Director, Care Management - LTSS
Core
Directs long-term care management operations and strategies to develop high-quality, cost-effective healthcare outcomes for members in Illinois.
Role type
Director, Care Management (Long-Term Services and Supports)
Builds
Long-term care management operations, policies, and performance outcomes for MLTSS enrollees
Domain
Healthcare / Long-Term Services and Supports (LTSS) / Managed Care
Required skills
Strategic planning, team leadership, policy development, data analysis, vendor oversight, process improvement, budget management, regulatory compliance, clinical care pathway development, stakeholder advocacy
Preferred skills
Managed care experience, Waiver program expertise, NCQA standards knowledge
Technologies
Information technologies for care management
Responsibilities
Lead long-term care management team on performance and career growth; oversee staff caseloads and work assignments; monitor contract reporting and vendor oversight; review member data to identify trends and improve performance; contribute to clinical care pathway development; develop long-term care strategies and influence organizational decisions; coach team to improve member and provider experience; coordinate special projects; develop or contribute to hiring and training strategies; serve as consumer advocate for MLTSS enrollees.
Seniority
Director, strategic leadership & operational oversight