Job Details
Job Location
California - Los Angeles, CA
Position Type
Full Time
Salary Range
$72,500.00 - $80,000.00 Salary
Job Category
Health Care
Description
Program Manager
(CalAIM/ECM program)
We are seeking an experienced Program Manager to oversee and run the day-to-day operations of our ECM Program Market. This individual will have direct responsibility and oversight for the field team in the identified market. Do you have experience leading people and teams to remarkable success? If so, will you join the team and become part of our story?
Our Enhanced Care Management program provides whole person care for our population of focus to help those that need help managing chronic conditions, care coordination and care transitions. The Field team is responsible for following the approved care plan by conducting monthly follow ups to guide and coordinate care for the enrolled member.
The Program Manager (PM) will work closely with the field team to ensure that goals and objectives, which are set for the team, are met. The PM supervises staff by articulating expectations, displaying model behavior, maintaining open lines of communication and being clear about roles and responsibilities. A PM's day in the life consists of supporting the team directly in the field, promoting exceptional member care, completing quality audits, and reporting metrics up to the director. PMs are expected to be on call during the scheduled work week and if a team member is in the field. Since the PMs schedule must remain flexible, the PM is expected to flex his/her schedule to meet the program outcomes.
Essential Duties

• Manage the day-to-day operations for our California ECM Market including staffing coordination, providing clinical support to the team of Lead Care Managers (LCM) and Community Health Navigators (CHN) and ensuring documentation standards are adhered to.
• Manages team of 15-20 Direct Reports that consist of LCM and CHNs
• Provides continued coaching and development to the field team.
• Leads team in preparations for clinical rounds in which Lead Care Managers (LCM) and Community Health Navigators (CHN's) will present Care Plans to the clinical team for clinical guidance and oversight.
• Collaborates with training team to share responsibilities for on boarding new employees and supporting them to ramp up to capacity.
• Conduct oversight to team through one-on-one performance and caseload reviews, complete field observations and complete required audits.
• Drives the field team to meet performance metrics, goals, and deadlines. Motivates team to achieve and surpass goals.
• Advises CHNs and/or members on how to create SMART goals with achievable interventions and how to overcome barriers and objections when implementing SMART goals.
• Collaborate with Clinical team to provide one off training on specific refresher & educational aids, i.e., how to find housing resources, benefits offered by Medi-Cal, how to speak with members with SMI or SUD (substance use disorder), motivational interviewing, etc.
• Excellent communication skills
• Problem solves in an initiative-taking, creative manner.
• Able to work with Microsoft Office, Excel, and Outlook (email)
• Display sound judgment and the ability to quickly analyze situations.

Qualifications
Skills Required:

• Ability to manage complex caseload and provide quality care to all members.
• Must understand patient centered care and whole person care models.
• Ability to problem solve, think critically, and collaborate effectively.
• Must have training and experience with community health, Maslow's hierarchy of needs, social determinants of health, identifying strengths and barriers, and stages of readiness.
• Must have experience with care planning and managing caseloads.
• Must have experience working with vulnerable populations (homeless, high utilizers, at risk child/youth, severe mental illness, chronic conditions, etc.)
• Must have an ability to work with a diverse population, cultural competency.
• Knowledge of community resources within the community of the member being served.
• Able to maintain clear and professional boundaries with members and coworkers.
• Understanding of case management and medical case management services
• Have a basic understanding of different therapeutic services including but not limited to physical therapy, occupational therapy, speech therapy, applied behavioral analysis therapy, etc.
• Working knowledge of social, mental health, and medical issues
• Knowledge of reporting mandates in children and adults
• Knowledge of process for referrals and authorizations
• Ability to quickly establish and maintain rapport and trust with members.

Qualifications:

• Bachelor of Social Work degree, a MSW degree preferred.
• Experience managing people required.
• Minimum of 3-4 years' experience managing others working in health, social, or community services required.
• Minimum of 1-2 years of health care experience with emphasis in complex medical management for a Pediatric Population
• Strong work ethic
• Advanced technological and analytical skills
• An adaptive person, adaptable to constant change, and working well under pressure in a fast paced & challenging environment.
• Excellent written and verbal communication skills

Candidate Must Possess the Following:

• A valid driver's license.
• Access to an insured and reliable car
• Covid Vaccine Verification