Program Manager, Recuperative Care (4794)

LIFELONG MEDICAL CARE•Oakland, CA

1d•$85,000 - $90,000•Onsite

About The Position

The Program Manager plays a central role in supporting patient flow, access to care, and service coordination within the Recuperative Care program. This position is responsible for developing and managing referral pipelines, coordinating admissions and discharges, supporting authorization processes, and optimizing provider scheduling to ensure timely, equitable, and high-quality care. Working collaboratively across clinical, case management, and external partner teams, the Program Manager helps ensure that patients experience smooth transitions into and out of care, while supporting the program’s goals of high bed utilization, strong care engagement, and continuity of services.

Requirements

Bachelor's or Associate's degree in health administration, social services, public health, or a related field
Minimum of 2–3 years of experience in healthcare, homeless services, care coordination, or a related setting
Experience coordinating across multiple teams and managing complex patient care workflows
Strong organizational skills and attention to detail
Ability to communicate effectively and respectfully with diverse stakeholders, including patients, providers, and external partners
Comfort working with electronic systems and data tracking tools

Nice To Haves

Experience as a Certified Nursing Assistant, Licensed Vocational Nurse, or Medical Assistant
Experience in recuperative care, post-acute care, or community-based healthcare programs
Familiarity with managed care, Medi-Cal/Medicaid, or authorization processes
Experience using Epic or similar electronic health record systems
Experience supporting quality improvement or performance tracking initiatives

Responsibilities

Build and maintain collaborative relationships with referral partners, including hospitals, street-based teams, managed care plans, and community providers
Conduct outreach and provide education on program eligibility, referral processes, and service offerings
Develop and maintain systems to track referral sources, volume, and outcomes
Monitor referral trends and partner engagement, and support strategies to create effective and consistent referral pipelines
Provide timely and respectful communication to referral partners regarding referral status and decisions
Review and screen referrals to assess eligibility based on program criteria, clinical needs, and payer requirements
Coordinate with referral partners to obtain necessary documentation in a timely and organized manner
Troubleshoot insurance eligibility and enrollment issues, collaborating with internal and external stakeholders as needed
Communicate intake decisions clearly and compassionately to referral partners
Maintain organized records of referrals, determinations, and supporting documentation
Coordinate authorization requests with managed care plans and other payers
Compile required medical documentation and develop clear, concise clinical summaries to support authorization requests
Monitor authorization status and follow up to minimize delays in care access
Facilitate appeals for denied services, including gathering supporting documentation and coordinating resubmissions
Track authorization outcomes and identify trends to inform process improvements
Maintain real-time awareness of program census, bed availability, and anticipated discharges
Coordinate admissions and discharges to support continuous bed utilization and minimize vacancy time
Collaborate with care teams to anticipate discharge timelines and align incoming admissions
Support development and maintenance of systems to track bed utilization, length of stay, and throughput metrics
Assist with coordination of logistics related to admissions and discharges, including timing and communication
Assist with entering billing charges into Electronic Health Record
Partner with nursing, case management, and behavioral health staff to prepare for patient admissions and discharges
Support care teams in addressing barriers that may impact successful engagement or contribute to early or unplanned discharges
Participate in team meetings and case coordination efforts as appropriate
Help ensure that transitions into and out of the program are well-coordinated, patient-centered, and trauma-informed
Coordinate scheduling of medical and behavioral health provider visits for patients
Maintain and update provider schedule templates within Epic or other scheduling systems
Manage provider calendars, including adjustments, cancellations, and coverage coordination
Proactively fill open appointment slots to support timely access to care and achievement of visit targets
Coordinate rescheduling as needed to ensure continuity of care
Monitor completion of scheduled provider visits and support follow-up on missed or rescheduled appointments
Collaborate with care teams to address barriers to patient engagement in services
Generate and share regular reports on visit completion and engagement trends
Support workflows that promote consistent and equitable access to care for all patients
Maintain accurate and up-to-date tracking systems related to referrals, admissions, authorizations, and visit completion
Prepare routine and ad hoc reports to support program monitoring and decision-making
Identify trends and opportunities for workflow improvements in coordination with program leadership
Support quality improvement initiatives and compliance with program requirements