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Managed Long-Term Services and Support Nursing Facility Transition Liaison

Managed Long-Term Services and Support Nursing Facility Transition Liaison

CompanyCVS Health
LocationJackson Township, NJ, USA
Salary$96408 – $207648
TypeFull-Time
DegreesBachelor’s
Experience LevelSenior

Requirements

  • Must have an active unrestricted NJ State RN license or an active Licensed Social Worker Certification in NJ.
  • Minimum of 5 years of experience serving the Medicaid/Dual population; with a focus in the Elderly and Disabled population.
  • Minimum of 5 year of previous leadership experience and oversight of operations.
  • Must possess reliable transportation and be willing and able to travel up to 10% of the time. Mileage is reimbursed per our company expense reimbursement policy.
  • Successful completion of the NJ Choice certification is a contingency of employment. As per NJ Division of Aging Services, Office of Community Choice Options guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring component.
  • Excellent assessment, writing and communication skills are required.
  • Proficient in excel and analysis of trends.

Responsibilities

  • Responsible for the daily oversight and operations of the Nursing Facility to Community Transition and MFP program.
  • Management and supervision of the MLTSS Transition of Care (TOC) Team, the MLTSS Housing Specialist (HS) and Member Advocate.
  • Responsible for the adherence of the State required Nursing Facility Transition Protocol, and ensure the market remains eligible for the Nursing Facility Transition State incentive.
  • Oversee staff who are involved in actively transitioning members from the Nursing Facility/Assisted Living to the community.
  • Timely identification of members who wish to transition to the community, coordination of onsite visits to support Interdisciplinary care Team meetings, and coordinate transitions needs with the NF/SCNF staff, the MLTSS CM, MLTSS Housing Specialist, Member Advocate, State partners, community providers, and coordination of service delivery.

Preferred Qualifications

  • Nursing Facility/Assisted living experience
  • Managed care experience
  • Discharge planning