Enhanced Care Management Leader - Santa Cruz

WE ARE TITANIUM HEALTHCARE
Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just aren't getting the medical care they need. We're 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 Leader plays a pivotal role in guiding and supporting a team of Lead Care Managers (LCMs), ensuring the provision of high-quality care to members. Collaborating closely with senior leadership, the ECM Leader empowers the team with tools, training, and resources necessary for success while upholding the standards of excellence in care management.
WHERE YOU'LL WORK
This position is hybrid. You will work from home and some travel is required to the assigned region and office: 30% of duties performed remotely, 70% involving in-person member visits. You will receive mileage reimbursement for business-related expenses when using your own vehicle. Business hours are Monday-Friday from 8:30 am to 5:00 pm. Afterhours is required as needed to meet business demands.
WHAT YOU'LL DO

• Oversee and coordinate the duties of a team of Lead Care Managers, including assigning caseloads and responsibilities
• Audit charting documentation to ensure that employees accurately and promptly document member encounters in compliance with policies and health plan updates
• Audit telephonic encounters to maintain the delivery of high-quality care
• Ensure adherence to established protocols for child/elder abuse, patients experiencing pain, safety concerns, and mental health concerns, including the creation of safety plans or reports as needed
• Attend in-person meetings with Lead Care Managers, including outreach visits, provider appointments, and exclusions
• Empower LCMs by providing the tools, training, and resources they need to excel in their roles
• Foster a supportive and professional work environment
• Accommodate and educate new hires, explaining the LCMs role, expectations, and relevant policies and procedures
• Conduct weekly meetings/huddles to communicate goals, process changes, and other work-related updates
• Serve as the initial point of contact for complex member issues or concerns, directing LCMs to appropriate resources and ensuring resolutions
• Monitor employee performance, identify training needs, and implement performance improvement plans when necessary
• Address employee inquiries and process requests promptly
• Offer support to LCMs regarding community services and resources available to employees and members
• Comply with departmental and companywide policies and procedures
• Adhere to safety and injury prevention policies and regulations
• Maintain a caseload of up to 10 members, including in-person visits as required
• Ensure Lead Care Managers meet monthly member encounter targets and provide them with due dates
• Handle employee administration tasks, including terminations and performance reviews
• Provide support for training and retraining to LCMs as needed
• Continuously train and update your knowledge to meet or exceed role expectations
• Understand duplicate programs, ECM eligibility criteria, and provide support to LCMs
• Support other ECM Leaders in their absence by monitoring their teams
• Actively identify process issues and make recommendations for improvement
• Perform other duties and projects as assigned

WHO YOU ARE

• The ECM Leader's 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
• Proficient 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 75% of the time
• Must be able to move around the office or visit members 25% of the time
• Move or carry office equipment weighing up to 15 pounds across offices
• Ability to operate a vehicle and/or travel to meetings and different office locations as required or requested

WHAT YOU'LL NEED

• 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

WHAT YOU'LL 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 individual impact on the business
• Paid Time Off: 12 holidays and up to 3 weeks of accrued PTO to rest and recharge plus additional time for sick, jury duty, bereavement, and reproductive loss

• 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
• 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

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.