Enhanced Care Management Leader - Santa Cruz

$66,560 - $70,000/Yr

Titanium Healthcare - Santa Cruz, CA

Full-time - Mid Level

Remote - Santa Cruz, CA

Insurance Carriers and Related Activities

About the position

The Enhanced Care Management Leader is responsible for guiding and supporting a team of Lead Care Managers (LCMs) to ensure high-quality care for members. This role involves collaboration with senior leadership to empower the team with necessary tools, training, and resources while maintaining excellence in care management. The position requires a hybrid work model, with a mix of remote work and in-person member visits.

Responsibilities

• Oversee and coordinate the duties of a team of Lead Care Managers, including assigning caseloads and responsibilities.
• Audit charting documentation to ensure accurate and prompt member encounter documentation.
• Audit telephonic encounters to maintain high-quality care delivery.
• Ensure adherence to established protocols for child/elder abuse, safety concerns, and mental health issues.
• Attend in-person meetings with Lead Care Managers, including outreach visits and provider appointments.
• Empower LCMs by providing necessary tools, training, and resources.
• Foster a supportive and professional work environment.
• Accommodate and educate new hires on the LCM role and relevant policies.
• Conduct weekly meetings to communicate goals and updates.
• Serve as the initial point of contact for complex member issues, directing LCMs to appropriate resources.
• Monitor employee performance and implement performance improvement plans as needed.
• Address employee inquiries and process requests promptly.
• Offer support regarding community services and resources available to employees and members.
• Comply with departmental and companywide policies and procedures.
• Maintain a caseload of up to 10 members, including in-person visits as required.
• Ensure Lead Care Managers meet monthly member encounter targets.
• Handle employee administration tasks, including terminations and performance reviews.
• Provide support for training and retraining to LCMs as needed.
• Continuously train and update knowledge to meet or exceed role expectations.
• Identify process issues and make recommendations for improvement.

Requirements

• 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.

Nice-to-haves

• Master's degree a plus.

Benefits

• Medical, Dental, & Vision Benefits: coverage up to 100% of your premium and 50% of dependents depending on the plan.
• Flexible Spending, Health Savings & Dependent Care Accounts.
• Life/AD&D insurance funded 100% by Titanium Healthcare.
• Supplemental Short-Term Disability.
• Employee Assistance Programs.
• 401(k) plan.
• Paid Time Off: 12 holidays and up to 3 weeks of accrued PTO, plus additional time for sick, jury duty, bereavement, and reproductive loss.