Long Term Care Manager

Long-Term Care Manager

The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for Medicaid, oversees the State Health Benefit Plan (SHBP) and Healthcare Facility Regulation, impacting one in four Georgians.

Through effective planning, purchasing and oversight, DCH provides access to affordable, quality health care to millions of Georgians, including some of the state's most vulnerable and under-served populations. Six enterprise offices support the work of the agency's three program divisions. DCH employees are based in Atlanta, Cordele and across the state.

DCH is committed to providing superior customer service and communication, embracing teamwork and fostering accountability to ensure that our internal and external customers and stakeholders feel included, respected, engaged and secure.

The Department of Community Health is seeking qualified candidates for a Long-Term Care Manager position. This position ensures that long-term care initiatives comply with federal and state regulations, support person-centered service delivery, and advance quality outcomes for Medicaid members. This is a hybrid position that requires in-office and remote work with the approval of the supervisor. The days and frequency in the office can change at any time during employment based on the business needs of the organization.

Job Responsibilities

The Long-Term Care Manager is responsible for the oversight, monitoring, and evaluation of long-term services and supports (LTSS) programs administered by the Georgia Department of Community Health. This position ensures that long-term care initiatives comply with federal and state regulations, support person-centered service delivery, and advance quality outcomes for Medicaid members. The LTC Manager provides technical assistance to providers who served with the long-term care entities while supporting program development and improvement initiatives.

Essential duties and responsibilities include:

• Conduct provider monitoring, quality reviews, and audits to ensure compliance with contracts, policies, and program standards.
• Assist in the development and revision of policies, procedures, and guidance documents for long-term care services.
• Track performance measures, outcome data, and corrective action plans for long-term care programs.
• Serve as a point of contact for providers and managed care organizations regarding policy interpretation and compliance questions.
• Provide technical assistance, training, and education to providers on long term care quality standards.
• Collaborate with stakeholders including DBHDD, DFCS, GHCA, healthcare providers, advocacy groups, and community partners.
• Respond to complaints, grievances, and concerns from members, families, and providers in accordance with state protocols.
• Participate in the design and evaluation of quality improvement initiatives to enhance access, service delivery, and member satisfaction.
• Analyze program data to identify trends, gaps, and opportunities for system-level improvements.
• Contribute to program reporting for CMS, state leadership, and legislative oversight committees.
• Support initiatives related to transitions of care, institutional diversion, and expansion of home- and community-based services.
• Support implementation of statewide projects, pilots, and grant initiatives related to long-term care.
• Facilitate stakeholder workgroups, advisory councils, and public forums to gather feedback on program operations.
• Serve as a subject matter expert in long-term care policy and practice within the agency.

Minimum Qualifications

Bachelor's degree in operations management, business administration, or a related field which includes four (4) years in a managerial or supervisory role; or eight (8) years of related professional experience which includes four (4) years in a managerial or supervisory role; or four (4) years of experience required at the lower level Mgr 2, Business Ops (GSM011) or position equivalent. Note: An equivalent combination of knowledge, education, job or intern experience, training, or certifications that provides the necessary knowledge and skills to successfully perform the job at the level listed may be substituted year-over-year.

Preferred experience includes:

• 5+ years of experience in Medicaid policy, long-term services and supports, case management or care coordination, or community health programs.
• 2+ years of experience in a direct supervisory or leadership capacity managing case managers, care coordinators, performance management, or workflow and caseload oversight
• Experience with CMS demonstration projects, HCBS waivers, Person centered planning, documentation and audit readiness or transition coordination is strongly preferred.
• Experience with: Care management systems (e.g., electronic case management platforms, Monitoring timeliness, service authorizations, and documentation, and Data tracking, reporting, or quality monitoring
• Demonstrated ability to communicate with providers, members, and leadership, and resolve escalated issues, Interpret and implement policy guidance

Additional Information

EARN MORE THAN A SALARY! In addition to a competitive salary, the Georgia Department of Community Health offers a generous benefits package, which includes employee retirement plan; paid holidays annually; vacation and sick leave; health, dental, vision, legal, disability, accidental death and dismemberment, health and child care spending account.

Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered, but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process. Applicants who are not selected will not receive notification.

THIS POSITION IS SUBJECT TO CLOSE AT ANY TIME ONCE A SATISFACTORY APPLICANT POOL HAS BEEN IDENTIFIED. APPLICATIONS WITHOUT WORK EXPERIENCE LISTED WILL NOT BE CONSIDERED. CURRENT GEORGIA STATE GOVERNMENT EMPLOYEES WILL BE SUBJECT TO STATE PERSONNEL BOARD (SPB) RULE PROVISIONS. THE POSITION MAY BE FILLED AT A LOWER OR HIGHER POSITION LEVEL.

This position is unclassified and employment is at-will. Candidates for this position may be subject to a background history, reference check, and credit check.