Miriam Rivera
Director, Long Term Services and Supports (Ltss) @Molina Healthcare
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WORK HISTORY
Director, Long Term Services and Supports (Ltss) @Molina Healthcare
Passionate Director of Long-Term Services and SupportsBringing over two decades of dedicated healthcare experience to the table, with a strong focus on Long-Term Services and Supports (LTSS) since 2013, including working with the NM Mi Via Program and waivers. I am committed to delivering exceptional member experiences and driving operational excellence, especially within the New Mexico population.My specialties include- Tailored services and support for the New Mexico Medicaid population- Leveraging community benefits to address unique healthcare needs for both Self-Directed Community Benefits and Agency-Based Community Benefits- Start-up programs of LTSS, ensuring seamless implementation and optimal outcomes- Nursing Facility program oversight- Navigating Medical Frag, Medical Waivers, and EVV oversightLet\'s connect and explore opportunities to elevate your services and support initiatives.
EDUCATION
Central New Mexico Community College
ADN
Central Texas College
LPN
ABOUT MIRIAM RIVERA
Accomplished healthcare leader with extensive experience in clinical services, care coordination, and program administration. Proven success serving as Supervisor, Manager, Program Manager, and Director, with a strong background in overseeing comprehensive Long Term Support and Services (LTSS) across both community-based and facility-based settings. Skilled in managing care coordination, utilization management (UM), system interface integration, and Electronic Visit Verification (EVV) systems. Experienced in serving diverse and high-need populations including refugees, individuals with developmental disabilities, medically fragile members, and nursing facility residents. Recognized for a strong commitment to delivering person-centered, culturally responsive care while ensuring operational excellence, regulatory compliance, and data-driven quality outcomes.
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