Senior Manager, Care Coordination – LTSS/PDN

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🕒 Março 28

🐊 Florida – Remoto

🐊 Florida – Remote

⏰ Tempo Integral

🟠 Sênior

👔 Gerente

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Integrated Home Care Services, Inc.

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2015

⚕️ Seguro de Saúde

🤝 B2B

Healthcare Insurance • B2B

A Integrated Home Care Services, Inc. é uma gestora integrada de benefícios de cuidados domiciliares que coordena e gerencia serviços de saúde domiciliar baseados em valor, equipamentos médicos duráveis e infusões domiciliares para pacientes e membros em nome de planos de saúde e prestadores de serviço. Ela oferece desenvolvimento de rede e credenciamento, gestão de utilização, adjudicação de sinistros, análises e uma plataforma habilitada por tecnologia para referências, documentação em tempo real e acesso 24/7 aos serviços, visando reduzir custos, melhorar resultados e simplificar a administração para pagadores, provedores e pacientes.

Descrição

• Oversee the strategic and operational functions of Long-Term Services and Supports (LTSS) and Private Duty Nursing (PDN) programs funded through Medicaid • Responsible for ensuring regulatory compliance • Improve provider network performance • Integrate health information technologies • Enhance overall program efficiency and service delivery outcomes • Review, develop and streamline workflows • Collaborate with interdisciplinary teams • Implement utilization management strategies to enhance operational efficiency and cost-effectiveness

🎯 Requisitos

• State licensure as RN • Bachelor's degree in Nursing (BSN), Healthcare Administration, or a related field (Master’s degree preferred) • Minimum of 3–5 years of experience in Medicaid Program Management • Minimum of 2 years of leadership or supervisory experience in LTSS and/or PDN services • Required to uphold compliance principles as outlined in the Code of Conduct and related policies • Actively supports and participates in mandatory Corporate Compliance Program training initiatives annually or as required • Proficient in Microsoft products (Word, Excel, PowerPoint) • Exceptional leadership and team management skills • Strong analytical, organizational and project management abilities • Excellent verbal and written communication and interpersonal skills for cross-functional collaboration • Ability to drive strategic initiatives and adapt in a fast-paced healthcare environment

🏖️ Benefícios

• Medical • Vision • Dental • Short- and Long-term insurance • 6+ Days of Holidays Pay • 17 days of PTO • Employer paid life insurance • 401K with employer contribution • Wellness program with reward incentives • Employee recognition and reward programs • Hybrid Remote/Telecommute Work Schedule