Enhanced Care Management Program Manager

🔥 0 minutes ago

🎰 Nevada – Remote

🎰 Nevada – Remote

💵 $80k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Program Manager

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Pacific Health Group

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2023

🏥 Healthcare

🧘 Wellness

🌍 Social Impact

Healthcare • Wellness • Social Impact

Pacific Health Group is a community-focused healthcare organization that delivers integrated medical, behavioral health, and social support services to improve the wellbeing of underserved populations. The organization provides enhanced care management for complex needs, behavioral health and substance-use treatment, community health worker outreach, street medicine for people experiencing homelessness, community support services (including housing assistance), and non-ambulatory medical transportation. Pacific Health Group partners with health plans and centers care on whole-person wellness, equity, and access across multiple locations.

📋 Description

• Lead Pacific Health Group’s Enhanced Care Management program for vulnerable and high-need populations • Supervise, mentor, and guide Lead Care Managers across multiple counties • Conduct weekly one-on-ones, review caseloads, provide coaching, and lead weekly team meetings • Meet with staff in person regularly • Establish performance benchmarks and metrics • Implement quality assurance protocols and standardized workflows • Monitor staff performance and identify trends and improvement opportunities using data • Ensure members receive in-person visits and high-quality, person-centered care • Monitor documentation and support challenging cases • Improve member engagement and satisfaction • Liaise with hospitals, providers, and community organizations • Collaborate with data and compliance teams to track outcomes and maintain regulatory standards • Strengthen care-transition partnerships and reduce hospital readmissions • Develop and manage program budgets, allocate resources, and track expenditures • Adjust staffing and resources based on member needs and program priorities • Identify and pilot initiatives such as telehealth • Stay current on best practices and integrate improvements • Lead operational huddles and bi-weekly case conferences • Develop mentorship programs and regional staff training • Prepare quarterly performance reports and maintain stakeholder relationships • Travel regularly to county sites in California and support occasional evening or weekend initiatives

🎯 Requirements

• 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 • Must reside within hiring state • Valid Driver's License and active auto insurance meeting state requirements • Reliable personal vehicle for daily work use • Successful completion of background check, including MVR • Must be able to travel up to 60-70% within the county to conduct in-person visits • Must successfully complete a Testlify skills assessment • Must have a reliable working laptop for the first 21 days of employment until company-issued laptop is received • Must have effective time management skills • Internet speed of 300+ Mbps download and 25+ Mbps upload • Proficiency in technology, including documentation systems, case management platforms, and communication tools • Must be willing to work occasional evenings and weekends as needed

🏖️ Benefits

• 160 Hours of Paid Time Off (PTO) • 12 Paid Holidays per year, including your birthday and one floating holiday granted after 1 year of employment • 4 Paid Volunteer Hours per Month • Bereavement Leave, including Fur Baby Bereavement • 90% Employer-paid Employee-Only Medical Benefits • FSA | Dependent Care Account • 401(k) with Company Match • Monthly Stipend • Short-Term & Long-Term Disability | AD&D • Employee Assistance Program (EAP) • Employee Discounts via Great Work Perks and Perks at Work • Quarterly In-Person Events • Fully remote work • Opportunities for professional development and internal growth • Personal equipment stipend for a reliable working laptop during the first 21 days of employment