Enhanced Care Management Leader
Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just aren't getting the medical care they need. We're on a mission to change that. For patients that means exceptional support and better care. For providers it means better support and time to focus on patients, and for partners that means higher quality and lower cost.
The Enhanced Care Management (ECM) Leader plays a pivotal role in guiding and supporting a team of Lead Care Managers (LCMs), ensuring the provision of high-quality care to members. Collaborating closely with senior leadership, the ECM Leader empowers the team with tools, training, and resources necessary for success while upholding the standards of excellence in care management.
This position is hybrid. You will work from home and some travel is required to the assigned Northern California region : 30% of duties performed remotely, 70% involving in-person member visits. You will receive mileage reimbursement for business-related expenses when using your own vehicle. Business hours are Monday through Friday from 8 : 30 am to 5 : 00 pm. Afterhours is required as needed to meet business demands.
Oversee and coordinate the duties of a team of Lead Care Managers, including assigning caseloads and responsibilities
Audit charting documentation to ensure that employees accurately and promptly document member encounters in compliance with policies and health plan updates
Audit telephonic encounters to maintain the delivery of high-quality care
Ensure adherence to established protocols for child / elder abuse, patients experiencing pain, safety concerns, and mental health concerns, including the creation of safety plans or reports as needed
Attend in-person meetings with Lead Care Managers, including outreach visits, provider appointments, and exclusions
Empower LCMs by providing the tools, training, and resources they need to excel in their roles
Foster a supportive and professional work environment
Accommodate and educate new hires, explaining the LCMs role, expectations, and relevant policies and procedures
Conduct weekly meetings / huddles to communicate goals, process changes, and other work-related updates
Serve as the initial point of contact for complex member issues or concerns, directing LCMs to appropriate resources and ensuring resolutions
Monitor employee performance, identify training needs, and implement performance improvement plans when necessary
Address employee inquiries and process requests promptly
Offer support to LCMs regarding community services and resources available to employees and members
Comply with departmental and companywide policies and procedures
Adhere to safety and injury prevention policies and regulations
Maintain a caseload of up to 10 members, including in-person visits as required
Ensure Lead Care Managers meet monthly member encounter targets and provide them with due dates
Handle employee administration tasks, including performance reviews and corrective actions
Provide support for training and retraining to LCMs as needed
Continuously train and update your knowledge to meet or exceed role expectations
Understand duplicate programs, ECM eligibility criteria, and provide support to LCMs
Support other ECM Leaders in their absence by monitoring their teams
Actively identify process issues and make recommendations for improvement
Perform other duties and projects as assigned
The ECM Leader's duties encompass a wide range of responsibilities, from leadership and support to direct member engagement, all with the overarching goal of enhancing the quality of care and support provided to members
Proficient in English (written and verbal)
Operate a computer and other office equipment such as a telephone, calculator, copy machine, and printer
Must be able to remain in a stationary position 75% of the time
Must be able to move around the office or visit members 25% of the time
Move or carry office equipment weighing up to 15 pounds across offices
Ability to operate a vehicle and / or travel to meetings and different office locations as required or requested
Bachelor's degree in healthcare, social work, or related field
Minimum 2 years of experience in care management
Current and valid driver's license
Proof of auto insurance
Distraction-free home workspace with a secure internet connection
Master's degree a plus
Make an impact : an organization who cares about its employees, communities, and the future of healthcare
Inclusivity : be a part of a workplace where you not only belong but also can be the best version of yourself
Growth : opportunities to develop and grow your career with us
Community : you are encouraged to have a voice, share your opinions, and have an individual impact on the business
Paid Time Off : 12 holidays and up to 15 days of accrued PTO to rest and recharge plus additional time for sick, jury duty, bereavement, reproductive loss, and therapy
Work Life Balance : enjoy flexibility to maximize your well-being and success with our hybrid work model
Medical, Dental, & Vision Benefits : we cover up to 100% of your premium and 50% of your dependents depending on the plan
Prioritize your mental health with unlimited therapy sessions funded 100% by Titanium Healthcare
Flexible Spending, Health Savings & Dependent Care Accounts
Life / AD&D insurance funded 100% by Titanium Healthcare
Supplemental Short-Term Disability
Employee Assistance Programs
Protect your pet(s) with Pet Insurance
401(k) plan
At Titanium Healthcare, our mission is to fearlessly reengineer the way healthcare works to reduce costs, ensure better outcomes, and provide everyone, everywhere, with the kind of compassionate and coordinated care they deserve. We believe that achieving this mission starts with a diverse and inclusive workforce.
Titanium Healthcare is an equal opportunity employer. We are committed to promoting and celebrating all backgrounds and encourage all applicants, regardless of race, religion, gender, sexual orientation, disability, age, marital status, parental status, military or veteran status, or any other legally protected status, to apply. We believe that diversity and inclusion drive innovation and equity in healthcare, enabling us to better serve our communities and make a lasting impact.
Care Care • Oakland, CA, US