ECM Site Manager

Job Description

Job Description

Job Summary:

The Site Manager is responsible for directing, organizing, and managing American TrueCare's Enhanced Care Management Program (ECM). The Lead Care Managers coordinate the full range of physical health, behavioral health, and community-based long-term services and supports needed by eligible beneficiaries.

Supervisory Responsibilities:

• Oversees department at various sites throughout the state.

• Develops program goals and objectives, established staffing patterns, and organizes the staff work.

Duties/Responsibilities:

• Able to lead a multidisciplinary team in providing a seamless continuum of care and coordination for high-need, high-risk populations.

• Acts as liaison with other American TrueCare departments and programs to create and maintain systems of care coordination.

• Acts as liaison with external referral resources and programs to create and maintain systems of care coordination.

• Ability to interact professionally with all Health Plan partners.

• Designs and implements systems of care coordination to enhance outcomes for high-risk patients.

• Helps to create and provide oversight for care coordination activities.

• Works with care coordination and healthcare teams to ensure a Health Action Plan (HAP) is created for all ECM patients and other patients requiring care.

• Ensures that goals of individual patients' HAP are being met.

• Oversees the development, maintenance, implementation, and training of protocols, policies, and procedures for all functions related to the ECM.

• Plans and conducts ECM staff meetings on a regular basis.

• Keeps abreast of ECM rules and regulations to ensure ongoing program compliance.

• Responsible for overseeing accurate documentation in American TrueCare's EHR system to ensure that program requirements are met, high-quality care is provided, and timely payment is received.

• Familiar with and comfortable extracting and reporting on various data sets from various systems.

• Gather productivity and quality data from ECM System and other sources and use it to provide meaningful management information to appropriate staff.

• Performs other duties as assigned.

Education and Experience:

• Bachelor's degree from accredited college or university or equivalent experience required.

• Minimum of 7 years of experience in a healthcare setting.

• Experience managing multidisciplinary care teams.

• Experience working with homeless, criminal justice, or other underserved populations.

Required Skills/Abilities:

• Understanding of social determinants of health and impact on patient well-being.

• Culturally competent and able to work with a diverse population.

• Bi-lingual (English/Spanish) Preferred.

• Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications

• Proficient in working with various electronic health record systems while maintaining the integrity and accuracy of the data.

• Excellent verbal, written, and interpersonal skills, and strong problem-solving skills

• Excellent organizational skills and ability to multitask and juggle multiple priorities

• Able to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizations

Physical Requirements:

• Willingness to travel to different locations to conduct training sessions.

• Prolonged periods sitting at a desk and working on a computer.

• Must be able to lift up to 10 pounds at times.

Pay range

$76,000—$105,000 USD