Enhanced Care Management Program Manager

Pacific Health Group•Tyler Heights, WV

6h•$80,000 - $85,000•Remote

About The Position

Pacific Health Group is hiring an ECM Program Manager to lead its Enhanced Care Management program and support vulnerable populations through compassionate, person-centered care. The role guides regional teams delivering care across California, with the goal of improving outcomes and addressing health equity gaps. The position oversees Lead Care Managers, program quality, member services, cross-functional partnerships, budgets, and growth initiatives. The manager supports staff through coaching and regular meetings, monitors program performance and documentation, and works with hospitals, providers, community organizations, data teams, and compliance teams to improve care coordination and outcomes. The role includes regular travel to county sites for in-person staff and member visits, occasional evening or weekend availability, and remote work. The manager may also pilot initiatives such as telehealth and develop staff mentorship and training programs.

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 state.
Valid driver’s license and active auto insurance meeting state requirements.
Reliable personal vehicle for daily work use.
Successful completion of a background check, including MVR.
Must be able to travel up to 60–70% within the county for in-person visits.
Must successfully complete a Testlify skills assessment.
Must have a reliable working laptop for the first 21 days of employment; a personal equipment stipend is provided 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.
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 opportunities for improvement.
Ensure members receive in-person visits and high-quality care.
Monitor documentation and support staff with 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, 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 staff mentorship programs and regional trainings.
Prepare quarterly performance reports and maintain stakeholder relationships.
Conduct in-person visits within the county and travel to county sites.

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.
4 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.
Opportunities for professional development and internal growth.