Supervisor, Long Term Services & Support (LTSS)

Job Title

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

At least 5 years experience in health care with 2 years experience in long-term care, care management and / or discharge planning, or equivalent combination of relevant education and experience.

Registered Nurse (RN), Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT), Doctor of Psychology (PhD or PsyD). Clinical licensure and / or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

Knowledge and experience with disability and senior access issues.

Demonstrated knowledge of community resources.

Proactive and detail-oriented.

Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

Ability to work independently, with minimal supervision and demonstrate self-motivation.

Responsive in all forms of communication, and ability to remain calm in high-pressure situations.

Ability to develop and maintain professional relationships with individuals.

Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

Excellent problem-solving, and critical-thinking skills.

Excellent verbal and written communication skills.

Microsoft Office suite / applicable software program(s) proficiency.

Preferred Qualifications

Supervisory / leadership experience.

Experience coordinating activities spanning multiple departments in a highly matrixed organization

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