RN ECM Program Manager

Socket.dev; Los Angeles (CA); On-site; USD 120,000 - 150,000; Full time

Job summary

AIDS Healthcare Foundation seeks an Enhanced Care Management Program Manager (ECMPM) to oversee the ECM program, ensuring clinical oversight, regulatory compliance, and effective care coordination for HIV/AIDS services. You will lead the ECM team, collaborate with leadership, and align with the CMD goals and Model of Care to improve outcomes and patient satisfaction.

The ECMPM will integrate Mission and Core Values into day-to-day operations, manage cross-functional relationships, and ensure

Qualifications

• CA RN license required; BSN preferred.
• Acute care experience preferred.
• Care management and managed care experience preferred.
• Bilingual Spanish preferred.

Responsibilities

• Provide day-to-day clinical oversight of ECM team members.
• Collaborate with interdisciplinary team to analyze member outcomes and utilization of ECM/Community Supports.
• Ensure adherence to DHCS CalAim regulatory requirements, CMD Model of Care, and contract deliverables.
• Advocate for member health outcomes, health equity and care coordination standards.

Skills

Patient-centered

Bilingual Spanish

Education

CA RN License

BSN preferred

Job description

A Enhanced Care Management Program Manager (ECMPM)

contributes to AHF by blending the Mission and Core Values with

care coordination processes and functions. The ECMPM provides

managerial oversight of the ECM Program, monitors Community

Supports utilization and is responsible for the establishment and

achievement of the Care Management Division (CMD) goals and

objectives for this program. The ECMPM collaborates with front line

team members and leadership to execute the Model of Care, meet

care coordination standards and maintain regulatory compliance;

thereby, improving health outcomes, promoting health equity,

overcoming Social Determinants of Health (SDOH) barriers, and

improving patient satisfaction and retention rates. The ECMPM

demonstrates strong leadership skills, clinical skills, proactive

thinking, comprehensive knowledge of healthcare rules and

supportive services, with a special focus dedicated to HIV/AIDS

members, ensuring that all members have access to a

comprehensive set of services based on their needs and preferences

across the continuum of care.

A ECMPM enhances the reputation of AHF by maintaining the AHF

Management Philosophy principles, which is inclusive of the

following elements: Mission Driven, Fairness, Learning, Hands On,

Accountability and Tenacity. The ECMPM also utilizes core principles

of nursing to meet members where they are, identify strengths and Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the world. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.

barriers, and assist with realistic goal setting to improve member health outcomes, health equity, and quality of life. You will be a passionate advocate for our top initiatives. To be successful as a ECMPM it is crucial to ensure that the AHF Core Values and Mission stay top of mind with all that you do. At AHF we are nimble and able to adapt in a dynamic environment to assist in providing the best experience for our clients and workplace for our employees. AHF has a collaborative organizational structure where staff are accountable to multiple leaders. The ECMPM will work as a part of a close-knit team to maintain a comprehensive knowledge of the DHCS CalAim regulatory requirements, the CMD Model of Care, Health Plan Accreditation Standards, and county/state regulations and guidance, including All Plan Letters and contract deliverables, and provide updates to the team on a routine basis. The ECMPM provides day-to-day clinical oversight of ECM team members and works with the interdisciplinary team to analyze member outcomes, evaluate the utilization of ECM and Community Supports benefits and develop solutions to improve both member health outcomes, while demonstrating a caring and compassionate focus. Licenses and Certifications: CA RN License required; BSN preferred Acute care experience preferred Care Management experience preferred Managed Care experience preferred Bilingual Spanish preferred

Qualifications

Licenses and Certifications: CA RN License required; BSN preferred Acute care experience preferred Care Management experience preferred Managed Care experience preferred Bilingual Spanish preferred

• Patient-Centered
• Value Employees
• Respect for Diversity
• Nimble
• Fight for What's Right

Benefits at AHF

AHF offers comprehensive benefits to help our employees do and be their very best! These benefits are intended to enhance employee physical, financial, spiritual and professional health.