Job Description

Job Title: LTSS Manager - Community HealthChoices - Southeast Region
Job ID: 672449
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Health Plan
Department: Comm HlthChoice_Clin_Op
Location: , Philadelphia PA

Description

Community Health Choices will impact more than 400,000 people statewide who are dually eligible for Medicare and Medicaid or receive Medicaid funded long-term services and supports (LTSS). Through Community HealthChoices (CHC), we will coordinate physical health care and LTSS to enhance the quality of life and independence for frail seniors and adults with disabilities in home and community based environments as well as in institutional settings.

 

The LTSS Manager is responsible for the operational functions of a LTSS team including the direct supervision, coaching and counseling of staff, manage, supervise, and coordinate the LTSS operations of the CHC Team. The Manager is responsible for the day-to-day service coordination functions through the management of staff and activity which may include behavioral health, utilization management and care management. Serves as a liaison to government and other regulatory agencies, and internal departments. Monitors and collects information related to staff and program performance, reviews performance against goals and makes recommendations for improvement. Supports supervisors managing service coordination and care management staff.

Responsibilities:

  • Develops, implements, and evaluates LTSS policies, goals, and objectives.
  • Directs the service coordination process for all LTSS staff.
  • Interprets and enforces department and organization policies.
  • Investigates and resolves complaints from members and providers.
  • Participates in appropriate department and organization committees.
  • Participates in service coordination rounds, members ICT and program development.
  • Participates in the development and modifications of CHC LTSS programs.
  • Recruits, trains and orients new staff and assures that training and education needs of staff are met.
  • Selects, schedules, assigns, and evaluates LTSS staff, adjusting hours as necessary.

Qualifications

  • Bachelors degree (B. A.) from four-year College or university
  • Five to seven years related experience and/or training
  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
  • Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily
  • The requirements listed below are representative of the knowledge, skill, and/or ability required
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
  • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form

    Licensure, Certifications, and Clearances:
    RN or LPN, LCPC, LPC, LCSW preferred

    UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $36.31 to $61.51

Union Position: No

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