Supervisor, Long Term Services & Support (LTSS) (Must live in WI)

Remote and must live in Wisconsin

JOB DESCRIPTION Job Summary

Leads and supervises multi-disciplinary team of healthcare services professionals supporting members with long-term services and supports (LTSS) needs - ensuring members reach desired outcomes through integrated delivery and coordination of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Functions as a hands-on supervisor - providing direction and guidance to long-term services and supports (LTSS) care coordination team, and ensuring timely delivery of appropriate / quality services delivery and compliance with regulatory timelines.
• Manages staff LTSS caseloads and assigns cases appropriately with regard to complexity of medical or psychosocial needs, licensure requirements, and care manager experience.
• Audits performance of team members, provides employee development and recognition, and assists with selection, training, mentoring and development of new staff.
• Oversees staff use of the electronic case management documentation system - ensuring compliance with Molina processes, standard documentation styles, established regulations and Health Insurance Portability and Accountability Act (HIPAA).
• Arranges and facilitates staff training as needed.
• Identifies improvement potential and develops process and procedure improvements in collaboration with plan leadership.
• Serves as a subject matter expert and resource to service coordinators in cases requiring social service interventions, and cases with complex needs or potential for high-risk complications.
• Monitors clinical and non-clinical team activities to facilitate an integrated care approach with individualized service plans.
• Participates in internal and external work committees designed to enhance work performance.
• Works with healthcare services leadership to ensure adequate staffing and service levels for LTSS membership; maintains member and customer satisfaction by implementing and monitoring staff productivity and performance indicators.
• Local travel may be required (based upon state / contractual requirements).

Required Qualifications

Preferred Qualifications

To all current Molina employees : If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V

Pay Range : $66,456 - $129,590 / ANNUAL