Current jobs related to Manager, Care Management - Los Angeles, California - L.A. Care Health Plan
-
Program Initiatives Manager, Care Management
3 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timePosition Title: Manager, Care Management Program InitiativesJob Category: ClinicalDepartment: Care ManagementLocation: Los Angeles, CAPosition Type: Full TimeRequisition ID: 11534Salary Range: $117,000 - $188,000About L.A. Care Health Plan: Established in 1997, L.A. Care Health Plan is a public agency dedicated to providing health coverage to low-income...
-
Maintenance Manager
2 weeks ago
Los Angeles, California, United States GHP Management Full timeAbout the RoleWe are seeking a highly skilled and experienced Maintenance Manager to join our team at GHP Management. As an Assistant Maintenance Manager, you will play a crucial role in maintaining the quality living environment for our residents by ensuring our properties are well-maintained and in excellent condition.Key ResponsibilitiesCustomer Service:...
-
Care Management Coordinator II
1 week ago
Los Angeles, California, United States L.A. Care Health Plan Full timeCare Management Coordinator IIJob Summary:L.A. Care Health Plan is seeking a highly motivated and detail-oriented Care Management Coordinator II to join our team. As a key member of our Care Management department, you will play a critical role in ensuring our members receive high-quality care and support.Key Responsibilities:Conduct telephonic Health Risk...
-
Manager, Clinical Care Operations
3 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timePosition Overview: The Manager of Clinical Care Operations is tasked with overseeing the daily functions of the clinical care team, ensuring that all staff members are effectively supported and that operations run smoothly.Key Responsibilities:Supervise daily activities of the clinical management team, including staff assignments and performance...
-
Maintenance Operations Manager
2 weeks ago
Los Angeles, California, United States GHP Management Full timeAbout the RoleGHP Management is seeking a highly skilled and experienced Maintenance Operations Manager to join our team. As a key member of our community management team, you will be responsible for ensuring the highest level of service excellence and maintaining a safe, respectful, and productive environment for all team members.Key...
-
Maintenance Operations Manager
2 weeks ago
Los Angeles, California, United States GHP Management Full timeAbout the RoleWe are seeking a highly skilled and experienced Maintenance Operations Manager to join our team at GHP Management. As a key member of our community team, you will be responsible for ensuring the highest level of service excellence and asset preservation within our communities.Key ResponsibilitiesCustomer Service and Leadership: Create and...
-
Maintenance Operations Manager
1 week ago
Los Angeles, California, United States GHP Management Full timeAbout the Role:The Maintenance Manager will be responsible for leading a team of maintenance professionals to ensure the highest level of service excellence in our communities. This includes creating a safe, respectful, and productive work environment, providing leadership and guidance to the team, and efficiently handling resident requests and...
-
Maintenance Operations Manager
1 week ago
Los Angeles, California, United States GHP Management Full timeAbout the RoleGHP Management is seeking a highly skilled and experienced Maintenance Operations Manager to join our team. As a key member of our facilities management team, you will play a critical role in ensuring the maintenance and upkeep of our properties.Key ResponsibilitiesCustomer Service: Provide exceptional customer service to residents and...
-
Maintenance Operations Manager
2 weeks ago
Los Angeles, California, United States GHP Management Full timeAbout the RoleGHP Management is seeking a highly skilled and experienced Maintenance Operations Manager to join our team. As an Assistant Property Manager, you will play a crucial role in maintaining the quality living environment for our residents by ensuring our properties are well-maintained and in excellent condition.Key ResponsibilitiesCustomer Service:...
-
Outpatient Utilization Management Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewPosition: Outpatient Utilization Management Specialist at MedPOINT ManagementRole SummaryThe Outpatient Utilization Management Specialist is essential in enhancing communication between Managed Services Organizations (MSO), Independent Physician Associations (IPA), and members to guarantee seamless member care. Key responsibilities include...
