at Cook County Government in Chicago, Illinois, United States
Job Description
Job Posting:Jun 5, 2024, 2:34:52 PMClosing Date:Jun 20, 2024, 4:59:00 AMFull-timeShift Start Time:8:00A.M.Shift End Time:4:00P.M.
Posting Salary:Competitive
Organization:Health and Hospital Systems
LOCATION: Health Plan Service - 4896
SHIFT: 8:00 AM - 4:00 PM
Job Title
Senior Director of Long-Term Services
and Support
Department
Health Plan Services
This position is exempt from Career Service under the CCH Personnel Rules.
Job Summary
The Senior Director of Long-Term Services and Supports (LTSS) leads the LTSS programming and staff for Medicaid Managed Care Plan product lines, including HealthChoice and Managed LTSS, Medicare Medicaid Alignment Initiative, and other product lines.Develops, implements, and promotes cost-effective LTSS to maximize the quality of life and opportunities for independence in the community for our members. The position is responsible for ensuring that CountyCare, its delegated vendors and its providers meet LTSS performance standards and requirements set by the Centers for Medicare and Medicaid Services (CMS), the National Committee on Quality Assurance (NCQA), the Illinois Department of Healthcare and Family Services (HFS). Maintains relationships with regulatory/community agencies, providers, and partners to achieve a cohesive, member focused LTSS and Managed LTSS program.
General Administrative Responsibilities
Collective Bargaining
*Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
*Participate in collective bargaining negotiations, caucus discussions and working meetings
Discipline
*Document, recommend and effectuate discipline at all levels
*Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
*Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements
Supervision
*Direct and effectuate CCH management policies and practices
*Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements
Management
*Contribute to the management of CCH staff and CCH' systemic development and success
*Discuss and develop CCH system policies and procedures
*Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
*Work with Labor Relations to discern past practice when necessary
Typical Duties
Develops the goals for the LTSS program and alignment with the strategic plan for the health plan and CCH
Leads the development of LTSS programming and workforce to support the achievement of departmental goals, objectives, and strategic priorities
Presents LTSS performance data, results and strategies to diverse audiences of internal and external stakeholders to advance understanding of health plan LTSS goals and impact
Ensures continuous improvement toward LTSS program goals, through contributions across the organization and delegated vendors to achieve of targets
Oversees, approves, and ensures the care management software solution meets LTSS program requirements, manages staff productivity, and reporting
Accesses and approves tools for monitoring and evaluating performance objectives, continuous quality improvement, and compliance for LTSS for the health plan team and delegated vendors
Manages and resolves LTSS care coordination and LTSS operations issues and is accountable for performance management and outcomes
Leads the LTSS Program in meeting NCQA and other accreditation requirements as well as State, Federal and other regularly requirements, and are consistent with Managed care policies
Represents CountyCare and cultivate productive and innovative collaborations with leadership of provider organizations, State agencies, and community partners as well as internal health plan and CCH stakeholders
Represents CCH and Health Plan Services in public forums and meetings such as the CCH Leadership Meetings, HFS, Collective Bargaining Unions, various regulatory and quality organizations
Performs other related duties as assigned
Minimum Qualifications
*Bachelor's degree or higher from an accredited college or university is required (Official transcript due at the time of interview)
*Seven (7) years of experience in Long-Term Services and Supports and of Home and Community Based Waiver Services is required
*Five (5) years of management and/or director experience in social services and/or healthcare environment is required
*Three (3) years of Managed... For full info follow application link.
COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER
