Program Manager, Enhanced Care Management (ECM)

COPE Health Solutions•Salinas, CA

21h•Onsite

About The Position

The Enhanced Care Management (ECM) Program Manager provides leadership and direction for the organization’s care management operations and services, aligning with the organization's mission, strategies, and objectives. This role supervises the care management team and leads the implementation of care management programs designed to address patient needs, improve care quality and services, and ensure appropriate utilization of available services. The Program Manager implements plans and tools to meet organizational goals, collaborates with other departments to design, implement, and evaluate care management programs, and leads complex projects focused on performance improvement and transformation. They support the development and evaluation of effective pilots and programs based on research and performance outcomes, ensuring standardization and optimization of workflows. Additionally, the role involves developing playbooks for care management models, performing patient risk stratification, organizing stakeholder meetings, evaluating research, and working on the design and implementation of IT solutions to support care management documentation and monitoring. The Program Manager also facilitates the deployment of an administrative case management tracking system and performs miscellaneous job-related duties as assigned.

Requirements

Ability to use independent judgment and to manage and impart confidential information.
Ability to analyze and solve problems; requires details, data and facts that must be analyzed and challenged prior to making decisions.
Strong communication and interpersonal skills.
Ability to clearly communicate medical information to professional practitioners and/or the public.
Excellent organization, prioritization, follow up, analytical and time management skills with ability to handle multiple priorities and deadlines.
Good interpersonal skills, sense of urgency, being proactive and ownership for one’s work.
Dependable, with strong work ethic and extremely high degree personal integrity.
Ability to deal with multiple interruptions on a continual basis that must be met with a friendly exchange with others.
Ability to develop, implement and guide the team to new approaches to improve processes, procedures, or the general work environment.
Ability to review critical issues, effectively solve problems and create action plans.
Valid California Driver’s License.
3 + years of supervisor/leadership experience.
Experience in acute inpatient, rehabilitation, sub-acute, skilled facility, home care, ambulatory care management, or managed health plan.
Experience working in a multi-cultural setting.
Willing to learn and understand a variety of different cultures, perspectives, and norms.
Basic computer skills required.
Understand the community served, community connectedness.
Good communication skills, such as listening well, and using language appropriately.
Ability and willingness to provide emotional support, encouragement, and motivation to patients.

Nice To Haves

Bachelor’s and/or master’s degree in a health-related field is preferred.
Experience working in a community-based setting for at least 1 to 2 years preferred.
electronic medical record (EMR) experience preferred.

Responsibilities

Supervises the care management team.
Leads the implementation of care management programs designed to address the needs of our patients, improve the quality and services for their care and ensure the appropriate utilization of services available to them.
Implements plans and tools to meet organizational goals and objectives.
Works closely with other departments to design, implement, and evaluate care management programs.
Leads visible and complex projects focusing on performance improvement and transformation aimed at improving care management programs for the populations served.
Supports the development, implementation, and evaluation of effective pilots, programs and practices derived from market leading and evidence-based research and performance outcomes.
Ensures standardization and optimization of workflows of models of care that are being spread and scaled.
Develops playbooks for care management models that are ready for spread and scale; Works closely with clinical and operational leaders across the continuum to perform patient risk stratification and identification for outreach.
Organizes and facilitates meetings with key stakeholders involved in the execution of care coordination/case management programs.
Continuously evaluates market leading and evidence-based research focused on care management programs.
Works on design, implementation, and evaluation of IT solutions to support care management documentation and monitoring of efforts.
Facilitates and leads a standardized and optimized deployment of an administrative case management tracking system/care management documentation.
Reports to the Director of Operations.
Performs miscellaneous job-related duties as assigned.