Senior Manager, Care Coordination – LTSS/PDN

This is a fully remote position, open to applicants in Florida.

📋 Description

• Manage the strategic and operational aspects of Long-Term Services and Supports (LTSS) and Private Duty Nursing (PDN) programs funded by Medicaid.

• Ensure adherence to regulatory standards.

• Enhance the performance of the provider network.

• Integrate health information technologies effectively.

• Improve overall program efficiency and service delivery results.

• Evaluate, create, and optimize workflows.

• Collaborate with interdisciplinary teams to achieve common goals.

• Execute utilization management strategies to boost operational efficiency and cost-effectiveness.

⛳️ Requirements

• Valid RN state licensure.

• Bachelor's degree in Nursing (BSN), Healthcare Administration, or a related field (Master’s degree is preferred).

• At least 3–5 years of experience in Medicaid Program Management.

• A minimum of 2 years in leadership or supervisory roles within LTSS and/or PDN services.

• Commitment to uphold compliance principles as outlined in the Code of Conduct and associated policies.

• Active participation in mandatory Corporate Compliance Program training annually or as required.

• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).

• Strong leadership and team management capabilities.

• Excellent analytical, organizational, and project management skills.

• Outstanding verbal and written communication and interpersonal skills for effective cross-functional collaboration.

• Ability to lead strategic initiatives and adapt within a dynamic healthcare environment.

🏝️ Benefits

• Medical.

• Vision.

• Dental.

• Short- and long-term insurance.

• 6+ days of holiday pay.

• 17 days of paid time off (PTO).

• Employer-paid life insurance.

• 401K plan with employer contribution.

• Wellness program with reward incentives.

• Employee recognition and reward programs.

• Hybrid remote/telecommute work schedule available.