ECM Supervisor

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SANTA FE SPRINGS, CA, US

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.

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.

• 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…