General Manager - Care Management Programs, Essen House Calls
About The Position
The General Manager for Care Management P rograms at Essen House calls is responsible for the operational and financial oversight of several key Medicare programs, including Advanced Primary Care Model (APCM), Community Health Integration (CHI), Behavioral Health Integration (BHI), and Principal Illness Navigation (PIN). These care management programs are designed to support a more proactive, coordinated, and holistic approach to patient care. By identifying high-risk or high-need patients, closing gaps in care, integrating behavioral health, and addressing social drivers of health, we aim to improve outcomes, enhance the patient experience, and reduce avoidable costs. The Care Manager will provide leadership and supervision to care coordinators responsible for managing patient-centered care plans, ensuring program goals are achieved , and that the programs are in compliance with regulatory standards.
Requirements
- Bachelor's degree in healthcare administration or bachelor's degree in nursing (BSN) or Associate Degree in Nursing (ADN) or International Medical Graduate, or a related field (required)
- Strong leadership and supervisory skills with the ability to mentor and guide care coordinators.
- Expertise in program evaluation, quality improvement, and process optimization.
- Knowledge of healthcare regulations, including Medicare, Medicaid, and HIPAA compliance.
- Familiarity with care management software, data analytics, and population health tools.
- Strong documentation skills and attention to detail for compliance and reporting.
Nice To Haves
- Case Manager Certification (CCM).
- Certification in Population Health Management or Behavioral Health Integration.
Responsibilities
- Oversee operations for APCM, PIN, CHI, BHI, and CCM programs, ensuring integration across care management initiatives.
- Monitor program metrics and outcomes, implementing changes to improve performance and patient satisfaction.
- Provide leadership and direction to care coordinators responsible for patient-centered care plans.
- Review care coordinators' activities to ensure compliance with established protocols and regulatory requirements.
- Monitor the quality and effectiveness of care coordination to ensure alignment with program goals.
- Hire, train, and mentor care coordinators, fostering professional development and accountability.
- Conduct regular performance evaluations and provide feedback to improve team effectiveness.
- Ensure care coordinators are effectively engaging patients and addressing barriers to care.
- Advocate for the integration of community and behavioral health resources into care plans.
- Oversee care management strategies to support patients with chronic conditions, ensuring preventive measures and care plans are executed.
- Guide care coordinators in managing navigation of complex illnesses, ensuring timely referrals and interventions.
- Ensure care coordinators collaborate with community organizations to address social determinants of health, such as housing, food security, and transportation.
- Supervise the integration of behavioral health services into care plans, ensuring collaboration between mental health providers and care coordinators.
- Oversee the management of chronic care plans, ensuring care coordinators effectively track and document patient progress.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
101-250 employees
