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Enhanced Care Management Leader

1 month ago

Santa Cruz, California, United States Titanium Healthcare Full time
Job Title: Enhanced Care Management Leader

At Titanium Healthcare, we are seeking an experienced Enhanced Care Management Leader to join our team. This role plays a pivotal part in guiding and supporting a team of Lead Care Managers, ensuring the provision of high-quality care to our members.

Key Responsibilities:
  • Oversee and coordinate the duties of a team of Lead Care Managers, including assigning caseloads and responsibilities.
  • Audit charting documentation to ensure that employees accurately and promptly document member encounters in compliance with policies and health plan updates.
  • Ensure adherence to established protocols for child/elder abuse, patients experiencing pain, safety concerns, and mental health concerns, including the creation of safety plans or reports as needed.
  • Attend in-person meetings with Lead Care Managers, including outreach visits, provider appointments, and exclusions.
  • Empower LCMs by providing the tools, training, and resources they need to excel in their roles.
  • Foster a supportive and professional work environment.
  • Accommodate and educate new hires, explaining the LCMs role, expectations, relevant policies and procedures.
  • Conduct weekly meetings/huddles to communicate goals, process changes, and other work-related updates.
  • Serve as the initial point of contact for complex member issues or concerns, directing LCMs to appropriate resources and ensuring resolutions.
  • Monitor employee performance, identify training needs, and implement performance improvement plans when necessary.
  • Address employee inquiries and process requests promptly.
  • Offer support to LCMs regarding community services and resources available to employees and members.
  • Comply with departmental and companywide policies and procedures.
  • Adhere to safety and injury prevention policies and regulations.
  • Maintain a caseload of up to 10 members, including in-person visits as required.
  • Ensure Lead Care Managers meet monthly member encounter targets and provide them with deadlines.
  • Handle employee administration tasks, including terminations and performance reviews.
  • Provide support for training and retraining to LCMs as needed.
  • Continuously train and update your knowledge to meet or exceed role expectations.
  • Understand duplicate programs, ECM eligibility criteria, and provide support to LCMs.
  • Support other ECM Leaders in their absence by monitoring their teams.
  • Actively identify process issues and make recommendations for improvement.
Requirements:
  • Proficient in English (written and verbal).
  • Consistently operating a computer and other office equipment such as a telephone, calculator, copy machine, and printer.
  • Must be able to remain in a stationary position 75% of the time.
  • Must be able to move around the office or visit members 25% of the time.
  • Frequently moving or carrying office equipment weighing up to 15 pounds across offices.
  • Ability to operate a vehicle and/or travel to meetings and different office locations as required or requested.
Preferred Qualifications:
  • Bachelor's degree in healthcare, social work, or related field.
  • Minimum 2 years of experience in care management.
  • Current and valid Driver's License.
  • Proof of auto insurance.
What We Offer:
  • A competitive salary and benefits package.
  • A hybrid work model that allows for flexibility and work-life balance.
  • Opportunities for professional growth and development.
  • A supportive and inclusive work environment.
  • A comprehensive benefits package, including medical, dental, and vision insurance.
  • A 401(k) plan and employee assistance programs.