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.

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. You will work from home and some travel is required to the assigned Northern California region : 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 through Friday from 8 : 30 am to 5 : 00 pm. Afterhours is required as needed to meet business demands.

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 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

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

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

Master's degree a plus

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

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.