高级总监 服务协调与长期服务和支持，Geisin
Senior Director Service Coordination and Long-Term Services and Supports, Geisin
位置：
在家办公（宾夕法尼亚州）
班次：
白天（美国）
每周计划工作时长：
40小时
员工类型：
正式员工
是否为豁免职位：
是
职位概述：
高级总监服务协调与长期服务和支持（LTSS）负责社区健康选择协议中所有LTSS/HCBS要求和职能的战略、项目设计和实施。社区健康选择（CHC）是宾夕法尼亚州的管理式长期服务和支持（MLTSS）项目，为参加医疗保险和医疗补助的老年人和身体残疾人士提供服务。
职位职责：
该职位人选必须居住在宾夕法尼亚州。
需要频繁前往宾夕法尼亚州各地，包括参加州级会议。
需要硕士学位：医疗保健、护理、社会工作、公共行政或相关领域
成功候选人需了解长期照护服务和支持政策、实践和法规。
- 领导Geisinger Health Plan的CHC项目战略和实施，包括服务协调和服务整合。
- 代表GHP与LTSS供应商、社区组织、倡导团体、协会、供应商等建立并监督战略合作伙伴关系的开发和实施。
- 在州级（DHS/OLTL）论坛（如LTSS子委员会）中作为GHP的CHC负责人和LTSS专家进行代表。
- 准备GHP通过CHC准备性审查和其他常规审计，包括有关记录保存的程序标准，这些标准由联邦和州法律及法规规定。
- 监督、审查并签署合同要求的报告。
- 制定政策和程序，确保LTSS项目和服务的有效且高效交付，同时确保以参与者为中心的方法。
- 定期评估项目效果和参与者体验，并实施项目改进。
- 与Geisinger Health Plan领导团队合作，处理运营问题、人员配置、资源、系统和项目需求，并就问题提出解决方案行动计划。
- 根据需要主持和参与GHP委员会、特别工作组、工作小组和多学科团队，以实现CHC合同的所有方面。
- 确保符合州和联邦法规以及所有CHC合同义务。
- 与其他领导团队成员合作，制定和管理预算。
查看英文原文
Location:
Work from home (Pennsylvania)Shift:
Days (United States of America)Scheduled Weekly Hours:
40Worker Type:
RegularExemption Status:
YesJob Summary:
The Senior Director Service Coordination and Long-Term Services and Supports (LTSS) leads strategy, program design, and implementation for all LTSS/HCBS requirements and functions of the Community HealthChoices agreement. Community HealthChoices (CHC) is Pennsylvania's managed long-term services and supports (MLTSS) program serving older adults and individuals with physical disabilities who are enrolled in Medicare and Medicaid.Job Duties:
The individual filling this role must live in Pennsylvania.
Frequent travel required to locations across Pennsylvania including attendance at State meetings.
Master's Degree required: Healthcare, Nursing, Social Work, Public Administration, or related field
The successful candidate has an understanding of long-term care services and supports policies, practices, and regulations.
- Leads strategy and implementation of Geisinger Health Plan’s CHC program, inclusive of Service Coordination and Service Integration.
- Develops and oversees implementation of strategic partnerships on behalf of GHP with LTSS providers, community organizations, advocacy groups, associations, vendors, and others.
- Represents GHP as its CHC leader and LTSS subject matter expert in state (DHS/OLTL) forums (e.g., LTSS Subcommittee).
- Prepares GHP for CHC readiness reviews and other routine audits including those of program standards regarding records retention, which are set forth in federal and state law and regulations.
- Monitors, reviews, and signs off on contract-required reporting as required.
- Develops policies and procedures to ensure effective and efficient delivery of LTSS programs and services, while ensuring a participant-centered approach.
- Conducts regular assessments of program effectiveness and participant experience and implements program improvements.
- Collaborates with the Geisinger Health Plan Leadership team regarding operational issues, staffing, resources, system, and program needs and presents solution action plan for issues.
- Facilitates and participates in GHP committees, task forces, work groups and multidisciplinary teams as needed to operationalize all aspects of the CHC contract.
- Ensures compliance with state and federal regulations and all CHC contractual obligations.
- Develops and manages budgets, in collaboration with other Leadership team members, to ensure that functions and costs unique to CHC are appropriately funded and reflected.
- Keeps abreast of industry trends and innovations, as well as changes in healthcare laws and regulations, and adjusts programs and services accordingly.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Position Details:
This position is established specifically to lead and support activities associated to the program award. Employment is contingent upon the award. In the event Geisinger Health Plan is not awarded the Community HealthChoices agreement employment in this position will be discontinued.
Preferred Skills:
- Familiarity with person-centered philosophies, concepts of independence, and/or self-determination.
- Experience working with individuals with disabilities and older adults.
- Track record of building trust-based relationships.
- Strong analytical skills.
- Effective problem-solving and change management skills.
- Able to function well independently in a busy environment.
- Demonstrates excellent verbal and written communication skills.
- Demonstrate effective critical thinking and decision-making skills.
Education:
Master's Degree-Related Field of Study (Required), Bachelor's Degree-Nursing (Preferred)Experience:
Minimum of 8 years-Managerial/Supervisory (Required), Minimum of 5 years-Health Insurance/Managed Care (Required)Certification(s) and License(s):
Skills:
Acts Decisively, Care Management Knowledge, Communication, Health Insurance, Leadership, Organizing
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.
- KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
- EXCELLENCE: We treasure colleagues who humbly strive for excellence.
- LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
- INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
- SAFETY: We provide a safe environment for our patients and members and the Geisinger family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.
Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.
Originally posted on Himalayas