Enhanced Care Management Program Manager
About The Position
Pacific Health Group is hiring an ECM Program Manager to lead its Enhanced Care Management program and support vulnerable populations with person-centered care, advocacy, and services. The role provides leadership and program oversight across the hiring county, supervising Lead Care Managers and ensuring teams have the support and resources needed to deliver quality care and improve outcomes. The Program Manager oversees program quality, member services, cross-functional partnerships, budgets, and program growth. Responsibilities include setting performance measures, implementing quality assurance processes, monitoring staff performance and member engagement, supporting challenging cases, and coordinating with hospitals, providers, community organizations, data teams, and compliance teams. The position also manages resources and expenditures, identifies program improvements, and may pilot initiatives such as telehealth. The position is fully remote within California but requires regular travel to county sites and in-person visits. Candidates must reside within the hiring county, have a valid California driver’s license and qualifying auto insurance, and have a reliable personal vehicle for daily work. Occasional evening and weekend availability is required. A reliable working laptop is required for the first 21 days until a company-issued laptop is received, and candidates must complete a background check and Testlify skills assessment.
Requirements
- Bachelor’s or Master’s degree in Healthcare Administration, Public Health, Nursing, or a related field.
- At least 5 years of healthcare management experience, including at least 3 years in care or case management.
- At least 2 years managing Enhanced Care Management or intensive care management programs.
- Understanding of care management principles and healthcare delivery systems.
- Experience with Medicaid/Medicare programs and ECM program requirements.
- Strong analytical skills and experience in data-driven program evaluation.
- Strong leadership and communication skills.
- Ability to manage multiple priorities in a fast-paced environment.
- Commitment to person-centered care and health equity.
- Must reside within the hiring county.
- Valid California driver’s license and active auto insurance meeting California requirements.
- Reliable personal vehicle for daily work use.
- Successful completion of a background check, including MVR.
- Ability to travel up to 60–70% within the county to conduct in-person visits.
- Successful completion of a Testlify skills assessment.
- Reliable working laptop for the first 21 days of employment until a company-issued laptop is received.
- Effective time management skills.
- Internet speed of at least 300 Mbps download and 25 Mbps upload.
- Proficiency with technology, including documentation systems, case management platforms, and communication tools.
- Willingness to work occasional evenings and weekends as needed.
Responsibilities
- Mentor and guide Lead Care Managers across multiple counties.
- Conduct weekly one-on-one meetings to address challenges, review caseloads, and provide coaching.
- Lead weekly team meetings to share updates, review cases, and encourage collaboration.
- Meet in person with staff regularly to maintain a strong leadership presence.
- Establish benchmarks and metrics to track program performance.
- Implement quality assurance protocols and standardized workflows.
- Monitor staff performance and use data to identify trends and improvement opportunities.
- Ensure members receive in-person visits and high-quality care.
- Monitor documentation and provide support for challenging cases.
- Implement strategies to improve member engagement and satisfaction.
- Serve as liaison between the ECM program and hospitals, providers, and community organizations.
- Collaborate with data and compliance teams to track outcomes and maintain regulatory standards.
- Strengthen partnerships to improve care transitions and reduce hospital readmissions.
- Develop and manage program budgets, allocate resources efficiently, and track expenditures.
- Adjust staffing and resources based on member needs and program priorities.
- Identify opportunities to enhance program effectiveness and pilot initiatives such as telehealth.
- Stay current on best practices and integrate improvements.
- Lead operational huddles and bi-weekly case conferences.
- Develop mentorship programs and regional staff trainings.
- Prepare quarterly performance reports and maintain stakeholder relationships.
Benefits
- 160 hours of paid time off (PTO).
- 12 paid holidays per year, including the employee’s birthday and one floating holiday granted after one year of employment.
- Four paid volunteer hours per month.
- Bereavement leave, including fur baby bereavement.
- 90% employer-paid employee-only medical benefits.
- FSA and dependent care account.
- 401(k) with company match.
- Monthly stipend.
- Short-term and long-term disability and AD&D.
- Employee Assistance Program (EAP).
- Employee discounts via Great Work Perks and Perks at Work.
- Quarterly in-person events.
- Fully remote work within California.
- Opportunities for professional development and internal growth.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
