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Form of workYour career starts now. We are looking for the next generation of health care leaders.
At AmeriHealth Caritas, we are 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 would like to connect with you.
Headquartered in Newtown Square, 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 at www.amerihealthcaritas.com.
Responsibilities:
Under the supervision of the Long-Term Care (LTC) Manager, the Long-Term Care Supervisor is responsible for the daily oversight of the LTC Care Management unit providing direction, organization, and monitoring of all care management services.
- Responsible for direct supervisory oversight of staff conducting care management screening, care coordination, care management and other supportive functions.
- Provides unit and departmental leadership.
- Serves as a subject matter expert for LTSS training for internal care teams and external audiences.
- Directly oversee the care coordination function within the department.
- 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 contract.
- Performs and remains knowledgeable in all workflow and timeliness requirements for all areas in LTSS.
- Assists with the daily operations of licensed and non-licensed professionals.
- Monitors staff work assignments and makes appropriate adjustments based on staffing levels, staff experience, and number/request types.
- Assist the LTSS Manager in providing oversight for operational reporting compliance.
- Provides coaching and counseling to improve productivity of staff members.
- Works collaboratively and in alignment with other health and social services across the continuum of care striving to enhance the quality of Member care and services.
- Reviews quality audits and shares audit results in a timely manner with associates, providing necessary education and counseling to improve performance.
- Works collaboratively with the Manager and identified leadership to develop and implement performance measures, and monitors associates placed on performance improvement plans.
- Stays current with ACFL policies and procedures, Medicaid and LTSS requirements.
Education/Experience:
- Bachelor's Degree in a human service, social science, or health field required. Minimum of 5 years of experience in case management, at least 1 year of which shall be related to the elderly and disabled population
- Master's Degree in a human service, social science, or health field preferred. Minimum of 2 years of experience in case management, at least 1 year of which shall be related to the elderly and disabled populations
- Minimum of 1 year of supervisory or leadership experience preferred.
- Previous leadership experience including training and performance management.
- Ability to provide informed advocacy.
- Ability to interact with health care professionals in a professional manner.
- Knowledge of and experience working with vulnerable populations.
- 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.
- Proficiency with Microsoft Office Suite (Word, Excel, Power Point).
Diversity, Equity, and Inclusion
At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
