Director, Enhanced Care Management

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🔥 46 minutes ago

🌵 Arizona, California, +9 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🎰 Nevada – Remote 🌲 North Carolina – Remote 🌲 Oregon – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ☕ Washington – Remote

💵 $145k - $160k / year

⏰ Full Time

🔴 Lead

👔 Director

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Vynca

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2014

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Healthcare • Wellness

Vynca is dedicated to helping patients with serious illnesses, such as cancer and heart failure, by providing expert palliative care services. Their comprehensive approach includes clinical care, social support, mental health counseling, and advance care planning, ensuring that patients receive compassionate, coordinated assistance at home or remotely. Vynca's mission is to enhance the quality of life for patients by managing symptoms, providing emotional support, and facilitating open discussions about healthcare goals and preferences.

📋 Description

• Supervise Clinical Managers, Clinical Consultants, Lead Care Managers, and support staff • Refine and implement program policies and procedures • Oversee day to day ECM program • Ensure that ECM contract goals and objectives are met • Ensure contract regulatory and data requirements are met • Ensure records (electronic and physical) and billing requirements are kept up to standards • Oversee assessments, intakes, care planning, crisis management, transition plans • Oversee and ensure staff training • Run EHR reports as needed • Oversees claims submission, denials, and receipt of payments • Attends meetings and represents the organization with the public, local businesses, employers, health plans, vendors, regulatory and outside vendors • Provides reports to management and managed care plans regarding ECM as needed • Responsible for CalAIM program performance and successful execution of all SLAs. • Oversee all aspects of running an efficient team, focusing on role definition and attainment of goals • Design and implement standard operating procedures and workflows for the department • Develop strategic messaging that conveys the company’s value proposition and overcomes patient objections • Manage quality assurance programs to enhance the client experience • Develop KPIs that align team member performance to business objectives • Manage P&L and report accurate business results in monthly operations reviews • Apply creative, analytical solutions to business problems, with the ability to remain nimble and pivot quickly when needed • Collaborate with other department leaders and foster cross functional cooperation, especially with business development for referral management and clinical operations for patient on-boarding • Exemplify company culture by modeling core values of the organization and ensuring staff understands values and mission • Other related duties as assigned

🎯 Requirements

• Bachelor's Degree, highly preferred • 5+ years of people management experience • 3+ years of care management experience • Experience with Enhanced Care Management programs, highly preferred • Proven, results-driven business leader with P&L responsibility experience • Superior organizational skills to orchestrate internal and external meetings driving outcomes • Self-directed, entrepreneurial leader with the flexibility and tenacity to thrive in a fast-paced, high-growth, dynamic environment • Proficient with Microsoft and Google applications, plus general computer literacy • Strong adaptability to work collaboratively and cross-functionally in a remote environment • Must have access to reliable internet connection • Ability to work with complex and multifaceted tasks and systems. • Experience working with culturally, ethically, sexually, and socio-economically diverse populations with the ability to maintain sensitivity in all interactions • Experience working with multidisciplinary teams

🏖️ Benefits

• medical, dental, and vision insurance • income protection benefits • flexible PTO • company holidays • 401k • access to other wellness benefits