Healthcare Operations Manager
4 days ago
We are seeking a skilled Healthcare Operations Manager to oversee the operational functions of our Long-Term Services and Supports (LTSS) Service Coordination team.
About UsAmeriHealth Caritas is a mission-driven organization with over 30 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management, and specialty pharmacy services, behavioral health services, and other administrative services.
Key Responsibilities- Oversee the day-to-day operations of the LTSS department, including the development of Person-Centered Service Plans, authorization and approval of services, and coordination of benefits for all LTSS Participants.
- Serve as a subject matter expert for LTSS training for internal care teams and external audiences.
- Support coordination of LTSS with other clinical and social services across the continuum of care, striving to enhance the quality of Participant care and services.
- Maintain operational processes, policies, and procedures to support LTSS care delivery.
- Bachelor's degree required.
- Pennsylvania licensed RN, LSW, or LPC required.
- 1-3 years of leadership and/or supervisory experience.
- 3 years working in social service or healthcare-related field.
- Experience working with people with disabilities or seniors in need of LTSS.
- Knowledge of the home and community-based service system and how to access and arrange for services.
We offer a competitive salary range of $83,000 - $115,000 per year, depending on experience, flexible work solutions including remote options, hybrid work schedules, paid time off, holidays, and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more.
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