Team Leader, Enhanced Care Management- Kern County

COPE Health Solutions•Kern County, CA

64d

About The Position

The ECM Team Leader is responsible for providing supervision, coaching, and operational support to members of the Enhanced Care Management (ECM) team. This role offers leadership through staff training, mentoring, and case conferencing to ensure high-quality, patient-centered care delivery. In addition to managing team operations, the Team Leader maintains a limited caseload, directly supporting patients in navigating complex health and social service systems to address their needs. Working collaboratively across disciplines, the ECM Team Leader partners with internal stakeholders such as medical providers, social workers, and case managers, as well as external community organizations, to coordinate services and optimize patient outcomes. This role requires advanced communication skills, strong interdisciplinary collaboration, and a systems-based approach to care.

Requirements

High school diploma or GED; experience directly related to the duties and responsibilities specified.
Must have valid driver's license with reliable vehicle and car insurance
Ability to travel up to 80%

Responsibilities

Act as a subject matter expert on program workflow and care model, providing leadership, guidance, and best practice techniques to staff.
Carry a limited caseload. Conduct social determinants of health interviews with patients to identify needs and document appropriately. Develop a plan to address moderate and high social determinants of health and health equity needs.
Assist patients with problem-solving barriers to health stabilization by identifying, locating, connecting to, and navigating needed community and medical system services. This may include accompanying patients to appointments and assisting patients with completing forms to access needed services.
Link clients to and inform them of available community resources.
Teach clients the knowledge and skills needed to obtain care (empowerment).
Actively build individual/client, community, and team capacity.
Strong leadership skills and the ability to motivate and engage a team.
Excellent communication and interpersonal skills to effectively collaborate with diverse stakeholders.
Ability to make administrative and procedural decisions and judgments on sensitive, confidential issues.
Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments.
Be a spokesperson and advocate for clients when they are unable to speak for themselves.
Promote growth of team members in areas of patient-centered care, education, and cross-organizational care.
Provide continual coaching support and guidance in promoting adherence to the Care Model and other evidence-based practice.
Trains new team members and provides ongoing staff development instruction.
Conveys all questions and concerns of team regarding clients and plan of care to managers and clinical consultants.
Lead onboarding, orientation, and training of staff.
Assign incoming patient referrals and monitor volume of referrals assigned to staff.
Ensure employees have the needed tools and resources to achieve goals and ensure compliance.
Work closely with Program Managers on day-to-day program operations.
Collaborate with Program Managers on team productivity and outreach tracking.