AmeriHealth Caritas Responsibilities: in Newark, Delaware

Responsibilities:

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The Supervisor, Long Term Support & Services is responsible for overseeing the operational functions of the LTSS Case Management team in accordance with the AmeriHealth Caritas DSHP Plus model of care.

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Key Accountabilities and Responsibilities

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  • Oversees the day to day operations of the LTSS department, including the development of Person-Centered Service Plans, authorization and approval of services and the coordination of benefits for all LTSS Participants.

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  • Serves as a subject matter expert for LTSS training for internal care teams and external audiences.

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  • Supports coordination of LTSS with other clinical and social services across the continuum of care striving to enhance the quality of member care and services.

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  • Maintains operational processes, policies and procedures to support LTSS care delivery.

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  • Ensure quality and performance metrics are consistently met regarding LTSS, as specified in the agreement.

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  • Performs monthly file documentation audits and conducts observational visit with case managers.

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Education/Experience:

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  • Delaware licensed RN or LCSW required. LCSW preferred

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  • One to three years in leadership and/or supervisory experience preferred

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Supervisor, Long Term Services and Supports

Location: Newark, DE

Telecommuter?: Yes

ID**: 14210

Job Brief

responsible for overseeing the operational functions of the LTSS Case Management team

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us atwww.amerihealthcaritas.com.

Responsibilities:

The Supervisor, Long Term Support & Services is responsible for overseeing the operational functions of the LTSS Case Management team in accordance with the AmeriHealth Caritas DSHP Plus model of care.

Key Accountabilities and Responsibilities

  • Oversees the day to day operations of the LTSS department, including the development of Person-Centered Service Plans, authorization and approval of services and the coordination of benefits for all LTSS Participants.

  • Serves as a subject matter expert for LTSS training for internal care teams and external audiences.

  • Supports coordination of LTSS with other clinical and social services across the continuum of care striving to enhance the quality of member care and services.

  • Maintains operational processes, policies and procedures to support LTSS care delivery.

  • Ensure quality and performance metrics are consistently met regarding LTSS, as specified in the agreement.

  • Performs monthly file documentation audits and conducts observational visit with case managers.

Education/Experience:

  • Delaware licensed RN or LCSW required. LCSW preferred

  • One to three years in leadership and/or supervisory experience preferred

EOE Minorities/Females/Protected Veterans/Disabled