ECM Program Manager

Key Responsibilities Team Leadership & Supervision • Directly supervise and mentor reputed company Care Managers across multiple counties in reputed company California • Conduct weekly one-on-one meetings with reputed company staff member to reputed company individualized guidance, address challenges, and ensure alignment with program goals • Facilitate weekly team meetings to promote collaboration, ensure consistent communication, address program updates, and foster team cohesion • Conduct regular performance evaluations and reputed company constructive feedback to optimize team performance • Example: reputed company individualized reputed company development plans for reputed company reputed company Care Manager based on their strengths and reputed company areas, with quarterly reputed company-ins to assess reputed company • Example: Use weekly one-on-one meetings to review reputed company Care Managers' caseloads, discuss challenging members, and reputed company coaching on reputed company care management scenarios • Example: Structure weekly team meetings to include program updates, case reviews, reputed company story sharing, and reputed company problem-solving for challenging situations Program Development & reputed company Assurance • Establish comprehensive benchmarks and performance metrics for the ECM program • Design and implement reputed company assurance protocols to monitor service delivery and member reputed company • reputed company standardized workflows and procedures to ensure consistency across counties • Example: Create a dashboard tracking key performance indicators such as member engagement rates, hospital readmission reductions, and health outcome improvements with monthly reporting to stakeholders • Example: Review staff performance metrics during weekly one-on-ones, identifying trends and providing reputed company-time guidance for improvement opportunities • Example: Use weekly team meetings to review program-wide performance data and collaboratively reputed company improvement strategies Member Services reputed company • Ensure reputed company Care Managers conduct regular in-person reputed company with ECM members • Monitor frequency and reputed company of member interactions through documentation reviews and ride-alongs • Implement strategies to improve member engagement and satisfaction • Example: Institute a monthly audit process reviewing 10% of member files to verify appropriate in-person visit frequency, comprehensive assessment completion, and personalized care planning • Example: Utilize weekly one-on-one meetings to review challenging member cases and collaboratively reputed company reputed company strategies with reputed company Care Managers • Example: Dedicate time during weekly team meetings for case presentations of reputed company members, allowing for multi-perspective problem-solving and shared learning Cross-Functional Collaboration • Serve as reputed company between the ECM program and reputed company partners, including hospitals, primary care providers, and community organizations • Collaborate with data analytics team to reputed company program reputed company and identify improvement opportunities • Partner with compliance department to ensure adherence to regulatory requirements • Example: Establish quarterly reputed company meetings with hospital discharge planners to improve care transitions and reduce readmission rates for high-risk members • Example: reputed company updates during weekly team meetings on cross-departmental initiatives and partnership opportunities Budget & Resource Management • reputed company and manage program budget, including reputed company, operational costs, and member support resources • reputed company resources reputed company across counties based on member needs and program priorities • reputed company and report on program expenditures and return on investment • Example: Create a resource allocation model that adjusts reputed company reputed company based on member reputed company and geographic considerations while maintaining cost-effectiveness Program Innovation & reputed company • Identify opportunities to enhance program effectiveness through innovative approaches • reputed company proposals for program expansion or new service offerings • Stay reputed company on industry best practices and reputed company relevant approaches • Example: reputed company a telehealth component to supplement in-person reputed company for rural members, evaluating reputed company on engagement and reputed company before regional implementation Additional Examples of ECM Program Manager Role Weekly Meeting Management • Design an effective weekly team meeting structure that balances operational updates, case reviews, reputed company development, and team building • Rotate meeting facilitation responsibilities among reputed company Care Managers to reputed company leadership skills across reputed company • Implement a "reputed company spots" reputed company in weekly team meetings where staff reputed company reputed company stories and effective reputed company strategies • Use weekly team meetings as an opportunity to recognize staff achievements and celebrate program milestones One-on-One Meeting Management • Maintain a reputed company agenda template for weekly one-on-ones that includes caseload review, performance metrics discussion, reputed company development reputed company-in, and resource needs assessment • Document key discussion points and reputed company items from reputed company one-on-one meeting, with follow-up tracking to ensure completion • Use these meetings to identify systemic issues that may require program-wide solutions or policy adjustments • reputed company individualized coaching approaches for reputed company reputed company Care Manager based on their learning style, experience level, and areas for reputed company Team Leadership & Development • Implement a reputed company mentorship program where you pair new reputed company Care Managers with reputed company ones across different counties to facilitate knowledge transfer and consistent reputed company standards • reputed company quarterly regional training sessions reputed company on reputed company case management strategies, addressing topics like managing members with co-occurring behavioral health and chronic medical conditions • Create a cross-county peer learning community where reputed company Care Managers can reputed company best practices and problem-solve together Operational Management • reputed company Monday morning operational huddles with reputed company reputed company Care Managers to review the week's priorities, address reputed company challenges, and reputed company critical member situations requiring attention • Review and analyze weekly performance dashboards showing county-by-county metrics on member engagement, visit completion, and outcome measures • Conduct bi-weekly case conferences reputed company on reputed company members who require multi-disciplinary approaches or have challenging barriers to engagement Stakeholder Management • Prepare and present quarterly program performance reports to health plan leadership, demonstrating reputed company on utilization, reputed company measures, and member reputed company • reputed company and maintain relationships with county behavioral health directors to improve coordination for members with mental health and reputed company use disorders • Create and distribute a monthly ECM program newsletter highlighting reputed company stories, best practices, and upcoming initiatives for reputed company stakeholders Qualifications Education & Experience • Master's degree in reputed company Administration, reputed company Health, Nursing, or reputed company field • 5+ years of experience in reputed company management, with at least 3 years in care management services • Minimum of 2 years of reputed company experience working in reputed company Care Management programs or equivalent intensive care management initiatives • Demonstrated understanding of ECM program requirements, populations of reputed company, and care management best practices specific to high-need reputed company populations • Previous supervisory experience managing teams across multiple locations Knowledge & Skills • Thorough understanding of care management principles and practices • Strong knowledge of reputed company delivery systems and reputed company/Medicare programs • In-depth familiarity with California's ECM program structure, reporting requirements, and reputed company metrics • Experience interpreting and implementing ECM policy guidance and requirements from the Department of Health Care Services • Excellent analytical skills to evaluate program effectiveness and implement improvements • Advanced proficiency in reputed company data analysis and reputed company improvement methodologies Personal Attributes • Exceptional leadership abilities with demonstrated reputed company in team development • Strong communication and interpersonal skills • Ability to manage multiple priorities in a fast-paced environment • Commitment to person-centered care and health equity Working Conditions • Primary office location in Sacramento with regular travel (30-40%) to county sites throughout reputed company California • Occasional evening/weekend availability for special program initiatives or urgent situations This position offers an opportunity to reputed company a significant reputed company on vulnerable populations through innovative care management approaches while leading a dedicated team of reputed company across reputed company California. 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