Care Management Team Lead

2 weeks ago


Los Angeles, California, United States Healthcare in Action Full time
Job Title: Manager, Care Management

At Healthcare in Action, we are seeking a highly skilled and compassionate Manager, Care Management to join our team. As a key member of our organization, you will play a vital role in enhancing the ability of patients experiencing homelessness to manage their health and live independently.

Job Summary:

The Manager, Care Management will oversee and support the non-clinical team that conducts care management activities such as enrollment, individual care planning, housing navigation, and other documentation. This role will be responsible for the day-to-day operations, relationship management between the Health Plan CalOptima and Healthcare In Action (HIA) Street Medicine Provider, and spearheading successful implementation and achievement of performance measures.

Key Responsibilities:
  • Manage role development, hiring, training, performance management, and coaching of Care Management team for assigned geography.
  • Ensure team is activating eligible patients/clients into CalAIM programs; drive team enrollment to meet/exceed targets.
  • Monitor direct reports individual caseloads to ensure they are meeting targets and that the overall team is reaching desired impact.
  • Monitor direct reports documentation and corresponding quality including referrals, assessments, individual care planning, and overall care coordination and housing navigation across multiple systems/platforms.
  • Co-develop and approve the patient's individualized care plan with direct reports utilizing evidence-based guidelines and clinical knowledge for clients.
  • Ensure direct reports deliver ongoing care coordination/care management by coaching, educating, navigating and referring to appropriate training and resources.
  • Coach and support Care Management team to assist patients in taking an active role in managing health and social needs.
  • Exhibit strong interpersonal, critical thinking and analytical skills through positive communication with Care Management team and with internal/external stakeholders.
  • Demonstrate excellent organizational, decision-making and multi-tasking skills as demonstrated by problem solving and successful outcomes.
  • Lead various team meetings including interdisciplinary case conferencing.
  • Support financial reconciliation efforts related to CalAIM programming to maximize reimbursement and ensure organization's financial sustainability.
  • Special projects and other duties as assigned.
Qualifications and Experience:
  • Bachelor's Degree in Social Work, Gerontology or related field of study, preferred.
  • Master's Degree in Social Work, Gerontology or related field of study, preferred.
  • 3+ years people leadership with some direct supervision experience.
  • 3-4 years of experience in homeless care management field with a Bachelor's Degree.
  • 2+ years of experience in homeless care management field with a Master's Degree.
  • A comparable combination of education/experience and/or training will be considered equivalent to the education listed above.
  • CalAim experience strongly preferred.
  • Experience with street outreach is a plus.
  • Bilingual in English/Spanish preferred.
  • Demonstrated knowledge of care management principles: assessment, health and functional problems solving, individual care planning.
  • Knowledge and/or familiarity with the principles of project and program management.
  • Demonstrated ability to build and lead effective teams.
  • Ability to work with all levels of staff, within and external to the organization to achieve goals.
  • Strong interpersonal skills, including excellent written and verbal communication skills.
  • Strong organizational skills; Ability to appropriately maintain confidentiality.
  • Strong analytical and critical thinking skills, required.
  • Clean driving record.
  • Requires proof of Valid Driver's License.
  • Must maintain State Liability Insurance.
  • Must have access to a Vehicle.
What's in it for you?
  • Base salary range: $92,400 to $147,800 per year.
  • An annual employee bonus program.
  • Generous paid-time-off (PTO).
  • 11 paid holidays per year, plus 1 additional floating holiday.
  • Excellent 401(k) Retirement Saving Plan with employer match.
  • Robust employee recognition program.
  • Tuition reimbursement.
  • Robust Wellness Program.
  • An opportunity to become part of a team that makes a difference to our members and our community every day.

At Healthcare in Action, we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

Healthcare in Action is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.


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