Integrated Home Care Services, Inc.
501 - 1000 employees
Founded 2015
⚕️ Healthcare Insurance
🤝 B2B
Healthcare Insurance • B2B
Integrated Home Care Services, Inc. is an integrated home care benefits manager that coordinates and manages value-based home health services, durable medical equipment, and home infusion for patients and members on behalf of health plans and providers. It provides network development and credentialing, utilization management, claims adjudication, analytics, and a technology-enabled platform for referrals, real-time documentation, and 24/7 access to services, aiming to reduce costs, improve outcomes, and streamline administration for payers, providers, and patients.
Senior Manager, Care Coordination – LTSS/PDN
Job not on LinkedIn
🕒 March 28
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Integrated Home Care Services, Inc.
501 - 1000 employees
Founded 2015
⚕️ Healthcare Insurance
🤝 B2B
Healthcare Insurance • B2B
Integrated Home Care Services, Inc. is an integrated home care benefits manager that coordinates and manages value-based home health services, durable medical equipment, and home infusion for patients and members on behalf of health plans and providers. It provides network development and credentialing, utilization management, claims adjudication, analytics, and a technology-enabled platform for referrals, real-time documentation, and 24/7 access to services, aiming to reduce costs, improve outcomes, and streamline administration for payers, providers, and patients.
📋 Description
• 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
🎯 Requirements
• 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
🏖️ Benefits
• 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
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