New!
Mental Health Intake Nurse - RN HCA Healthcare Live Oak Mental Health and Wellness
Charleston, SC2 days ago
Highlights
Serve as primary LTSS subject matter expert and leader responsible for coordinating, overseeing, directing all health plan LTSS operations, inclusive of internal and external communications, regulatory requirements, network development, systems integration, and clinical programs. + Support coordination of LTSS with other services across the continuum of care striving to enhance the quality of member care and provider satisfaction, including participation on multidisciplinary care teams as indicated.
Numbers & Facts
| Location | Charleston, SC (Remote) |
| Industry | Healthcare Services |
| Company Size | 5,000 to 9,999 employees |
| Year Founded | 1985 |
| Website | http://www.amerihealthcaritas.com |
Description
The Director Long Term Services and Support is an integral member of the Select Health South Carolina Medical Management Team.
Work Arrangement:
+ Fully Remote
+ Must Reside in South Carolina; with
+ Travel throughout the state will be required
Responsibilities:
+ Serve as primary LTSS subject matter expert and leader responsible for coordinating, overseeing, directing all health plan LTSS operations, inclusive of internal and external communications, regulatory requirements, network development, systems integration, and clinical programs.
+ Serve as primary lead for orchestrating and disseminating state specific program development to ensure departmental alignment with core goals and objectives.
+ Support coordination of LTSS with other services across the continuum of care striving to enhance the quality of member care and provider satisfaction, including participation on multidisciplinary care teams as indicated.
+ Accountable for maintaining operational processes, policy and procedures to support LTSS care delivery.
+ Provide oversight of systems development, customization, modifications, integration and enhancements to ensure optimal performance.
+ Assume lead role and serve as primary source of contact when collaborating with state agencies such as SCDHHS and key stakeholders for all LTSS related deliverables
+ Ensure quality and performance metrics are consistently met regarding LTSS
+ Be the primary source of contact with South Carolina Department of Health and Human Services regarding LTSS.
Education/Experience:
+ Bachelor's Degree with 5 to 10 years' experience.
+ Previous management experience including hiring, training and performance management.
+ Thorough knowledge of Long Term Care and Home and Community Based Services (HCBS) guidelines, rules and requirements.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com .
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
Work Arrangement:
+ Fully Remote
+ Must Reside in South Carolina; with
+ Travel throughout the state will be required
Responsibilities:
+ Serve as primary LTSS subject matter expert and leader responsible for coordinating, overseeing, directing all health plan LTSS operations, inclusive of internal and external communications, regulatory requirements, network development, systems integration, and clinical programs.
+ Serve as primary lead for orchestrating and disseminating state specific program development to ensure departmental alignment with core goals and objectives.
+ Support coordination of LTSS with other services across the continuum of care striving to enhance the quality of member care and provider satisfaction, including participation on multidisciplinary care teams as indicated.
+ Accountable for maintaining operational processes, policy and procedures to support LTSS care delivery.
+ Provide oversight of systems development, customization, modifications, integration and enhancements to ensure optimal performance.
+ Assume lead role and serve as primary source of contact when collaborating with state agencies such as SCDHHS and key stakeholders for all LTSS related deliverables
+ Ensure quality and performance metrics are consistently met regarding LTSS
+ Be the primary source of contact with South Carolina Department of Health and Human Services regarding LTSS.
Education/Experience:
+ Bachelor's Degree with 5 to 10 years' experience.
+ Previous management experience including hiring, training and performance management.
+ Thorough knowledge of Long Term Care and Home and Community Based Services (HCBS) guidelines, rules and requirements.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com .
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
About Company
Leaders in health care solutions for those most in need
AmeriHealth Caritas is the nation's leader in providing comprehensive health care solutions for those in most need and the chronically ill. We impact the lives of more than 5.7 million members nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we have become known for developing innovative solutions that help improve health outcomes while reducing costs.
Our mission, our goal
Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus behavioral health, pharmacy benefits management and third-party management and administrative services.