Community Health Choice, Inc. (Community) is a non-profit Health Maintenance Organization (HMO) licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 70 hospitals, Community serves over 260,000 Members with the following programs:
- Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women
- Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR
- Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.
Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.
Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.
The Director, Long Term Services and Support will be responsible for ensuring an effective and efficient LTSS department to include but not limited acting as the clinical lead of STAR+PLUS, MMP and D-SNP clinical components of Long Term Services and Supports such as Service Coordination as a key component of the Interdisciplinary Care Team and coordinates with Disease Management, Care/Case Management, Utilization Management, Behavioral Health, Pharmacy and any other clinical requirements that are components of STAR+PLUS, MMP or D-SNP programs.The Director of LTSS will be an instrumental resources in the planning and implementation of STAR+PLUS, MMP, and D-SNP as it relates to the LTSS services and personal management and oversight of the LTSS Department.
Bachelors degree in Nursing (BSN) or Bachelors in Social Work, Business, Public Health, Healthcare Administration or other related fields of study, required.
Masters degree in related field (MSW, MBA, MPH, MHA or other related fields of study) with LTSS/STAR+PLUS background, preferred.
Five+ years experience required working for a managed care organization (MCO) with LTSS/STAR+PLUS background.
Five + years experience in management; implementation and Intellectual or Developmental Disabilities (IDD) experience preferred.
OTHER REQUIREMENTS:Communication Skills:
Above Average Verbal (Heavy Public Contact)
Exceptional Writing /Composing,Correspondence / Reports
Other Requirements:Also requires current license in one of the following:
Texas License as a Registered Nurse with LTSS/STAR+PLUS background or
Licensed Social Worker (LMSW or LCSW); or
Licensed Professional Counselor (LPC); or
Licensed Clinical Psychologist
Able to travel to Austin and within Harris and Jefferson Service Delivery Areas
Benefits and EEOC
Community employees’ benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and choices in meeting your specific needs.
Community is an Equal Opportunity Employer.