Enhanced Care Management Program Manager

Pacific Health Group•Humboldt County, CA

1d•Remote

About The Position

Pacific Health Group is hiring an Enhanced Care Management (ECM) Program Manager to lead its ECM program and support vulnerable populations with person-centered care, support, and advocacy. The role provides leadership, program oversight, and innovation, guiding regional teams to improve care outcomes and help close health equity gaps across California. The Program Manager supervises Lead Care Managers across the hiring county and ensures staff have the support and resources they need. The role oversees program quality, member services, cross-functional partnerships, budgeting, and program growth. It also involves regular travel to county sites for in-person visits and meetings. The position is fully remote within California, with occasional evening or weekend availability required. The compensation range is $80,000–$85,000 annually. Candidates must reside within the hiring county and meet the role’s transportation, technology, assessment, and background-check requirements.

Requirements

Bachelor’s or Master’s degree in Healthcare Administration, Public Health, Nursing, or a related field.
At least 5 years of experience in healthcare management, 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; a personal equipment stipend is provided.
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 coach staff.
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 opportunities for improvement.
Ensure members receive in-person visits and high-quality care.
Monitor documentation and support staff handling 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 improve program effectiveness and pilot initiatives such as telehealth.
Stay current on best practices and integrate improvements into the program.
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.
Opportunities for professional development and internal growth.
Fully remote work within California.