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.
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