Sr. Manager, Care Coordination - LTSS/PDN
About The Position
The Senior Manager, LTSS/PDN Programs will oversee the strategic and operational functions of Long-Term Services and Supports (LTSS) and Private Duty Nursing (PDN) programs funded through Medicaid. This role is responsible for ensuring regulatory compliance, improving provider network performance, integrating health information technologies, and enhancing overall program efficiency and service delivery outcomes. This role involves reviewing developing and streamlining workflows, collaborating with interdisciplinary teams, and implementing utilization management strategies to enhance operational efficiency and cost-effectiveness
Requirements
- State licensure as RN
- Bachelor's degree in Nursing (BSN), Healthcare Administration, or a related field (Master’s degree preferred).
- Minimum of 3–5 years of experience in Medicaid Program Management.
- Minimum of 2 years of leadership or supervisory experience in LTSS and/or PDN services .
- Required to uphold compliance principles as outlined in the Code of Conduct and related policies. Actively supports and participates in mandatory Corporate Compliance Program training initiatives annually or as required.
- Proficient in Microsoft products (Word, Excel, PowerPoint)
- Exceptional leadership and team management skills.
- Strong analytical, organizational and project management abilities
- Excellent verbal and written communication and interpersonal skills for cross-functional collaboration.
- Ability to drive strategic initiatives and adapt in a fast-paced healthcare environment
Nice To Haves
- Master’s degree preferred
Benefits
- Medical, Vision, Dental, Short- and Long-term insurance
- 6+ Days of Holidays Pay
- 17 days of PTO
- Employer paid life insurance
- 401K with employer contribution
- Wellness program with reward incentives
- Employee recognition and reward programs
- Offering Hybrid Remote/Telecommute Work Schedule
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
