Supervisor, Long-Term Services & Supports (LTSS)

About the role

Will support Buffalo, La Crosse, Monroe, & Trempealeau Counties, WI

Leads and supervises a multidisciplinary 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.

Responsibilities

• Oversees team responsible for delivering long-term services and supports (LTSS) member care.
• 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.
• 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 leadership.
• Serves as a 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.
• Assists leadership with state-specific LTSS reporting requirements.
• Participates in internal and external work committees designed to enhance work performance.
• Collaborates 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.
• Promotes multidisciplinary collaboration, provider outreach, collaboration with county social workers or other assigned care managers, and engagement of family and caregivers to enhance the continuity of care for members.
• Oversees interdisciplinary care team (ICT) meetings.
• Hires, trains, develops and manages team; demonstrates accountability for team performance and achievement of department-specific goals.
• Local travel may be required (based upon state/cont