Program Manager, Enhanced Care Management (ECM) - Kern County

COPE Health Solutions

1d•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. COPE Health Solutions (CHS) is a national tech enabled services firm powering success in risk arrangements and development of the future workforce for payers and providers. Our team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers, de-risking the roadmap to advanced value-based payment. Our firm has expertise in all aspects of population health, strategy, delivery system development, payment systems reform, workforce development and population health management support services, including peerless analytics and performance improvement. We are driven by our passion to help transform health care delivery, align financial incentives to support population health management and build the workforce needed as health care moves to value-based care. COPE Health Solutions’ Analytics for Risk Contracting (ARC) Suite provides a powerful array of analytic and reporting tools designed to achieve optimal value and performance for organizations currently in or planning to move to risk-based arrangements. Leveraging our extensive, hands-on expertise in helping IPAs, ACOs and health systems achieve successful outcomes in risk contracts, our team of managed care experts draw insights from the analytic outputs that are tailored to each organization’s unique circumstances to interpret the data and recommend initiatives to help improve total cost and quality. Our multidisciplinary team of health care experts provides our clients with the experience, capabilities, and tools needed to plan for, design, implement and support both the development and execution of strategy and developing solutions to some of the industry’s most complex problems. We partner with our clients through aligned mission and financial incentives to pursue performance excellence in a challenging and rapidly evolving health care environment.

Requirements

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.
Willingness to learn and understand a variety of different cultures, perspectives, and norms.
Basic computer skills.
Understanding of the community served and 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.
Experience working in a community-based setting for at least 1 to 2 years.
Electronic medical record (EMR) experience.

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.