Enhanced Care Management Leader

Enhanced Care Management Leader

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!

The Enhanced Care Management (ECM) 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.

This position is hybrid. Work from home and go into the field (Sacramento County) as needed. Travel is required to meet with staff and members within designated areas or based on business needs. You are eligible for mileage reimbursement for the use of your vehicle for business-related travel. Standard business hours are Monday through Friday from 8:00 am to 5:00 pm.

• 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
• Oversee and coordinate the duties of a team of LCMs, 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 LCMs, 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 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 company wide 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 LCMs meet monthly member encounter targets and provide them with due dates
• Handle employee administration tasks, including performance reviews and corrective actions
• 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

Sensory Requirements

• Fluent in English (written and verbal)
• Ability to communicate clearly in-person, by phone, and electronically
• Adequate hearing and vision (with corrective devices if necessary) to conduct assessments and documentation
• Ability to identify problems and use logic and related information to develop and implement solutions
• Excellent organizational skills and attention to detail
• Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare practice

Physical Activity

• Ability to lift, carry, push, or pull up to…