:
We’re looking for a passionate and detail-oriented expert to join us as a Case Management Coordinator.
In this role, you will be the point person who makes PARs happen through Case Management Agencies. You’ll proactively coordinate with county and independent case managers across numerous concurrent cases—driving clean, timely submissions, reauthorizations, and appeals—while navigating CMA workflows to keep services moving without lapses. As the expert liaison, you ensure end-to-end compliance and fast resolutions by partnering closely with CMAs and internal teams. Success means building trusted CMA relationships that ensure seamless care continuity and operational excellence in Colorado’s LTHH landscape.
This is a Full-Time Remote opportunity based in the State of Colorado.
What you’ll work on:
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, flagging potential gaps or overlaps in services related to LTHH.
Expert Liaison. Be 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 out the process and drive the team handling all collaboration with county Case Managers to submit reauthorization submissions for Colorado’s waiver programs (CFC, CES, SLS) to ensure patients have no lapse in 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 that drive strong approval rates and sub-10-day processing times.
What you’ll have:
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.
Existing deep knowledge of Colorado’s LTHH ecosystem including HCPF policies, prior auth operations, case coordination, and ColoradoPAR system; can demonstrate successful navigation of 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. We reward our team for the impact of their work.
Comprehensive health coverage that works for you. We cover 90% of your premiums and 70% for your dependents, with multiple PPO plan options to choose from for medical, vision, dental, life, and short-term disability.
Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays.
Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).
Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.
We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.
Our Values
Families First
Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?”Urgency with Precision
Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand.Relentlessly Resourceful
As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity.Purpose with Positivity
We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve.Driven to Redefine What’s Possible
We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.
Automated Decision Tools
Abby Care may use automated decision tools to help match and rank candidate work experience, education and skills found in online profiles, resumes and job applications against job requirements. We believe that these tools help ensure objective, data-based decisions during the hiring process, however, all Abby Care hiring decisions involve final human review and input. If you have questions or would like to request an alternative process, contact talent@abbycare.org.
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