Case Management HUB Manager-Hybrid

Partners in Care Foundation In•San Fernando, CA

2d•$30 - $33•Hybrid

About The Position

The Care Management HUB Manager provides administrative and operational oversight of subcontracted care management services delivered under Enhanced Care Management (ECM) and/or California Integrated Care Management (CICM) programs. The role monitors subcontractor performance, supports program workflow implementation, evaluates service delivery trends, and helps ensure contracted services align with DHCS requirements, managed care plan expectations, organizational standards, and applicable policies. The manager is a primary oversight contact for subcontractor performance, quality, compliance, workflow implementation, operational issue resolution, and escalation of performance concerns to program leadership. The role provides programmatic direction and technical guidance to subcontractors and their staff, reviews service delivery and documentation, supports audit and quality activities, and recommends performance improvement actions. The position also consults on high-acuity and complex member situations; coordinates with subcontractors, health plans, providers, and community partners; and monitors caseload, engagement, outreach, documentation, and service delivery measures. It is a hybrid role involving remote work, field-based activities, and in-person meetings as program needs require. Occasional joint field visits and community or partner meetings may be needed; reliable transportation may be required. Essential job functions may include lifting 5–10 pounds as needed.

Requirements

Bachelor’s degree in Social Work, Psychology, Public Health, Human Services, Sociology, Gerontology, Healthcare Administration, Business Administration, or a related field.
At least two years of experience in care coordination, case management, managed care, social services, healthcare operations, or community-based programs serving underserved populations with complex medical, behavioral health, housing instability, or social needs.
At least two years of program oversight, quality monitoring, vendor/subcontractor coordination, or operational management experience in care management, case management, social services, healthcare, or a related field.
Experience working in community-based, field-oriented, hybrid, or multidisciplinary programs.
Knowledge of Medi-Cal, managed care, safety-net healthcare systems, social service navigation, and care coordination programs.
Ability to interpret program requirements, monitor performance expectations, identify quality or compliance concerns, and recommend operational improvements.
Program oversight, operational problem-solving, and performance monitoring skills.
Ability to exercise independent judgment, evaluate competing priorities, and recommend appropriate action on matters affecting program quality, compliance, and operations.
Strong understanding of quality assurance, documentation standards, contract expectations, and compliance monitoring.
Ability to guide subcontractors and partner teams without overstating direct employment authority.
Strong communication, facilitation, coaching, and stakeholder engagement skills.
Ability to support teams working with high-acuity and complex member needs.
Knowledge of community resources, housing systems, behavioral health services, healthcare navigation, and care coordination best practices.
Excellent written and verbal communication skills, including the ability to prepare summaries, reports, and recommendations for leadership.
Strong organizational skills and ability to manage competing priorities in a fast-paced program environment.
Proficiency with electronic health records, care management platforms, data systems, reporting tools, and mobile work tools.
Must be able to perform essential job functions, including lifting up to 5–10 pounds as needed.

Nice To Haves

Master’s degree in a related field.
Experience with ECM, CICM, Medicare/DSNP, Medi-Cal managed care, CalAIM, care transitions, or related care management programs.
Experience overseeing subcontractor, vendor, provider network, or partner performance.
Bilingual and bicultural skills reflective of the communities served.
Reliable transportation may be required for field-based or in-person activities.

Responsibilities

Oversee day-to-day subcontractor performance against program, contractual, regulatory, and organizational requirements.
Monitor adherence to required workflows, documentation standards, outreach expectations, engagement benchmarks, assessment timelines, care planning requirements, service coordination activities, and follow-up expectations.
Evaluate subcontractor performance trends and identify operational, quality, compliance, or service delivery risks.
Provide programmatic guidance and technical assistance to subcontractor staff and leadership on program expectations, workflow implementation, documentation, performance gaps, and corrective actions.
Recommend operational changes, retraining, escalation, corrective action, or other performance improvement strategies to program leadership.
Review documentation, reports, and service delivery activity for accuracy, timeliness, quality, and compliance.
Support audit preparation, chart reviews, quality monitoring, and corrective action follow-up.
Identify subcontractor performance patterns, gaps, barriers, and risks, and collaborate with leadership on quality improvement strategies.
Interpret program requirements and help translate contract, regulatory, and operational expectations into workflows, monitoring tools, and performance expectations.
Communicate applicable program changes, risks, and implementation needs to subcontractors and internal leadership.
Evaluate complex operational issues and recommend workflow changes, performance interventions, escalation, or corrective action to leadership.
Serve as a key contact for subcontractor operational questions, performance concerns, documentation issues, service delivery barriers, and program implementation needs.
Resolve or escalate issues involving subcontractor performance, member service barriers, cross-functional coordination, documentation quality, and compliance.
Prioritize issues, assess risk, determine escalation pathways, and recommend programmatic or operational solutions using discretion and judgment.
Monitor approved performance improvement actions and communicate progress, barriers, and further recommendations to leadership.
Provide guidance and consultation to subcontractors on high-acuity, complex, or high-risk member situations, including homelessness, behavioral health needs, medical complexity, transitions of care, and system fragmentation.
Support subcontractor staff in applying program expectations, care coordination practices, engagement strategies, and escalation protocols for complex cases.
Assist with operational problem-solving related to member engagement, missed appointments, service access, and external-system coordination barriers.
Model and reinforce motivational interviewing, trauma-informed care, culturally responsive service delivery, and person-centered care coordination.
Liaise among subcontractors, internal leadership, quality and compliance teams, managed care plans, healthcare providers, behavioral health partners, housing providers, and community-based organizations.
Participate in interdisciplinary, partner, subcontractor performance, and program operations meetings.
Support stakeholder communication about referrals, service delivery expectations, performance issues, member needs, and program requirements.
Collaborate with internal teams on consistent implementation of program expectations, reporting requirements, and quality improvement activities.
Monitor caseloads, engagement activity, outreach performance, service delivery metrics, documentation timeliness, and other performance indicators.
Use data and reporting tools to identify trends, gaps, risks, and performance improvement opportunities.
Prepare or contribute to performance summaries, quality updates, audit responses, and leadership reports on subcontractor performance and program operations.
Support accurate tracking and reporting of caseloads, engagement, outcomes, service delivery, and subcontractor performance.
Provide programmatic oversight and direction to subcontractors and subcontractor staff, evaluate operational risks and performance trends, and recommend appropriate action to program leadership.