Manager, Case Management (RN)

Vynca•San Mateo, CA

2d•$90,000 - $115,000

About The Position

The ECM Clinical Manager is responsible for clinical oversight and management of ECM staff to address the client's medical and behavioral health needs and social determinants of health. The ECM Clinical Manager will communicate directly with ECM staff and occasionally with patients via telephone, telehealth, or during Interdisciplinary Care Team meetings (as needed) to discuss medication management/adherence, ensure appropriate follow-up with Primary Care Provider, Behavioral Health Provider, and other specialist(s). They will guide any crises encountered by ECM staff. The ECM Clinical Manager will collaborate with the client’s broader care team (PCP, BH clinicians, etc.) to provide client advocacy, ensure that the clients receive needed services, and measure progress toward the goals outlined in their patient-centered individualized care plan. The ECM Clinical Manager will monitor team progress and coach staff to succeed and manage performance where needed.

Requirements

Willing and able to work Monday through Friday 8:30am-5:00pm Pacific Time, with flexibility for potential evenings and weekends.
Active, unrestricted RN license with the ability to obtain California licensure within 6 months of hire.
Willingness to obtain additional state licensure as needed.
2 years of people management experience. 4 years preferred.
2-3 years of care management experience.
1-2 years of post-acute experience.
Proven, results-driven leader with experience in change management in rapid-growth environments.
Strong organizational and independent working skills.
Proficient in Microsoft and Google applications; Salesforce experience is a plus.
Excellent communication and motivational skills, including conflict resolution techniques.
At this time we are only considering applicants in the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Nevada, North Carolina, Oregon, Texas, and Washington, with a preference for candidates based in the Pacific Time Zone.

Nice To Haves

Working knowledge of lean Six Sigma methodology is preferred.

Responsibilities

Supervise a team of approximately 10-15 direct reports under the ECM team to ensure high-quality enrollments and care management services.
Oversee client outreach, enrollments, and the creation of Individual Care Plans, assessing if clients' needs can be managed by an ECM Lead Care Manager; serve as an escalation point when necessary.
Drive the team to meet key performance indicators (KPIs) effectively.
Collaborate with the Director(s) of Enhanced Care Management to implement changes and process improvements.
Provide clinical oversight approximately 30% of the time, including, but not limited to: supervision of clinical staff, clinical sign-offs, oversight of care plans, leading IDT meetings, and serving as a clinical consultant for complex clinical cases.
Provide direct care management as needed to support organizational goals.
Travel up to 20-25% may be required for training, meetings, and other business needs.