-
Maintenance Operations Manager
2 weeks ago
Los Angeles, California, United States GHP Management Full timeAbout the Role:The Maintenance Operations Manager will be responsible for leading a team of maintenance professionals to ensure the highest level of service excellence and asset preservation within our communities. This role requires a strong leader who can inspire and motivate their team to achieve exceptional results.Key Responsibilities:Lead a team of...
-
Maintenance Operations Manager
2 weeks ago
Los Angeles, California, United States GHP Management Full timeAbout the RoleGHP Management is seeking a highly skilled and experienced Maintenance Operations Manager to join our team. As an Assistant Property Manager, you will play a crucial role in maintaining the quality living environment for our residents by ensuring our properties are well-maintained and in excellent condition.Key ResponsibilitiesCustomer Service:...
-
Care Manager
1 day ago
Los Angeles, California, United States Blue Shield of CA Full timeAbout the RoleWe are seeking a highly skilled Care Manager to join our team at Blue Shield of CA. As a key member of our Population Health Management team, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key ResponsibilitiesDevelop and implement individualized care plans to promote quality of care and...
-
Los Angeles, California, United States L.A. Care Health Plan Full timeAbout the RoleL.A. Care Health Plan is seeking a highly skilled Care Management Initiatives Program Manager II to lead and manage a portfolio of strategic Care Management programs. This role will work collaboratively with leadership, management, cross-functional teams, regulatory body representatives, and other stakeholders to achieve complex program...
-
Los Angeles, California, United States L.A. Care Health Plan Full timeAbout the RoleThe Strategic Care Management Initiatives Program Director is a key leadership position at L.A. Care Health Plan, responsible for overseeing and managing a portfolio of complex care management programs. This role requires a high level of expertise in healthcare operations, program development, and strategic planning.Key ResponsibilitiesProgram...
-
Care Management Business Data Analyst II
5 days ago
Los Angeles, California, United States L.A. Care Health Plan Full timeAbout the RoleWe are seeking a highly skilled Care Management Business Data Analyst II to join our team at L.A. Care Health Plan. As a key member of our Care Management department, you will play a critical role in supporting quality and process improvement activities by producing Care Management measurements for internal and external reporting.Key...
-
Community Association Manager
3 weeks ago
Los Angeles, California, United States Seabreeze Management Full timeJob Type:Full-timeOverview:Seabreeze Management Company is a comprehensive property management organization with a varied portfolio encompassing over 90,000 residential and commercial properties. With a legacy of over 30 years, Seabreeze has been dedicated to delivering exceptional client experiences to homeowners' associations and commercial common-interest...
-
Community Manager
3 weeks ago
Los Angeles, California, United States WSH Management, Inc. Full timeJob OverviewPosition: Community ManagerCompany: WSH Management, Inc.Location: Los Angeles, CAPosition SummaryWSH Management, Inc. is in search of a dedicated full-time Community Manager for a 103-unit affordable housing apartment complex. This facility caters to seniors aged 62 and above, with a portion of the units allocated for individuals transitioning...
-
Compliance and Ethics Manager
2 weeks ago
Los Angeles, California, United States Clinical Management Consultants Full timeJob Summary: We are seeking a highly skilled Compliance and Ethics Manager to join our team at Clinical Management Consultants.About the Role: As a Compliance and Ethics Manager, you will be responsible for leading our organization's compliance and ethics initiatives, ensuring that we maintain the highest standards of integrity and ethics in all aspects of...
-
HOA General Manager
1 week ago
Los Angeles, California, United States Seabreeze Management Full time{"Job Title": "HOA General Manager", "Job Summary": "Seabreeze Management Company is seeking a highly skilled and experienced HOA General Manager to oversee the daily operations of our community associations. As a key member of our team, you will be responsible for ensuring the smooth operation of our properties, providing exceptional customer service, and...
Manager, Care Management
4 months ago
Salary Range: $117, Min.) - $152, Mid.) - $188, Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.
Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
The Manager, Care Management is directly responsible for the oversight and monitoring of care management functions, organization, direction and staffing of L.A. Care's Case Management function(s) including but not limited to Complex Case Management/Case Management, Care Coordination and Special Programs Outreach. Responsibility includes regulatory compliance, accreditation compliance, oversight of Plan Partners' and Delegated Provider Groups related operations, oversight of care management related delegated functions, operations for direct lines of business and/or management services agreement functions, and interfacing with external agencies including other Local Initiatives, Plan Partners and external organizations. The Manager, Case Management is further responsible to assure all functions are operating in accordance with the organization's mission, values and strategic goals and are provided in a manner that is responsive and sensitive to the needs of L.A. Care's culturally diverse membership. This position manages all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.
DutiesGeneral Essential functions: Responsible for the ensuring overall staff management and operational functions associated with the Care Management department. Functions include Complex Case Management, Case Management, Care Coordination, and Special Programs (i.e. CCS, Regional Center) functions. Assures departmental compliance with: All contracts (i.e. CMS, DHCS, Covered California, PASC-SEIU, First 5LA, etc.), DMHC regulations, applicable state and federal regulations, Management Services Agreements & Other Contracts. Oversees and monitors operational compliance with organizational standards, policies and procedures and regulatory requirements. Assures department meets all regulatory time frames on CM. Develops and implements departmental policies and procedures. Develops and maintains departmental statistical and performance reports. Develops, implements and monitors performance standards. Develops and maintains effective communication mechanisms at various levels of the organization and with external organizations. Develop and maintain departmental budgets in line with organizational goals. Ensuring the maintenance of positive relationships between Plan Partners and PPGs. Identifies and implements, with approval, programs that improve the provision of services to members. Directs measurement and analysis of Plan Partner and delegated PPG functions. Assures completion of ongoing monitoring, audits, corrective action plan and necessary follow-up. Facilitates communication to and involvement of Plan Partners. Assures appropriate communication and coordination with CBOs and other external agencies. Facilitates data flow, analyzes, reports, design formats, interprets data and recommends alternatives/solutions internally and externally. Requests assistance from Director as needed to accomplish goals.
Maintains confidentiality in compliance with all HIPAA requirements. Communicates to supervisors any barriers to completing assignments or daily work in an efficient and effective manner. Demonstrates reliability and good attendance and punctuality standards.
Human Resource Management: Daily staff supervision and oversight. Develops and maintains a culturally sensitive work environment that promotes staff growth and education. Completes performance appraisals in accordance with established policies and based upon achievement of the L.A. Care mission, value, objectives and management expectations. Assures staff have access to appropriate training and educational opportunities. Recruits appropriately qualified candidates, with approval of Director. Counsels and coaches staff in consultation with Director and in conjunction with HR. Participates in the hiring and termination of staff with Director and in conjunction with HR.
In conjunction with Director of CM, responsible for oversight and adequate performance of direct line of business PPG delegated activities. Develops and sustains active communications with PPGs. Identifies performance issues or opportunities for improvement within PPG UM operations that impact compliance. Collaborates with Oversight Staff on identifying topics and agenda items for the PPG trainings/JOMs.
Performs other duties as assigned.
Duties ContinuedEducation Required
Master's Degree in Social WorkOr Associate's Degree in NursingEducation Preferred
Bachelor's Degree in NursingExperience
Required:
At least 4 years of recent care management experience in a hospital or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments.
At least 3-5 years of management/supervisory experience and relevant health plan experience.
Experience with Medi-Cal and Medicare populations and regulatory requirements.
Equivalency: Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.
Preferred:
Experience with Medi-Cal, under-served and culturally diverse populations.
Experience with state Medi-Cal regulations.
Audit/oversight experience.
SkillsRequired:
Excellent verbal and written communication skills.
Strong problem solving, planning, and organizational skills.
Licenses/Certifications RequiredLicensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse (RN); current and unrestrited California License.Licenses/Certifications Preferred
Certified Case Manager (CCM)Required Training
Physical Requirements
LightAdditional Information
Please note that a Licensed Clinical Social Worker is only required when Master's Degree in Social Work. Licensed Clinical Social Worker not required with Associate's or Bachelor's Degree in Nursing.
Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
L.A. Care offers a wide range of benefits including
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program
- Volunteer Time Off (VTO)
