Enhanced Care Management Program Manager

Key Responsibilities

• Mentor and guide Lead Care Managers across multiple counties.
• Conduct weekly one-on-ones to address challenges, review caseloads, and provide coaching.
• Lead weekly team meetings to share updates, review cases, and encourage collaboration.
• Meet in-person with staff regularly to maintain strong leadership presence.
• Establish benchmarks and metrics to track program performance.
• Implement quality assurance protocols and standardized workflows.
• Monitor staff performance and use data to identify trends and improvement opportunities.
• Ensure members are receiving in-person visits and high-quality care.
• Monitor documentation and provide support for challenging cases.
• Implement strategies to improve member engagement and satisfaction.
• Serve as liaison between ECM program and hospitals, providers, and community organizations.
• Collaborate with data and compliance teams to track outcomes and maintain regulatory standards.
• Strengthen partnerships to improve care transitions and reduce hospital readmissions.
• Develop and manage program budgets, allocate resources efficiently, and track expenditures.
• Adjust staffing and resources based on member needs and program priorities.
• Identify opportunities to enhance program effectiveness.
• Pilot new initiatives such as telehealth to expand access to care.
• Stay current on best practices and integrate improvements.

Qualifications

• Bachelor's or Master's in Healthcare Administration, Public Health, Nursing, or related field.
• 5+ years in healthcare management, including 3+ years in care/case management.
• 2+ years managing Enhanced Care Management or intensive care management programs.
• Understanding of care management principles and healthcare delivery systems.
• Experience with Medicaid/Medicare programs and ECM program requirements.
• Strong analytical skills and experience in data-driven program evaluation.
• Strong leadership and communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Commitment to person-centered care and health equity.