Long Term Services & Supports Manager (Remote Option Available)
Partners Health Management
2 reviews
Kannapolis, NC 28081
Remote
Full-time
Partners Health Management
2 reviews
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Job details
Job Type
Full-time
Remote
Benefits
Pulled from the full job description
401(k)
401(k) matching
Dental insurance
Disability insurance
Health insurance
Vision insurance
Indeed's salary guide • Not provided by employer
• $49.9K - $63.1K a year is Indeed's estimated salary for this role in Kannapolis, NC.
Full Job Description Competitive Compensation & Benefits Package!
Position eligible for –
• Annual incentive bonus plan
• Medical, dental, and vision insurance with low deductible/low cost health plan
• Generous vacation and sick time accrual
• 12 paid holidays
• State Retirement (pension plan)
• 401(k) Plan with employer match
• Company paid life and disability insurance
• Wellness Programs
See attachment for additional details.
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Office Location: * Flexible for any of our office locations; Remote Option Available
Projected Hiring Range: Depending on Experience
Closing Date: Open Until Filled
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Primary Purpose of Position: *
The LTSS Manager shall be a full-time position that administers managed Long-Term Care programs and services and oversees and trains LTSS care management staff. Position will focus on establishing and maintaining robust programmatic collaboration, communicating with care managers and provider partners on program performance and facilitating efficient and effective implementation of the Partners’ model of care and strategic objectives. This position shall ensure that LTSS staff are knowledgeable and adhere to the requirements and standards of CMS, NC Department of Health & Human Services (DHHS) and NCQA. This position shall coordinate all communications between LTSS State agency liaisons. This position shall oversee report submissions specific to the LTSS membership.
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Role and Responsibilities: *
• Responsible for planning, organizing, developing, and implementing the principles, programs, policies, and procedures employed in the delivery of long-term services and support to members in the community and institutionalized settings.
• Manages the day-to-day operational activities for LTSS to ensure compliance with company policies and regulatory requirements.
• Oversee LTSS care coordination, in collaboration with care management.
• Provide consultation to LTSS coordinators.
• Works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.
• Collaborates with care management staff and other clinical staff for the member’s plan to minimize duplicative efforts, promote integrated care, ensure quality and continuity of care, and support the values of person-centered planning and LTSS standards.
• Manages analyses and utilization and cost review oversight activities to assess the extent to which LTSS needs and resulting service authorizations are being systematically addressed across populations.
• Monitors the performance of all LTSS care management, including care management agencies (CMA) and advanced medical homes plus (AMH+) under contract with Partners and provides feedback on performance that includes member satisfaction with care management services.
• Works closely with the Provider Network Department in development of pay for performance reimbursement structures and being responsible for monitoring provider reports to assure metrics are being met.
• Works with care other program leadership to maintain and improve relationships key LTSS providers and stakeholders, including successes and challenges in LTSS access.
• Manages information, education, and training to Partners staff, care managers employed by CMA/AMH+, providers/practitioners on LTSS options, service delivery models and contractors, and member understanding of the LTSC role.
• Ensures that regulatory obligations regarding LTSS reporting are met in a timely and accurate manner.
• Manages the creation and accuracy of monthly LTSS reports.
• Establishes a LTSS dashboard and reviews the dashboard to highlight areas of variation and identify population health needs, including high-risk members and care management candidates.
• Maintains the confidentiality of member and provider data.
• Ability to establish and maintain positive and effective work relationships with internal staff, external providers, community stakeholders, and state and federal agencies.
• Manage staffing activities including hiring, evaluating and leadership development/coaching
Performs other duties as assigned.
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Looking for someone who strives to: *
• Challenge thinking.
• Be different.
• Lead change.
• Someone who is inspired and inspiring.
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Knowledge, Skills and Abilities: *
• Experience required with preparation and validation of regulatory reporting and developing internal operational reports.
• Experience in audits and regulatory surveys and working knowledge of Medicaid, knowledge of NC DHHS system and waiver programs helpful.
• Experience writing policies and procedures and training/reference guides.
• Experience with conducting meetings via Teams/WebEx.
• Proficiency in Microsoft Office applications including SharePoint.
• Experience or knowledge of community-based services for individuals with disabilities.
• Familiarity with and full support of independent living, recovery, and person-centered planning philosophy and strategies.
• Excellent collaboration and communication skills with the ability to partner effectively across the organization and with external partners to build a robust LTSS capacity.
• Strong strategic thinker and tactical performer
• Strong project management skills with the demonstrated ability to handle multiple projects.
• Demonstrated ability to establish and manage performance and outcome metrics.
• Proven skills, knowledge base and judgment necessary for independent decision-making
• Excellent organizational, time-management and problem-solving skills
• Polished, professional presentation skills in working with key provider partners and internal leaders.
• Highly self-motivated and directed with strong attention to detail
• Knowledge of HIPAA compliance and security requirements as it relates to healthcare data
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Education/Experience Required: *
• Registered Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license, OR
• Bachelor’s or master’s degree in Nursing, Gerontology, Public Health, Social Work, or social science or health science.
AND
• 5+ years’ experience managing disability-related medical, behavioral, or long term supports program, including 3 or more years in one or more of the following areas: care management, care transition, chronic condition management, and/or utilization management.
• Must have ability to travel (local or statewide) as needed to perform job duties
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Licensure/Certification Requirements: *
• If licensed, license must be active, unrestricted and in good standing.
Job Type: Full-time
Hiring Insights Job activity Posted 1 day ago