Clinical Program Manager, Integrated Care - FT - Days - Integrated Care @ MV

About the role

El Camino Health is seeking a clinical leader to drive performance improvement initiatives and advance care for designated patient populations across various settings.

Responsibilities

• Lead cross-functional teams in planning, developing, coordinating, and implementing complex care initiatives.
• Coach and advise on efforts to enhance efficiency, quality, patient outcomes, and patient experience.
• Serve as the clinical leader for improving care of designated patient populations.
• Support the adoption of AI-enabled tools, analytics platforms, and emerging technologies to improve care coordination and documentation.
• Collaborate with leadership and cross-functional teams to improve evidence-based practice, clinical outcomes, patient experience, workflow efficiency, and program performance.
• Maintain current knowledge of clinical practice guidelines, regulatory requirements, specialty program operations, and emerging industry best practices.
• Oversee program data generation, analytics review, dashboard development, and presentation of performance results and recommendations to leadership.
• Monitor care delivery performance across inpatient, outpatient, home, and post-acute settings, identifying opportunities for intervention, education, and process improvement.
• Oversee post-discharge follow-up workflows, outreach strategies, caregiver coordination, continuity of care, and timely follow-up processes for designated patient populations.
• Serve as a clinical liaison between hospital-based providers/acute care teams, patients, caregivers, primary care providers, physician offices, and post-acute partners to support safe and effective transitions of care.
• Manage medication reconciliation, therapy continuation, patient education, and continuity standards in collaboration with appropriate clinical teams.
• Support implementation and optimization of care management technology, Epic workflows, AI-enabled tools, and digital solutions that improve outreach efficiency, risk stratification, and documentation quality.
• Educate stakeholders on effective use of approved technologies and workflow enhancements.
• Develop collaborative relationships with aligned skilled nursing facilities, home health agencies, physician offices, and community providers to improve post-acute outcomes and episode performance.
• Conduct onsite visits to post-acute partner facilities, as operationally appropriate, to strengthen collaboration, identify barriers, and support care transition performance.
• Conduct program and patient population reviews to identify trends, barriers, and opportunities to improve outcomes, utilization, and patient flow.
• Communicate effectively with executives, physicians, and operational leaders, and support resource planning, training initiatives, and organizational alignment.

Qualifications

• Bachelor’s degree in a work-related field from an accredited college or university required.
• Master’s degree preferred.
• Minimum three (3) years of experience leading teams, programs, or initiatives in a clinical setting.
• Experience in care coordination, case management, transitional care, utilization management, population health, or related clinical operations preferred.
• Experience in orthopedic, surgical, cardiac, rehabilitation, post-acute, or care coordination settings preferred.
• Experience with bundled payment models, value-based care, post-acute strategy, and/or payer programs strongly preferred.
• Experience with Epic, analytics dashboards, reporting tools, AI-enabled workflow tools, and cross-functional implementation work preferred.
• Excellent oral and written communication, interpersonal, facilitation, and presentation skills.
• Demonstrated ability to produce results, coordinate projects, manage competing priorities, and work independently.
• Prominent critical thinking and problem-solving skills with ability to organize, analyze, and present data.
• RN preferred.

Requirements

• Professional licensure of health care discipline required.
• Basic Life Support (BLS), American Heart Association required.
• Certification in Case Management (CCM) or related certification preferred.
• Valid California Driver’s License and proof of auto insurance may be required based on operational needs.