Job Description

Job Title: LTSS Manager - Community HealthChoices
Job ID: 711366
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: UPMC Health Plan
Department: Comm HlthChoice_Clin_Op
Location: 600 Grant St, Pittsburgh PA 15219


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. Our care model, built on our high-quality Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) platform, supported by the resources of our integrated payer-provider UPMC, and through deep community collaboration, will help assure the highest level of services are provided.


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.


  • 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.


  • Bachelor's 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: $33.94 to $57.47

Union Position: No

Apply Current Employee?


At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!


UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.


Now more than ever, YOU can help us shape our communities and UPMC into a better place for everyone to work, study, play, and thrive.

Learn more about working here and check out our policies and recent updates.

UPMC Ranked #17 Best Places for Women & Diverse Managers in 2018

Talent Network