Enhanced Care Management Leader

Titanium Healthcare•Oakland, CA

1d•$66,560 - $68,000•Hybrid

About The Position

The Enhanced Care Management (ECM) Leader plays a pivotal role in guiding and supporting a team of Lead Care Managers (LCMs), ensuring the provision of high-quality care to members. Collaborating closely with senior leadership, the ECM Leader empowers the team with tools, training, and resources necessary for success while upholding the standards of excellence in care management.

Requirements

Fluent in English (written and verbal)
Excellent verbal and written communication skills, including the ability to convey and exchange information in a clear and concise manner
Adequate hearing and vision (with corrective devices if necessary) to conduct assessments and documentation
Ability to identify problems and use logic and related information to develop and implement solutions
Excellent organizational skills and attention to detail
Ability to work independently and carry out assignments to completion within the parameters of established policies and procedures
Ability to communicate clearly in-person, by phone, and electronically
Frequent use of computers, keyboard, and handheld/mobile devices
Competent with computers, email, virtual platforms, and Microsoft Office based programs
Ability to type for extended periods
Must be able to remain in a stationary position
Ability to operate a vehicle and travel to meet with members around the community; attend meetings and events as required or requested
Must be able to move around the office and/or travel throughout community
Work may occur in homes, shelters, outdoor settings, hospitals, or community organizations, which may include exposure to pets, smoke, odors, clutter or unsanitary condition, and varying temperature conditions
Ability to climb stairs or navigate uneven terrain in community and home environments
Ability to lift, carry, push, or pull up to 20–25 pounds (e.g., laptop bag, forms, mobile equipment)
Ability to bend, reach, and conduct in-person visits in non-traditional environments
Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare practice
Ability to maintain professionalism and safety in diverse environments
Bachelor’s degree in healthcare, social work, or related field
Minimum 2+ years of experience in care management
Current and valid driver’s license
Proof of auto insurance
Distraction-free home workspace with a secure internet connection

Nice To Haves

Master’s degree a plus
Bilingual in Spanish

Responsibilities

Oversee and coordinate the duties of a team of Lead Care Managers, including assigning caseloads and responsibilities
Audit charting documentation to ensure that employees accurately and promptly document member encounters in compliance with policies and health plan updates
Audit telephonic encounters to maintain the delivery of high-quality care
Ensure adherence to established protocols for child/elder abuse, patients experiencing pain, safety concerns, and mental health concerns, including the creation of safety plans or reports as needed
Attend in-person meetings with Lead Care Managers, including outreach visits, provider appointments, and exclusions
Empower LCMs by providing the tools, training, and resources they need to excel in their roles
Foster a supportive and professional work environment
Accommodate and educate new hires, explaining the LCMs role, expectations, and relevant policies and procedures
Conduct weekly meetings/huddles to communicate goals, process changes, and other work-related updates
Serve as the initial point of contact for complex member issues or concerns, directing LCMs to appropriate resources and ensuring resolutions
Monitor employee performance, identify training needs, and implement performance improvement plans when necessary
Address employee inquiries and process requests promptly
Offer support to LCMs regarding community services and resources available to employees and members
Comply with departmental and companywide policies and procedures
Adhere to safety and injury prevention policies and regulations
Maintain a caseload of up to 10 members, including in-person visits as required
Ensure Lead Care Managers meet monthly member encounter targets and provide them with due dates
Handle employee administration tasks, including performance reviews and corrective actions
Provide support for training and retraining to LCMs as needed
Continuously train and update your knowledge to meet or exceed role expectations
Understand duplicate programs, ECM eligibility criteria, and provide support to LCMs
Support other ECM Leaders in their absence by monitoring their teams
Actively identify process issues and make recommendations for improvement
Perform other duties and projects as assigned

Benefits

Make an impact: an organization who cares about its employees, communities, and the future of healthcare
Inclusivity: be a part of a workplace where you not only belong but also can be the best version of yourself
Growth: opportunities to develop and grow your career with us
Community: you are encouraged to have a voice, share your opinions, and have an individual impact on the business
Paid Time Off: 12 holidays and up to 15 days of accrued PTO to rest and recharge plus additional time for sick, jury duty, bereavement, reproductive loss, and therapy
Work Life Balance: enjoy flexibility to maximize your well-being and success with our hybrid work model
Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan
Prioritize your mental health with unlimited therapy sessions funded 100% by Titanium Healthcare
Flexible Spending, Health Savings & Dependent Care Accounts
Life/AD&D insurance funded 100% by Titanium Healthcare
Supplemental Short-Term Disability
Employee Assistance Programs
Protect your pet(s) with Pet Insurance
401(k) plan