Manager Long-Term Servcies & Support PA CHC

Amerihealth Caritas Health Plan Philadelphia , PA 19107

Posted 1 month ago

Responsibilities:

The Manager will focus attention on departmental integrity, learning, and data management.

  • Long Term Service and Supports Subject Matter Expert.

  • Ensure compliance with program and contractual requirements.

  • Assists with the development and management of policies and procedures ensuring alignment with State and Federal Requirements.

  • Development and management of clinical operations focusing on improving clinical and financial outcomes, member engagement and satisfaction.

  • Conduct audits related to departmental compliance with LTSS policies.

  • Assists in day-to-day management of the department and participates as internal SME as directed.

  • Development of workflow and desk level tools for use in departmental education, training, on-going in-services.

  • Assist in coordination of provider, staff and member outreach education and training.

  • Develop and coordinate departmental communication pieces for both internal and external stakeholders.

  • Prepares, coordinates, and verifies data and reports for the LTSS department.

  • Assures that outbound and inbound data is QA'd and prepared for submission timely.

  • Maintains and presents key metrics to departmental leadership routinely as directed.

  • Directly oversee the transitional services function within the department.

  • As needed in new business situations, assumes lead role in phasing in State's Home and Community Based Service system, roles.

Education/Experience:

  • Bachelor's Degree.

  • Experience with HCBS Waivers, Habilitation, Institutional Services, and Health Homes.

  • Leadership and Management Skills.

  • Knowledgeable in preparation of educational materials, presentations, and overall adult learning methodologies.

  • Knowledgeable in basic data analytics as related to aggregating, distinguishing, and displaying data for reporting purposes.

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VIEW JOBS 3/21/2019 12:00:00 AM 2019-06-19T00:00 Responsibilities: The Manager will focus attention on departmental integrity, learning, and data management. * Long Term Service and Supports Subject Matter Expert. * Ensure compliance with program and contractual requirements. * Assists with the development and management of policies and procedures ensuring alignment with State and Federal Requirements. * Development and management of clinical operations focusing on improving clinical and financial outcomes, member engagement and satisfaction. * Conduct audits related to departmental compliance with LTSS policies. * Assists in day-to-day management of the department and participates as internal SME as directed. * Development of workflow and desk level tools for use in departmental education, training, on-going in-services. * Assist in coordination of provider, staff and member outreach education and training. * Develop and coordinate departmental communication pieces for both internal and external stakeholders. * Prepares, coordinates, and verifies data and reports for the LTSS department. * Assures that outbound and inbound data is QA'd and prepared for submission timely. * Maintains and presents key metrics to departmental leadership routinely as directed. * Directly oversee the transitional services function within the department. * As needed in new business situations, assumes lead role in phasing in State's Home and Community Based Service system, roles. Education/Experience: * Bachelor's Degree. * Experience with HCBS Waivers, Habilitation, Institutional Services, and Health Homes. * Leadership and Management Skills. * Knowledgeable in preparation of educational materials, presentations, and overall adult learning methodologies. * Knowledgeable in basic data analytics as related to aggregating, distinguishing, and displaying data for reporting purposes. Amerihealth Caritas Health Plan Philadelphia PA

Manager Long-Term Servcies & Support PA CHC

Amerihealth Caritas Health Plan