Description

Wise & Healthy Aging is committed to serving older adults at all stages of their lives, from pre-retirement through elder years, caregivers and their families, senior services organizations, and others who share our passion and commitment to making a difference in the lives of older adults. Wise & Healthy Aging has received numerous designations of excellence from Guide Star, GREATNONPROFITS, and NCQA Case Management for Long-Term Services & Support. It is nationally certified as a Great Place to Work.

The Enhanced Care Management (ECM) Program Manager will oversee the new ECM program's development, implementation, and operations. In accordance with CalAIM Program Manager will build ECM program capacity and infrastructure. Will oversee ECM staff to provide efficient, comprehensive, and effective ECM care management services to older adults and disabled members of managed health care plans.

We offer competitive salaries and comprehensive benefits. For staff who regularly work 30 or more hours per week, benefits include 80% company-paid medical, 100% company-paid dental, 401(k) plan with competitive employer match, Flexible Spending Account (FSA), optional life and vision insurance, 14 paid holidays plus paid time off (PTO)

PRIMARY RESPONSIBILITIES

• Oversees ECM Program implementation and design processes, including data system development.
• Manages effectiveness of service delivery through ongoing supervision of all ECM team members.
• Ongoing client care coordination documentation monitoring includes assessments, care plans, community support referrals, outcome measures, and progress notes.
• Ensures timely and high-quality documentation of services by ECM in accordance with all agency and contractual requirements.
• Train, monitor, and support ECM staff to provide appropriate ECM services to managed care members and ensure ongoing achievement of quality measures.
• Ensure culturally appropriate and timely in-person ECM activities.
• Maintains ongoing communication with managed care providers (MCP) and other contractual partners.
• Ongoing communication and collaboration with MCP, provide updates on program efforts.
• Ensure timely outreach to eligible members.
• Responsible for timely ECM reporting, billing, and effectiveness of data management systems.
• Ensure accurate data input in compliance with MCP standards and requirements.

SUPERVISORIAL RESPONSIBILITIES

• The Program Manager will oversee the interviewing, hiring, onboarding, and training of up to 5 ECM team members.
• Work with the organization as necessary to carry out supervisorial responsibilities.
• Provide weekly supervision to all ECM team members.

POSITION QUALIFICATIONS

• Educational Requirements
• A bachelor’s degree in social work, gerontology, health administration, human services, or related field is required. Master’s degree desirable
• Active licensure, LCSW /LVN
• 2 years of supervisorial experience
• Minimum three years of experience working with older adults.
• Fluency in English (bilingual in Spanish strongly preferred).
• Previous experience working with an ethnically and economically diverse population.
• Previous care management experience is strongly preferred
• Patient Coordination and Healthcare experience is strongly preferred
• must have reliable transportation, a current driver's license, a clean driving record, and proof of auto insurance.
• Travel is required within Los Angeles County.
• Must pass a criminal background check.

WORK ENVIRONMENT

The Employee may be expected to enter premises during field visits that may be environmentally challenging, including, but not limited to, environments with cigarette smoke, bed bugs, dust, and other allergens.

This position is based in the Wise & Healthy Aging corporate office located at 1527 4th Street, Santa Monica, CA 90401.

DISCLAIMER

The job duties listed are not a comprehensive list of responsibilities and may change with or without the consent of the incumbent. The job description is not an employment contract, and Wise & Healthy Aging reserves the right to modify the duties listed.

Qualifications