ECM Site Manager

Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and its divisions—Serene Health, Community Support, and American TrueCare—our mission is to provide comprehensive support and care that addresses immediate concerns and fosters long-term well-being. We aspire to lead in member care outcomes and set new standards for excellence and innovation, empowering our members to achieve self-sufficiency in health. Our work culture is built on pride, passion, and a collective commitment to making a positive difference in people's lives through collaboration and continuous learning.

About the role

The Site Manager directs, organizes, and manages Serene Health’s Enhanced Care Management Program (ECM), coordinating physical health, behavioral health, and community-based long-term services and supports for eligible beneficiaries.

Supervisory Responsibilities

• Oversees departments at various sites throughout the state.
• Develops program goals and objectives, establishes staffing patterns, and organizes staff work.

Responsibilities

• Leads a multidisciplinary team to provide a seamless continuum of care for high-need, high-risk populations.
• Acts as liaison with other Serene Health departments, external referral resources, and Health Plan partners to maintain systems of care coordination.
• Designs and implements systems of care coordination to enhance outcomes for high-risk patients.
• Oversees the creation and implementation of Health Action Plans (HAP) for ECM patients and others requiring care, ensuring goals are met.
• Develops, maintains, implements, and trains staff on ECM protocols, policies, and procedures.
• Plans and conducts regular ECM staff meetings.
• Ensures ongoing program compliance with ECM rules and regulations.
• Oversees accurate documentation in Serene Health’s EHR system to meet program requirements, ensure high-quality care, and facilitate timely payment.
• Extracts and reports on data from various systems to provide meaningful management information.
• Gathers productivity and quality data from the ECM system and other sources for reporting.
• Performs other duties as assigned.

Requirements

• Bachelor’s degree from an accredited college or university or equivalent experience.
• Minimum of 7 years of experience in a healthcare setting.
• Experience managing multidisciplinary care teams.
• Experience working with homeless, criminal justice, or other underserved populations.

Skills

• Understanding of social determinants of health and their impact on patient well-being.
• Culturally competent and able to work with a diverse population.
• Bilingual (English/Spanish) preferred.
• Strong proficiency with Microsoft Office applications (Word, Outlook) and internet applications.
• Proficient in working with various electronic health record systems while maintaining data integrity and accuracy.
• Excellent verbal, written, and interpersonal communication skills.
• Strong problem-solving and organizational skills, with the ability to multitask and manage multiple priorities.
• Able to communicate effectively at all levels of the organization, including leadership and high-level representatives of partner organizations.

Physical Requirements

• Willingness to travel to different locations to conduct training sessions.
• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 10 pounds at times.

Pay

$76,000 USD - $105,000 USD

Benefits

Full-time employees are eligible for the following benefits after 60 days of employment:

• Medical, Dental, & Vision Benefits: Various insurance options for you and your family.
• Short & Long-Term Disability Benefits: Protection when you need it most.
• Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
• Flexible Spending Accounts: Manage your finances with flexibility.
• Employee Assistance Program (EAP): Support for life’s challenges.
• 401(K): Building your financial future (effective after 1 year of employment).
• Paid Vacation and Sick Leave: Flexibility for planned and unplanned time off.
• Paid Holidays: Quality time for celebrations.
• Employee Referral Program: Share opportunities and reap rewards.
• Company Discount Program: Savings on everyday expenses and memberships.