Program Manager, Enhanced Care Management (ECM)

Description

The Enhanced Care Management (ECM) Program Manager, provides leadership and direction for the organization’s care management operations and services, aligning with the organization's mission, strategies, and objectives.

FLSA Status

Exempt

Salary Range

$70,304 - $75,000

Reports To

Director of Operations

Direct Reports

• Team Leads, (12) Community Health Workers, (2) Patient Care Navigators
  
  

Location

Salinas, CA

Travel

Up to 80%

Work Type

Regular

Schedule

Full Time

Position Description

• Supervises the care management team.
• Leads the implementation of care management programs designed to address the needs of our patients, improve the quality and services for their care and ensure the appropriate utilization of services available to them.
• Implements plans and tools to meet organizational goals and objectives.
• Works closely with other departments to design, implement, and evaluate care management programs.
• Leads visible and complex projects focusing on performance improvement and transformation aimed at improving care management programs for the populations served
• Supports the development, implementation, and evaluation of effective pilots, programs and practices derived from market leading and evidence-based research and performance outcomes.
• Ensures standardization and optimization of workflows of models of care that are being spread and scaled.
• Develops playbooks for care management models that are ready for spread and scale; Works closely with clinical and operational leaders across the continuum to perform patient risk stratification and identification for outreach
• Organizes and facilitates meetings with key stakeholders involved in the execution of care coordination/case management programs.
• Continuously evaluates market leading and evidence-based research focused on care management programs.
• Works on design, implementation, and evaluation of IT solutions to support care management documentation and monitoring of efforts.
• Facilitates and leads a standardized and optimized deployment of an administrative case management tracking system/care management documentation
• Reports to the Director of Operations
• Performs miscellaneous job-related duties as assigned
  
  

Competencies

• Ability to use independent judgment and to manage and impart confidential information.
• Ability to analyze and solve problems; requires details, data and facts that must be analyzed and challenged prior to making decisions
• Strong communication and interpersonal skills.
• Ability to clearly communicate medical information to professional practitioners and/or the public.
• Excellent organization, prioritization, follow up, analytical and time management skills with ability to handle multiple priorities and deadlines.
• Good interpersonal skills, sense of urgency, being proactive and ownership for one’s work.
• Dependable, with strong work ethic and extremely high degree personal integrity.
• Ability to deal with multiple interruptions on a continual basis that must be met with a friendly exchange with others.
• Ability to develop, implement and guide the team to new approaches to improve processes, procedures, or the general work environment.
• Ability to review critical issues, effectively solve problems and create action plans
  
  

Position Expectations

• Be committed to the mission of COPE Health Solutions ECM Program.
• Behave in a professional manner and consistently demonstrate and promote the values of respect, honesty, and dignity for the patient, families, and all members of the health care team.
• Committed to the constant pursuit of excellence and teamwork in improving the care of the patient and families in the community.
• Be punctual for scheduled work and use time appropriately.
• Perform duties in a conscientious, cooperative manner.
• Perform required amount of work in a timely fashion with a minimum of errors.
• Be neat and maintain a professional appearance.
• Maintain confidentiality and protect the program by abiding by laws and principles related to confidentiality; keep information concerning Program Operations, patients and employees confidential.
  
  

Qualifications

• Valid California Driver’s License
• Bachelor’s and/or master’s degree in a health-related field is preferred
• 3 years of supervisor/leadership experience
• Experience in acute inpatient, rehabilitation, sub-acute, skilled facility, home care, ambulatory care management, or managed health plan.
• Experience working in a multi-cultural setting.
• Willing to learn and understand a variety of different cultures, perspectives, and norms.
• Experience working in a community-based setting for at least 1 to 2 years preferred.
• Basic computer skills required; electronic medical record (EMR) experience preferred.
• Understand the community served, community connectedness.
• Good communication skills, such as listening well, and using language appropriately.
• Ability and willingness to provide emotional support, encouragement, and motivation to patients.
  
  

Benefits

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.

About COPE Health Solutions

COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com.

To Apply

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.