ECM Program Manager

First 5 Alameda County•Alameda, CA

1d•$99,000 - $142,000•Hybrid

About The Position

Under general direction, this role manages implementing the Enhanced Care Management (ECM) program for young children and families with complex medical and social needs. The role oversees ECM service delivery in alignment with CalAIM requirements, supervises staff, and ensures program quality, partner alignment, and regulatory compliance. The role co-develops clinical workflows and protocols to support implementation of the ECM benefit for child-centered and birth equity populations. Oversees delivery of ECM services and ensure alignment with CalAIM requirements. After ECM staff are hired, supervises and supports them to ensure high-quality, coordinated service delivery. Supports the development and review of comprehensive care plans to ensure a coordinated whole-person approach for Medi-Cal members Develops and refines operational workflows and processes to support effective ECM implementation and program operations. Coordinates with Managed Care Plan partners to support program alignment and ensure compliance with contractual, quality, and promising practices standards. Ensures accurate and timely staff documentation to support billing requirements and necessary reports. Assesses team performance and communicates findings to leadership; implements changes to improve efficiency and service quality; maximizes effectiveness and ensures alignment with department’s mission Recommends and implements goals and objectives, policies and procedures and ensures the program is staffed with qualified employees by supporting hiring, training, performance management, and staff development Oversees daily program operations by setting expectations, communicating goals, and monitoring work to ensure quality, timeliness, and compliance with policies Develops and implements program plans and resources, and provides training to ensure staff and partners understand their roles and responsibilities

Requirements

5+ years of experience in care management, case management, or health/social service delivery
3+ years of program management and supervisory, administration, or team leadership experience
Master’s degree in social work or a related health field
Current and active License in one of the following is required: Licensed Clinical Social Worker (LCSW) Licensed Marriage and Family Therapist (LMFT) Licensed Professional Clinical Counselor (LPCC)
Strong understanding of CalAIM, Enhanced Care Management (ECM), Community Health Worker (CHW) Benefit, and Medic-Cal managed care operations; experience developing operational workflows
Knowledge of health care and social determinants of health
Knowledge in serving families experiencing homelessness, involved with child welfare, navigating serious medical, developmental or behavioral challenges
Principles and practices of employee supervision, including work planning, assignment review and evaluation, discipline, and the training of staff in work procedures
Principles and practices of leadership
Principles and techniques for working with groups and fostering effective team interaction to ensure teamwork is conducted smoothly
Principles and practices of program management including planning, development, implementation, and evaluation
Modern equipment and communication tools used for work functions and program, project, and task coordination, including computers and software programs relevant to work performed
Ability to manage programs, implement new service models, and ensure compliance with contractual and regulatory requirements
Excellent communication, facilitation, and partnership-building skills
Experience collaborating with managed care plans, community partners, and cross-functional teams
Ability to use data for program monitoring, quality improvement and reporting
Ability to guide teams through change in a fast environment; leadership, problem-solving and adaptability skills
Develop and implement goals, objectives, practices, policies, procedures, and work standards
Provide administrative, management, and professional leadership for the assigned program
Select and supervise staff, provide training and development opportunities, ensure work is performed effectively, and evaluate performance in an objective and positive manner
Ensure the maintenance and retention of complex records, files, reports, and other documents
Independently organize work, set priorities, meet critical deadlines, and follow-up on assignments
Effectively use computer systems, software applications relevant to work performed, and modern business equipment to perform a variety of work tasks

Responsibilities

Oversees ECM service delivery in alignment with CalAIM requirements
Supervises staff
Ensures program quality, partner alignment, and regulatory compliance
Co-develops clinical workflows and protocols to support implementation of the ECM benefit for child-centered and birth equity populations
Oversees delivery of ECM services and ensure alignment with CalAIM requirements
Supervises and supports ECM staff to ensure high-quality, coordinated service delivery
Supports the development and review of comprehensive care plans to ensure a coordinated whole-person approach for Medi-Cal members
Develops and refines operational workflows and processes to support effective ECM implementation and program operations
Coordinates with Managed Care Plan partners to support program alignment and ensure compliance with contractual, quality, and promising practices standards
Ensures accurate and timely staff documentation to support billing requirements and necessary reports
Assesses team performance and communicates findings to leadership; implements changes to improve efficiency and service quality; maximizes effectiveness and ensures alignment with department’s mission
Recommends and implements goals and objectives, policies and procedures and ensures the program is staffed with qualified employees by supporting hiring, training, performance management, and staff development
Oversees daily program operations by setting expectations, communicating goals, and monitoring work to ensure quality, timeliness, and compliance with policies
Develops and implements program plans and resources, and provides training to ensure staff and partners understand their roles and responsibilities

Benefits

Medical, Dental, & Vision Coverage
$1,500 credit per year to spend on benefits
Health and Dependent Care Flexible Spending Accounts (FSAs)
Employer Paid & Voluntary Life & AD&D Insurance
Long-Term Disability Insurance
Retirement Plans including the ACERA Pension Plan
Commuter Benefits
Employee Assistance Plan
Paid vacation
Paid time off and sick time
17 paid holidays including the week between Christmas Day and New Year's Day as paid time off