Talent.com
Manager - EVV and LTS Support
Manager - EVV and LTS SupportPresbyterian Healthcare Services • Albuquerque, NM, US
Manager - EVV and LTS Support

Manager - EVV and LTS Support

Presbyterian Healthcare Services • Albuquerque, NM, US
1 day ago
Job type
  • Full-time
Job description

Manager - EVV and LTSS Support

Presbyterian is seeking a Manager - EVV and LTSS Support. This position will be responsible for the oversight of the Electronic Visit Verification (EVV) program and Long Term Services and Supports (LTSS). Requires attention to detail and strong communication skills to adequately represent the organization at conferences and speak in front of an audience. Will be responsible for the long term care team with direct supervision of staff.

Must possess a strong background in claims processing, managed care guidelines, New Mexico Human Services Department regulations regarding EVV and LTSS. Act as a key resource for Provider Services and provide education with an emphasis on EVV and LTSS. This position requires an ability to work effectively within a complex organization across multiple departments to drive results. May require some travel and the ability to work with other Managed Care Organizations (MCO) to create a collaborative approach to EVV and LTSS.

  • This is a Full Time position - Exempt : Yes
  • Job is based at Rev Hugh Cooper Admin Center
  • Work hours : Days

Preferred Qualifications :

  • EVV experience required
  • Claims experience preferred
  • LTC experience preferred
  • Presentation skilled preferred
  • Minimal Travel Required
  • Qualifications

  • Bachelor's degree required. 6 years of additional experience can be substituted in lieu of degree. Previous supervisory skills required
  • Experience with EVV and LTSS
  • Experience with use of membership data, claims and / or encounter data
  • Experience with Provider Relations / Services across multiple specialties
  • Leadership skills to work across teams, drive results, and lead initiatives
  • Business acumen and the ability to build credibility with all levels of the organization
  • Knowledge of Healthcare benefits, terminology and concepts- especially as it relates to EVV and LTSS
  • Responsibilities

  • Work as part of the Provider Services staff and leadership to ensure provider participation in EVV and LTSS.
  • Provide education and guidance to staff to conduct on-site visits with Providers and / or facilities to educate and inform providers and staff on EVV and LTSS
  • Monitor and use information from the EVV system to verify that services provided are specified in the individual plan of care and in accordance with the established schedule, including the amount, frequency, duration and scope of each service and that services are provided by the authorized provider.
  • Identify and immediately address service gaps, including late and missed visits.
  • Monitor services anytime the member is receiving services including after regular business hours.
  • Develop and maintain positive relationships with providers, vendors, other MCOs and the Mexico Human Services Department (HSD)
  • Identify areas of opportunity for partnership between providers and PHP
  • Provide oversight of vendor contracts with Provider Services and equipment needed for EVV participation and monitoring
  • Create policies and procedures to support EVV and LTSS providers
  • Develop and perform training (internal and external) for EVV and LTSS providers
  • Ensure timely completion of all required reports (internal and external)
  • Execute leaderships vision of EVV and LTSS Provider Network
  • Benefits

    About Presbyterian Healthcare Services Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.

    The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges, webinars, and screenings - with opportunities to earn gift cards and other incentives.

    As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships. Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans.

    AA / EOE / VET / DISABLED. PHS is a drug-free and tobacco-free employer with smoke-free campuses.

    Maximum Offer for this position is up to

    USD $45.82 / Hr.

    Compensation Disclaimer

    The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.

    Create a job alert for this search

    Manager And Support • Albuquerque, NM, US

    Related jobs
    COMMUNITY SUPPORT WORKER

    COMMUNITY SUPPORT WORKER

    University of New Mexico - Hospitals • Corrales, NM, US
    Full-time
    Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials.Compensation for this role is based on a number of factors, including but not limited to experience, education...Show more
    Last updated: 30+ days ago • Promoted
    Travel LPN / LVN

    Travel LPN / LVN

    GLC On-The-Go • Albuquerque, NM, US
    Full-time
    GLC On-The-Go is seeking a LPN / LVN for a travel job in Albuquerque, New Mexico.Job Description & Requirements.LPN LTC / SNF - Albuquerque, NM - 11-week contract.GLC – Named Best Nurse Age...Show more
    Last updated: 30+ days ago • Promoted
    Store Support

    Store Support

    Home Depot (Retail) • Albuquerque, NM, US
    Full-time
    Associates in Store Support positions are responsible for a variety of non-sales functions.This may include ensuring an outstanding customer order fulfillment experience, assisting customers in the...Show more
    Last updated: 30+ days ago • Promoted
    Travel LPN / LVN - Long Term Care

    Travel LPN / LVN - Long Term Care

    Nationwide Therapy Group • Albuquerque, NM, US
    Full-time
    Nationwide Therapy Group is seeking a LPN / LVN Long Term Care for a travel job in Albuquerque, New Mexico.Job Description & Requirements. About Nationwide Therapy Group.NTG is a proud partner w...Show more
    Last updated: 30+ days ago • Promoted
    Travel LPN / LVN - $1,121 per week

    Travel LPN / LVN - $1,121 per week

    Nationwide Therapy Group • Albuquerque, NM, United States
    Full-time
    Nationwide Therapy Group is seeking a LPN / LVN for a travel job in Albuquerque, New Mexico.Job Description & Requirements. NTG is committed to matching you to the right position and we pride oursel...Show more
    Last updated: 30+ days ago • Promoted
    Customer Support Specialist

