Regional Program Manager - Northern California
33 Days Old
WE ARE TITANIUM HEALTHCARE
Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just arent getting the medical care they need. Were 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.
Join us in our mission!
POSITION SUMMARY
The Enhanced Care Management (ECM) Regional Manager plays a pivotal role in guiding and supporting an assigned care team, ensuring the provision of high-quality care to members. Collaborating closely with senior leadership, the ECM Regional Manager empowers the team with tools, training, and resources necessary for success while upholding the standards of excellence in care management. The ECM Regional Manager will manage, assign caseloads, and provide day-to-day program coordination for the ECM Program with the support and full knowledge of the ECM Director. The ECM Regional Manager 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.
WHERE YOULL WORK
This position is hybrid; 30% of duties performed remotely and 70% traveling to in-person member visits in assigned regions (San Francisco, Alameda, Contra Costa, Santa Clara, Sacramento, Salano counties, etc.). Standard business hours are Monday through Friday from 8:30 am to 5:00 pm. After hours may be required to meet business demands.
WHAT YOULL DO
Oversight
Oversee a team of supervisors and other staff across the Northern California region
Own the quality metrics and develop improvement plans given MCP audit tools with expectation of superior audit results
Coordinate team meetings and accurately address team questions and concerns
Manage the outreach, engagement, enrollment, intake, assessment and tracking of new enrollments for the ECM Program, as well as reassessment and reauthorizations for continuing members
Assist with file compliance and audit preparation in coordination with the ECM Director
Ensure all charting is compliant with Department of Health Care Services (DHCS) standards at all times
Report all non-compliance to the ECM Director for corrective actions
Data collection and reporting
Service & Support
Assign caseloads to team members
Facilitate and link members to appropriate MCP resources
Manage and conduct regular team meetings with staff to review progress towards goals
Reassess and revise service plans using recovery-oriented service models
Facilitate and lead consistent in-person team meetings
Manage staff and ensure educational and employment goals are being met during scheduled meetings
Administration
Build and maintain market growth strategy
Meet regularly with assigned ECM Director & health plan to identify areas for membership growth and outreach improvement
Conduct financial analysis in collaboration with the Finance team on assigned Managed Care Plan (MCP) to ensure positive profit and loss for the unit
Act as key leader for assigned health plans
Build and lead effective service delivery team measured by staff retention and MCP growth
Establish and maintain effective customer relationships
Documentation & Data Collection
Work collaboratively with members of assigned ECM teams as needed
Provide support and effectively perform assigned job duties
Contribute to the achievement of the ECM program's goals and objectives of housing, income stability, healthcare goals, sobriety, and behavioral health goals
Attend staff meetings, supervision, and training as required
Attend community meetings as requested
Perform other duties and projects assigned
WHO YOU ARE
Fluent 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 30% of the time.
Must be able to move around and visit members 70% of the time.
Frequently moving or carrying office equipment weighing up to 15 pounds
Ability to operate a vehicle and/or travel to meetings at different locations as required or requested
WHAT YOULL NEED
High school diploma or GED required
Bachelors degree in healthcare or related field, or 4 years of healthcare experience in lieu of education
Minimum 5 years of care management experience with at least 2 years of supervisory or managerial experience
Current and valid Drivers License
Proof of auto insurance
Distraction-free home workspace with a secure internet connection
NICE TO HAVES
Experience using eClinicalWorks (eCW)
Knowledge of Enhanced Care Management (ECM) program
Bilingual in Spanish
WHAT YOULL ENJOY
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
EEO Statement
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.
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- Location:
- San Francisco, CA, United States