Job Ref: 106332
Category: Managed Long Term Care
Department: CASE MANAGEMENT PROGRAM
Location: 50 Water Street, 7th Floor,
New York,
NY 10004
Job Type: Regular
Employment Type: Full-Time
Hire In Rate: $130,000.00
Salary Range: $130,000.00 - $140,000.00
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Position Overview
Under the direction of the Director of Medicaid, the Manager of Long-Term Services and Supports (LTSS) will supervise the day-to-day activities of the LTSS care management team to ensure quality outcomes (i.e., reduction in emergency room visits and hospital admissions, improved member satisfaction) and cost effectiveness. This is accomplished through hands-on, participatory management where all aspects of day-to-day case management operations are supervised, and feedback is shared with the leadership team for the purpose of meeting program goals and the implementation of continuous quality improvement strategies.
The Manager of LTSS willoversee the LTSS team which is comprised of Care Managers who are Registered Nurses and Licensed Social Workers as well as Care Management Associates and LTSS Coordinators. The Manager of LTSS ensures that staff adhere to the Medicaid contractual requirements, policies and procedures, and workflows established to manage the vulnerable Medicaid population.
The Manager of LTSS will also facilitate the successful execution of LTSS services in collaboration with other departments to ensure the delivery of member-centered care management, improved access to community resources and improvement of overall health status of members.
Professional Competences
#LI-Hybrid