    Customer Support Specialist

    TradeJobsWorkForce • Bosque, NM, United States
    Full-time
    As a Customer Support Specialist, you will play a key role in providing exceptional service to our customers.Your main responsibilities will include : . Responding to customer inquiries through phone,...Show more
    Last updated: 2 days ago • Promoted
    LPN - INPATIENT

    LPN - INPATIENT

    University of New Mexico - Hospitals • Placitas, NM, United States
    Full-time
    Relocation Assistance Available.Cell phone and / or smart devices are not allowed on persons for this position at MDC, unless there is a documented medical condition. Receive 17% Weekday Nights, 26% W...Show more
    Last updated: 30+ days ago • Promoted
    Travel LPN / LVN - Long Term Care - $1,072 per week

    Travel LPN / LVN - Long Term Care - $1,072 per week

    Nationwide Therapy Group • Albuquerque, NM, United States
    Full-time
    Nationwide Therapy Group is seeking a LPN / LVN Long Term Care for a travel job in Albuquerque, New Mexico.Job Description & Requirements. About Nationwide Therapy Group.NTG is a proud partner with ...Show more
    Last updated: 18 hours ago • Promoted • New!
    Travel LPN / LVN - Long Term Care (LTC) Long Term Care - $1,275 per week

    Travel LPN / LVN - Long Term Care (LTC) Long Term Care - $1,275 per week

    GLC On-The-Go • Albuquerque, NM, United States
    Full-time
    GLC On-The-Go is seeking a LPN / LVN Long Term Care (LTC) Long Term Care for a travel job in Albuquerque, New Mexico.Job Description & Requirements. Pay package is based on 8 hour shifts and 40 hour...Show more
    Last updated: 15 days ago • Promoted
    Travel LPN / LVN - Long Term Care - $1,182 per week

    Travel LPN / LVN - Long Term Care - $1,182 per week

    Nationwide Therapy Group • Rio Rancho, NM, United States
    Full-time
    Nationwide Therapy Group is seeking a LPN / LVN Long Term Care for a travel job in Rio Rancho, New Mexico.Job Description & Requirements. About Nationwide Therapy Group.NTG is a proud partner with h...Show more
    Last updated: 2 hours ago • Promoted • New!
    Travel LPN / LVN

    Travel LPN / LVN

    Nationwide Therapy Group • Albuquerque, NM, US
    Full-time
    Nationwide Therapy Group is seeking a LPN / LVN for a travel job in Albuquerque, New Mexico.Job Description & Requirements. NTG is committed to matching you to the right position and we pride ou...Show more
    Last updated: 30+ days ago • Promoted
    LPN - LTC

    LPN - LTC

    CoreHire • Albuquerque, NM, USA
    Full-time +1
    Quick Apply
    Licensed Practical Nurse (LPN).Skies HC and Rehab Center is seeking a dependable and skilled Licensed Practical Nurse to provide direct patient care on a part-time contract basis.The LPN will assis...Show more
    Last updated: 4 days ago
    LTC CNA

    LTC CNA

    Plexsum Staffing Solutions, Inc. • Belen, NM, United States
    Full-time
    Please apply for your personal pay package!.Join the Plexsum Team for this exciting assignment!.Benefits - We've got you covered!. Your success is our priority, and that includes your health and wel...Show more
    Last updated: 30+ days ago • Promoted
    Travel LPN / LVN - Long Term Care (LTC) Long Term Care

    Travel LPN / LVN - Long Term Care (LTC) Long Term Care

    GLC On-The-Go • Belen, NM, US
    Full-time
    GLC On-The-Go is seeking a LPN / LVN Long Term Care (LTC) Long Term Care for a travel job in Belen, New Mexico.Job Description & Requirements. Pay package is based on 8 hour shifts and 40 hours ...Show more
    Last updated: 30+ days ago • Promoted
    Remote Support Associate

    Remote Support Associate

    TradeJobsWorkforce • 87006 Bosque, NM, US
    Remote
    Full-time
    In this role, the Remote Support Associate, where you will learn company products and services to better assist others, adhere to safety guidelines and company policies, and help organize and maint...Show more
    Last updated: 30+ days ago • Promoted
    Travel LPN / LVN

    Travel LPN / LVN

    GQR Healthcare • Belen, NM, US
    Full-time
    GQR Healthcare is seeking a LPN / LVN for a travel job in Belen, New Mexico.Job Description & Requirements.Contract - W2 (LPN / LVN) Licensed. Profession : (LPN / LVN) Licensed.Estimated weekly pay i...Show more
    Last updated: 30+ days ago • Promoted
    Customs and Border Protection Officer - Entry Level

    Customs and Border Protection Officer - Entry Level

    U.S. Customs and Border Protection • Corrales, NM, United States
    Full-time
    Customs and Border Protection Officer (CBPO).Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of high...Show more
    Last updated: 30+ days ago • Promoted
    Remote Support Specialist

    Remote Support Specialist

    TradeJobsWorkforce • 87006 Bosque, NM, US
    Remote
    Full-time
    As a Remote Support Specialist, you will be responsible for supporting customers and handling inquiries from the comfort of your home, including : respond to customer inquiries via phone, chat, and ...Show more
    Last updated: 30+ days ago • Promoted