Director, Long-Term Services & Supports (RN Required) (Remote - Must reside in South Carolina)

Molina Healthcare•Long Beach, CA

3d•Remote

About The Position

The Director, Long-Term Services & Supports leads and directs a multidisciplinary team of healthcare services professionals supporting members with LTSS needs. The role works to help members reach desired outcomes through integrated care delivery and coordination across the continuum and contributes to the strategy for providing quality, cost-effective member care. The position offers remote work flexibility, but the selected candidate must reside in South Carolina. An RN license is required.

Requirements

At least 7 years of healthcare experience, including at least 4 years in a healthcare delivery network supporting LTSS and in-home supportive services, or an equivalent combination of relevant education and experience.
At least 3 years of healthcare management or leadership experience.
An active, unrestricted clinical license or certification when required by the state contract, regulation, business operating model, or state licensing mandates. Listed credentials include RN, LPN, LVN, LCSW, APSW, CHES, LPC, LPCC, LMFT, PhD, or PsyD. The posting also specifically states that an RN license is required.
Knowledge and experience with disability and senior access issues.
Demonstrated knowledge of community resources.
Proactive and detail-oriented approach.
Ability to work in varied settings and adapt style when working with diverse populations, personalities, and personal situations.
Ability to work independently with minimal supervision and demonstrate self-motivation.
Responsiveness in all forms of communication and ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Strong time-management and prioritization skills, ability to manage multiple projects simultaneously, and adaptability to change.
Ability to work cross-functionally in a highly matrixed organization.
Excellent verbal and written communication skills.
Proficiency with Microsoft Office and applicable software programs.
Must reside in South Carolina.

Nice To Haves

Experience working with in-home supportive services (IHSS), public authorities, and community-based organizations (CBOs).

Responsibilities

Oversee the team responsible for delivering long-term services and supports member care.
Serve as an LTSS subject matter expert and guide care managers and service coordination staff, ensuring timely, appropriate, high-quality services and compliance with regulatory timelines.
Ensure compliance with state-specific memoranda of understanding and contract scopes of work.
Assist senior leadership with state-specific LTSS reporting requirements.
Collaborate with leadership to operationalize and oversee LTSS activities.
Participate in county advisory groups and liaise with consumer advocacy organizations, members, caregivers, and community-based organizations to support program integrity and identify areas for development.
Monitor and report on quality and outcome measures aligned with the Molina clinical and social model of care and LTSS program goals.
Develop policies and procedures guiding integrated services and the incorporation of LTSS into individualized care plans.
Oversee clinical management functions for LTSS programs, including compliance with state and federal contracts, assessment, service planning, care coordination, transition planning, and participant and caregiver education and training.
Identify process changes and training needs to support members, Molina model-of-care goals, regulatory requirements, and enterprise standardization.
Develop and facilitate training for LTSS and managed care staff, community-based agencies, delegated entities, and other partners.
Oversee staff use of the electronic case management documentation system and ensure compliance with Molina processes, documentation standards, regulations, and HIPAA.
Collaborate with area agencies on aging and state or county agencies to ensure member needs are met.
Oversee assessment and integrated service plan development and monitor adherence to regulatory timelines.
Develop and maintain processes, procedures, and quality reference materials to guide staff in assessments, service planning, care coordination, and referrals.
Promote multidisciplinary collaboration, provider outreach, coordination with county social workers or other assigned care managers, and family and caregiver engagement.
May oversee interdisciplinary care team meetings.
Hire, train, develop, and manage the team; take accountability for team performance and department-specific goals.
Travel locally as required by state or contractual requirements.