ECM Site Manager

Serene Health•San Ramon, CA

1d•$76,000 - $105,000•Hybrid

About The Position

Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being. As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities. Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members. A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work!

Requirements

Bachelor’s degree from accredited college or university or equivalent experience required.
Minimum of 7 years of experience in a healthcare setting.
Experience managing multidisciplinary care teams.
Experience working with homeless, criminal justice, or other underserved populations.
Understanding of social determinants of health and impact on patient well-being.
Culturally competent and able to work with a diverse population.
Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications
Proficient in working with various electronic health record systems while maintaining the integrity and accuracy of the data.
Excellent verbal, written, and interpersonal skills, and strong problem-solving skills
Excellent organizational skills and ability to multitask and juggle multiple priorities
Able to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizations

Nice To Haves

Bi-lingual (English/Spanish) Preferred.

Responsibilities

Oversees department at various sites throughout the state.
Develops program goals and objectives, established staffing patterns, and organizes the staff work.
Able to lead a multidisciplinary team in providing a seamless continuum of care and coordination for high-need, high-risk populations.
Acts as liaison with other Serene Health departments and programs to create and maintain systems of care coordination.
Acts as liaison with external referral resources and programs to create and maintain systems of care coordination.
Ability to interact professionally with all Health Plan partners.
Designs and implements systems of care coordination to enhance outcomes for high-risk patients.
Helps to create and provide oversight for care coordination activities.
Works with care coordination and healthcare teams to ensure a Health Action Plan (HAP) is created for all ECM patients and other patients requiring care.
Ensures that goals of individual patients’ HAP are being met.
Oversees the development, maintenance, implementation, and training of protocols, policies, and procedures for all functions related to the ECM.
Plans and conducts ECM staff meetings on a regular basis.
Keeps abreast of ECM rules and regulations to ensure ongoing program compliance.
Responsible for overseeing accurate documentation in Serene Health’s EHR system to ensure that program requirements are met, high-quality care is provided, and timely payment is received.
Familiar with and comfortable extracting and reporting on various data sets from various systems.
Gather productivity and quality data from ECM System and other sources and use it to provide meaningful management information to appropriate staff.
Performs other duties as assigned.

Benefits

Medical, Dental, & Vision Benefits
Short & Long-Term Disability Benefits
Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans
Flexible Spending Accounts
Employee Assistance Program (EAP)
401(K)
Paid Vacation and Sick Leave
Paid Holidays
Employee Referral Program
Company Discount Program