Enhanced Care Management Program Manager
New
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Pacific Health GroupHealthcare management
State-Wide, Nevada, United StatesFull-TimeManager
Salary80,000 - 85,000 USD per year
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Job Details
- Experience
- 5+ years in healthcare management, including 3+ years in care/case management; 2+ years managing Enhanced Care Management or intensive care management programs.
- Required Skills
- Budget management
Requirements
- Bachelor’s or Master’s degree in Healthcare Administration, Public Health, Nursing, or a related field.
- 5+ years of experience in healthcare management.
- 3+ years of experience in care or case management.
- 2+ years managing Enhanced Care Management or intensive care management programs.
- Knowledge 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.
- Valid driver’s license and active auto insurance meeting state requirements.
- Reliable personal vehicle for daily work use.
- Must reside within the hiring state.
- Must travel regularly, including up to 60–70% within the county for in-person visits.
- Must be willing to work occasional evenings and weekends.
Responsibilities
- Mentor and guide Lead Care Managers across multiple counties.
- Conduct weekly one-on-ones to review caseloads, address challenges, and provide coaching.
- Lead weekly team meetings and facilitate operational huddles and case conferences.
- Establish program benchmarks and metrics and monitor performance using data.
- Implement quality assurance protocols and standardized workflows.
- Ensure members receive in-person visits and high-quality care; monitor documentation and support challenging cases.
- Liaise with hospitals, providers, and community organizations, and collaborate with data and compliance teams.
- Develop and manage program budgets, allocate resources, and track expenditures.
- Pilot initiatives such as telehealth and integrate improvements based on best practices.
- Prepare quarterly performance reports and maintain stakeholder relationships.
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