|Director of Long Term Services and Supports / LTSS (Long Term Care / LTC)|
|25 - 50%|
Aetna Better Health of Ohio Premier Plan is recruiting for an individual to be responsible for the development and implementation of the Long Term Care program component of Ohios Medicare-Medicaid Integrated Care Delivery System (ICDS) program. Qualified candidates will have at least 5 years of administrative experience with home- and community based services and a comprehensive understanding of the needs of persons who qualify for long term services and supports (LTSS) (community and institutional). A qualified candidate must also be an Ohio licensed nurse, LISW or Masters degree in a health related field. The individual selected needs to also have experience working in a highly regulated environment.
The primary responsibilities of this position include but are not limited to:
Implementation and oversight of the clinical / case management functions for individuals receiving LTSS
Collaboration regarding the implementation and oversight of the LTSS provider network
Implementation and oversight of all LTSS program management related functions
The highest level of education desired for candidates in this position is a Master's degree.
Functional - Medical Management/Medical Management - Case Management/4-6 Years
Functional - Medical Management/Medical Management - Administration/Management/4-6 Years
Leadership/Collaborating for Results/ADVANCED
Leadership/Developing and Executing Strategy/ADVANCED
Service/Improving constituent-focused Processes/MASTERY
Leadership/Driving a Culture of Compliance/MASTERY
Leadership/Engaging and Developing People/MASTERY
Service/Creating a Differentiated Service Experience/ADVANCED
ADDITIONAL JOB INFORMATION
-Experience in HCBS waiver programs
-Experience managing LTSS care management programs
-Knowledge of LTSS and other community programs and resources
-Experience establishing and maintaining relationships within the community
-Present to consumers, consumer advocates, providers and other stakeholders re: Aetna Better Health of Ohio Premier Plan and LTSS managed care programs
-Develop, build and maintain positive relationships and presence with local consumers, advocates, providers and other community resources
-Medicaid experience preferred
-Managed care experience preferred
Please note that benefit eligibility may vary by position. Clickhereto review the benefits associated with this position.
Aetna does not permit the use of tobacco related products or drugs in the workplace.