About The Position

Leads and supervises a multidisciplinary team of healthcare services professionals supporting members with long-term services and supports (LTSS) needs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to the strategy for providing quality, cost-effective member care. The role provides hands-on direction to the LTSS care coordination team, oversees staff and service delivery, and supports compliance with regulatory requirements. Local travel may be required based on state or contractual requirements.

Requirements

  • At least 5 years of experience in health care, including at least 2 years in a health care delivery network supporting LTSS and in-home supportive services (IHSS), or an equivalent combination of relevant education and experience.
  • One of the listed professional credentials: RN, LPN, LVN, LCSW, APSW, CHES, LPC, LPCC, LMFT, PhD, or PsyD. Clinical licensure or certification is required only when mandated by state contract, regulation, business operating model, or state board licensing requirements; if licensed, the license must be active and unrestricted in the state of practice.
  • 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 adjust work 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, with the ability to manage multiple projects and adapt to change.
  • Ability to work cross-functionally within a highly matrixed organization.
  • Excellent verbal and written communication skills.
  • Proficiency with Microsoft Office suite and applicable software programs.

Nice To Haves

  • Management or leadership experience.
  • Experience working with IHSS, public authorities, and community-based organizations (CBOs).

Responsibilities

  • Oversee the team responsible for delivering LTSS member care.
  • Provide direction and guidance to the LTSS care coordination team and ensure timely delivery of appropriate, quality services and compliance with regulatory timelines.
  • Manage staff LTSS caseloads and assign cases based on complexity of medical or psychosocial needs, licensure requirements, and care manager experience.
  • Oversee staff use of the electronic case management documentation system and ensure compliance with Molina processes, documentation standards, regulations, and HIPAA.
  • Arrange and facilitate staff training as needed.
  • Identify opportunities for improvement and develop process and procedure improvements in collaboration with leadership.
  • Serve as a resource to service coordinators on social service interventions and cases involving complex needs or potential high-risk complications.
  • Monitor clinical and non-clinical team activities to support integrated care and individualized service plans.
  • Assist leadership with state-specific LTSS reporting requirements.
  • Participate in internal and external work committees intended to enhance work performance.
  • Collaborate with healthcare services leadership to maintain adequate staffing and service levels for LTSS membership.
  • Support member and customer satisfaction by implementing and monitoring staff productivity and performance indicators.
  • Promote multidisciplinary collaboration, provider outreach, collaboration with county social workers or other assigned care managers, and engagement of families and caregivers to support continuity of care.
  • Oversee interdisciplinary care team (ICT) meetings.
  • Hire, train, develop, and manage the team; be accountable for team performance and achievement of department-specific goals.
  • Travel locally as required by state or contractual requirements.

Benefits

  • Competitive benefits and compensation package.
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