Job Information
THE SW WASHINGTON COUNCIL OF GOVS ON AGIN Long Term Services and Supports Program Manager - Longview in Longview, Washington
Description:
- *FLSA: *Exempt
- Reports to: Long Term Services and Supports Director
- *Supervisory Responsibilities: *Case Management Supervisors
- *Pay Grade: *26
SUMMARY:
This position manages and is responsible for both the Title XIX (Medicaid) Case Management and Care Coordination units, including core operations of the Health Home Lead program. This includes compliance with applicable federal and state regulations, development of staff training, participation in state workgroups/committees, and building a positive culture within the unit. This position is a member of the agency's Extended Management Group.
ESSENTIAL FUNCTIONS:
Provides leadership, direction, and coaching to Care Coordination, and Title XIX Case Management Supervisors.
Ensures programmatic and operational compliance with federal Medicaid regulations, DSHS -- Home & Community Living Administration Management Bulletins, Long-Term Care Manual, Health Care Authority Health Home policies, and Agency policies and procedures.
Collaborates with Quality Assurance/Training Coordinator and HCA to identify and develop training.
Completes quality assurance desk reviews for AAADSW-contracted CCO network and communicates trends and annual DSNP Monitoring in compliance with the DSNP Monitoring Rationale.
Prepares and maintains required reports, training registrations and records, gathers, and refers relevant information to the LTSS Director.
Develops and sustains a team-based work environment.
Works collaboratively with key stakeholders inside and outside the agency. This includes DSHS Home & Community Living Administration, Health Care Authority, other AAAs, community-based organizations, and healthcare providers.
Conducts annual Performance Evaluation of direct reports.
Participate in the full employment lifecycle for direct reports, including hiring and onboarding, developing, coaching, and monitoring of employee performance and performance improvement plans, progressive discipline, and offboarding.
Works effectively with a wide range of diverse staff, clients, families.
Manages Health Home enrollment, disenrollment, eligibility, and referral information with HCA and contracted Medicare Advantage (MA) Plans.
Facilitates the Health Home Basic Training annually in comp