LTSS Care Management Director | Remote/Hybrid

Managed Health Services (MHS)

Indiana

On-site

USD 146,000 - 270,000

Full time

6 days ago
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Benefits offered by this job

Health insurance
401(k) plan
Stock purchase plans
Tuition reimbursement
Paid time off and holidays
Flexible work schedules

Job summary

Centene is seeking a senior-level LTSS leader to oversee long-term care management for health plan members in Indiana. The role directs strategy, staff oversight, and program development to improve care quality, outcomes, and cost-effectiveness.

Required are 5+ years in LTSS management and strong knowledge of regulations, with leadership experience across RN or BH teams. Excellent collaboration with senior leadership is essential.

Qualifications

  • Requires 5+ years LTSS management experience.
  • Experience managing RN or BH teams per state contract.
  • Expert knowledge of industry regulations and standards.
  • Strong healthcare managed care knowledge.
  • Ability to lead audits and reporting.

Responsibilities

  • Provide oversight of LTSS management process.
  • Lead and communicate department goals to staff.
  • Monitor caseloads and state requirements.
  • Ensure compliance with NCQA standards.
  • Coordinate large projects with other departments.
  • Mentor and coach long-term care management team.
  • Perform other duties as assigned.

Skills

Leadership
LTSS knowledge
Project management
Policy compliance
Vendor oversight

Education

Bachelor's degree
Master's degree
RN license preferred

Job description

Centene is seeking a senior-level LTSS leader to oversee long-term care management for health plan members in Indiana. The role directs strategy, staff oversight, and program development to improve care quality, outcomes, and cost-effectiveness.

Required are 5+ years in LTSS management and strong knowledge of regulations, with leadership experience across RN or BH teams. Excellent collaboration with senior leadership is essential.

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