ECM Program Administrator
About The Position
The Enhanced Care Management (ECM) / Community Supports (CS) benefit is a statewide benefit established by the Department of Health Care Services (DHCS) to provide a whole-person approach to care that addresses the clinical and non-clinical circumstances of high-need Medi-Cal beneficiaries enrolled in Medi-Cal managed care. ECM is a collaborative and interdisciplinary approach to providing intensive and comprehensive care management services to populations of focus. The overall goal of the ECM benefit is to provide comprehensive care and achieve better health outcomes for the highest need beneficiaries in Medi-Cal. The ECM/ CS Program Administrator oversees the entire ECM program. The ECM Program Manager operates as part of the member’s multi-disciplinary care team and is responsible for all operational aspects of ECM in coordination with a Community Supports provider, as applicable. Schedule: Flexible, may require some evening and weekends
Requirements
- Ability to work with complex and multi-faceted tasks and systems
- Microsoft Office (Word, Excel, Outlook)
- Excellent Communication Skills
- Excellent Customer Service (Bedside Manners)
- Registered Nurse, LVN, or Behavioral Health or Social Services paraprofessional with at least two (2) years of case management or related experience in the field and Bachelor’s degree
- Applicants with Medical Assistant certification and at least five (5) years of related case management experience will be considered
- Valid CA Driver’s License and Proof of Insurance
Nice To Haves
- Bilingual English/Spanish preferred
- Ability to work as a team player and work independently
Responsibilities
- Accountable for the financial and operational success of the ECM program, ensuring that budget targets are met and that resources are allocated efficiently for sustainable service delivery.
- Ensure that the ECM program delivers measurable improvements in patient outcomes, meeting established individual patient goals and health benchmarks.
- Responsible for hiring, training, and retaining key staff to ensure effective delivery of ECM services, including ongoing staff performance management and professional development.
- Monitor and report on key performance indicators (KPIs) related to patient health outcomes, financial performance, and operational efficiency, ensuring program goals are met or exceeded.
- Responsible for overall management and achievement of day-to-day tasks, support service provisions, quality measures, reporting, staffing and performance feedback for the ECM Program.
- Facilitate and engage in multi-disciplinary meetings to discuss current program status, goals, and address program challenges that may affect progress.
- Routinely review and audit of program records on a routine schedule to ensure ECM participants receive available and new services.
- Create ECM presentations and trainings for NECC providers and staff to enhance and grow ECM program.
- Work with ECM Director, Executive Director, and Medical Director to promote integration of ECM services within NECC clinics and surrounding communities.
- Other duties as designated by the ECM Director.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
