PACE Program Director

2 days ago

Topeka, Kansas, United States State of Kansas Full time
Job Title: PACE Program Manager

Join the State of Kansas team as a PACE Program Manager, responsible for the program management of the Program of All-Inclusive Care for the Elderly (PACE) program in Kansas.

Job Summary

The incumbent will oversee the design, development, management, and oversight of program goals, procedures, objectives, grievances, and appeals for the PACE program. This position involves high-level interaction with PACE program providers, State agencies, Area Agencies on Aging, and the Centers for Medicare and Medicaid Services (CMS).

Key Responsibilities
  • Evaluating and analyzing requests, documentation, information (internal and external), and data used in determining eligibility/ineligibility access to the PACE program;
  • Directing contracted entities in assisting consumers in navigating through KDADS and Medicaid programs and processes, including identifying available resources and programs;
  • Ensuring contracted entities provide appropriate support, services, information, referral, and assistance to consumers seeking access to or information about the PACE program;
  • Planning, organizing, and directing the activities, policies, and compliance in managing the resources necessary to operate and maintain the PACE program;
  • Interpreting federal and state regulation, policies, and procedures;
  • Developing and implementing operational protocols for program management and service delivery and policies;
  • Directing and consulting with contracted health plans regarding program policies, procedures, and regulations;
  • Utilizing management systems and tools to address special concerns and issues and continually improve program services and procedures, to determine whether needs are being met; initiates changes to correct deficiencies; and adapts programs and services to meet changing needs;
  • Reviewing adverse incident reports and assigning responsibility for follow-up to the appropriate program field staff;
  • Assisting with Corrective Action Plan (CAP) development and monitoring in the event of vendor non-compliance for PACE vendors;
Requirements
  • Current valid license to work in the State of KS as a RN or LPN;
  • Two years of experience in providing direction necessary to implement the objectives of an agency, program, or organizational unit. Education may be substituted for experience as determined relevant by the agency;
  • Demonstrated ability to understand, interpret, and apply Federal laws and State statutes/regulations;
  • Excellent interpersonal/public skills, customer service, and ability to express oneself clearly and effectively, both in writing and orally;
  • Ability to make sound judgment regarding quality of care and make appropriate recommendations;
  • Valid driver's license;
  • Travel
Preferred Qualifications
  • Licensed Registered Nurse in State of Kansas with elder care experience/training;
  • Knowledge of community resources and PACE regulations;
  • Two years of experience in management, planning, developing, implementing, and directing programs/services for the elderly and disabled;
  • Experience with or work in health care setting/medical field, Medicaid Programs, or Managed Care Health systems;
  • Experience in the design, development, and presentation of program-related information and materials to a public audience;

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