ECM Supervisor

Central Neighborhood Hlth Fdn; California (MO); On-site; USD 70,000 - 90,000; Full time

Job summary

Central Neighborhood Health Foundation seeks an ECM Supervisor to direct, organize, and manage the Enhanced Care Management program. You will supervise direct and indirect reports, oversee member cases, and track deliverables to ensure high quality services.

You will analyze program data, prepare reports on trends, support upper management, and coordinate with partners to meet grant requirements while developing workflows and staffing plans for daily operations.

Responsibilities

• Direct and manage ECM staff, including direct supervision of team members.
• Develops positive professional relationships and maintains accountability across the workforce.
• Coaches staff and administers disciplinary actions as needed.
• Collaborates with internal and external partners to improve quality of care and workflow.
• Oversees member case files, reviews and audits.
• Attend clients’ appointments with staff and provide actionable feedback.
• Gathers, enters, and analyzes data on program metrics and generates reports.
• Support the Program Director with daily operations, staffing, scheduling, and partner liaison.
• Ensure staff receive timely training and maintain compliance with program requirements.
• Monitor deliverables and ensure compliance with grant and departmental requirements.
• Explain program requirements and policies to staff, clients, and the community.
• Ensure Medi-Cal eligibility, billing, and reporting workflows are followed for ECM.
• Lead meetings to update teams and develop strategies for quality assurance.
• Coordinate with care plans, providers, community partners, and stakeholders.
• Assist in developing workflow, policies, and documentation for the ECM program.
• Develop and implement plans to correct deficiencies and participate in mandatory trainings.

Job description

Job Description

INTRODUCTION:

Central Neighborhood Health Foundation is a Federally Qualified Healthcare Center (FQHC) committed to the Triple Aim as described by the Institute for Healthcare Improvement. Improving the US health care system requires simultaneous pursuit of three aims: 1) improving the experience of care, 2) improving the health of populations, and 3) reducing per capita costs of health care. Preconditions for this include the enrollment of an identified population, a commitment to universality for its members, and the existence of an organization (an \"integrator\") that accepts responsibility for all three aims for that population.

SUMMARY:

The Supervisor is responsible for directing, organizing, and managing Central Neighborhood Christian Health Clinics Enhanced Care Management Program (ECM). In this role job duties include managing direct and indirect reports, providing an oversight of patient cases and tracking deliverables for the department. Conducting data analysis, report on data trends and providing support to upper management. It is expected to be flexible in fulfilling a variety of program roles for the day-to-day operations of CNCHC’s DHCS CalAIM Enhanced Care Management Program. The ECM Supervisor is responsible for direct oversight of program staff including Lead Care Managers and Community Health Workers. Implementing policies & procedures and ensuring workflows are adhered to. Maintain an adequate monitoring system for staff oversite including addressing staff-related issues and timely reporting of deficiencies. Ensure staff are providing high quality services to our members.

ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following functions:

• Manage day-to-day operations of ECM staff as assigned, including providing direct supervision of staff.

• Develops positive professional relationships, inspires others to perform at a highest level and retains an accountable workforce.

• Coaches and counsels’ staff and administers appropriate disciplinary action in a timely manner.

• Collaborates with internal and external customers, including other service providers, for the purpose of improving quality of care and workflow.

• Provides oversight of member case files, review and audit files.

• Attend clients’ appointments with staff and provide prompt and actionable feedback to subordinates.

• Gathers, enters, and analyzes data on program metrics and creates relevant and usable reports on program objectives.

• Provides support to Program Director, assist with daily operations, managing staffing schedules, calendaring, and liaising with community partners, especially regarding staffing.

• Provide/ensure staff receive new hire and annual training on time.

• Tracks deliverables for assignments on a regular basis, ensuring compliance with grant and departmental requirements.

• Interpret and explain program requirements, policies to staff, clients and the community.

• Ensures compliance with contracted health plans requirements through verification and approval of documentation.

• Execute the Medi-Cal eligibility, billing, reporting process and workflows to implement ECM.

• Meet and facilitate meetings with ECM teams to provide updates and develop strategies for program quality assurance and quality improvement.

• Collaborate with managing care plans, healthcare providers, community partners and stakeholders.

• Assist in developing workflow, policies, procedures, and documentation related to ECM program.

• Develops and implements plans to correct any identified deficiencies.

• Participate in required training programs, maintain compliance with safety rules, health practices, incident reports, and mandatory reporting requirements.

• Act in accordance with personnel policies and procedures, assistance in the hiring and training of new staff, managing employee relations and disciplinary actions including employee terminations.

• Responsible for timely completion of direct report performance evaluations, merit increase recommendations, timecard monitoring and approval processes.

• Conducts regular staff meetings, including communication and training of program policies and procedures, outcomes of audits, and compliance matters.

• Attending meetings as required by funders and professionally representing the organization.

• Assures appropriate staffing levels and competencies meet the service needs.

• Acts as liaison with external referral resources and programs to create and maintain systems of care coordination.