Sr. Manager, Care Coordination - LTSS/PDN

Integrated Home

$75K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • State licensure as RN
  • Bachelor's degree in Nursing (BSN), Healthcare Administration, or a related field; Master's preferred
  • 3-5 years of Medicaid Program Management experience
  • 2 years of leadership or supervisory experience in LTSS/PDN services
  • Proficient in Microsoft Office Suite
  • Strong analytical and project management skills
  • Exceptional verbal and written communication skills

Responsibilities

  • Oversee strategic and operational functions of LTSS and PDN programs
  • Ensure regulatory compliance in operations
  • Enhance provider network performance
  • Integrate health information technologies
  • Develop and streamline workflows
  • Collaborate with interdisciplinary teams
  • Implement utilization management strategies for efficiency

Benefits

  • Medical, Vision, Dental, Short- and Long-term insurance
  • 6+ Days of Holiday Pay
  • 17 days of PTO
  • Employer paid life insurance
  • 401K with employer contribution
  • Wellness program with reward incentives
  • Employee recognition and reward programs
  • Hybrid Remote/Telecommute Work Schedule
Full Job Description
What will you be doing:

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

What will you come with:

  • 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


Join our team as we strive for excellence through teamwork, where our patients are #1!

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